RT Journal Article SR Electronic T1 A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia. JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP 1041 OP 1048 VO 29 IS 5 A1 Kim Dupree Jones A1 Carol S Burckhardt A1 Sharon R Clark A1 Robert M Bennett A1 Kathleen M Potempa YR 2002 UL http://www.jrheum.org/content/29/5/1041.abstract AB OBJECTIVE: To determine the effectiveness of a muscle strengthening program compared to a stretching program in women with fibromyalgia (FM). METHODS: Sixty-eight women with FM were randomly assigned to a 12 week, twice weekly exercise program consisting of either muscle strengthening or stretching. Outcome measures included muscle strength (main outcome variable), flexibility, weight, body fat, tender point count, and disease and symptom severity scales. RESULTS: No statistically significant differences between groups were found on independent t tests. Paired t tests revealed twice the number of significant improvements in the strengthening group compared to the stretching group. Effect size scores indicated that the magnitude of change was generally greater in the strengthening group than the stretching group. CONCLUSION: Patients with FM can engage in a specially tailored muscle strengthening program and experience an improvement in overall disease activity, without a significant exercise induced flare in pain. Flexibility training alone also results in overall improvements, albeit of a lesser degree.