[Fibro-Aktiv: A training programme for patients with severe fibromyalgia - pilot study and literature search].

In this pilot study, a specific, three-week, multimodal treatment programme for patients with a particularly severe course of fibromyalgia syndrome was evaluated in relation to cardiopulmonary endurance performance and the results were compared with reports in the literature.As part of the retrospective, monocentric longitudinal study, a 6-minute walking test was carried out at the beginning and end of inpatient rheumatological rehabilitation (3090 minutes of therapy in 3 weeks) and the results were compared.A total of 71 patients (age: 54.2±7.7 years; f=66, m=5) were included in the study The disease was diagnosed 7.56±7.96 years ago. They were overweight (BMI: 30.91±7.28 kg/m2), had a high level of pain (VAS: 7.43±1.6), high psychological distress (PHQ-4: 6.47±3.0) and significant fibromyalgia-specific complaints (FIQ: 65.65±15.29). Daily activities were reduced (FFbH: 63.27±18.36). Muscle strength was reduced (right hand strength: 15.24±10.76 kg; left hand strength: 13.16±9.18 kg). In all 3 subscales of the MFIS, moderate-high values for fatigue were determined (MFIS-Physical: 3.00±0.63; MFIS-Cognitive: 2.59±0.72; MFIS-Psychosocial: 2.72±0.88). In the 6-minute walk test, 464.72±93.8 m was achieved at the beginning of the rehabilitation programme and 507.61±106.5 m at the end (p<0.001), resulting in an improvement of 42.89 m.The "Fibro-Active Programme" of 3 weeks duration shows comparable or better results than the previously published programmes, which lasted 14 weeks on average.