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Table 5 Comparison of selected management strategies currently used by US- (members of the National Fibromyalgia Association) (N = 2596) [14] and German FMS-consumers (N = 1661) (in descending order of frequency according to US-survey)[14](0 = no effectiveness or harm; 10 = maximum effectiveness or harm)

From: The German fibromyalgia consumer reports – a cross-sectional survey

Management strategy US consumers
%; Mean effectiveness (0-10) (SD)
German consumers
% *; Mean effectiveness (0-10) (SD)
Resting 86; 6.3 (2.5) 82; 6.6 (2.5)
Distraction 80; 4.7 (2.5) 86; 5.8 (2.3)
Heat modalities 74; 6.3 (2.3) 54; 6.6 (2.5)
Nutritional supplements 68; 3.8 (2.8) 20; 4.0 (3.0)
Prescription pain medication 66; 6.3 (2.4) 82; 4.8 (2.3)
Gentle walking 64; 4.6 (2.6) 80; 5.9 (2.9)
Prescription antidepressants 63; 6.2 (2.8) 46; 4.1 (3.1)
Stretching 62; 5.4 (2.6) 44; 5.8 (2.6)
Prescription sleep medication 52; 6.5 (2.7) 7; 5.0 (3.0)
Relaxation 47; 5.1 (5.5) 49; 5.9 (2.7)
Massage 43; 6.1 (2.8) 25; 6.0 (2.8)
Aerobic exercise 32; 5.0 (3.0) 58; 5.4 (2.7)
Cold therapy 30; 4.8 (2.8) 10; 4.0 (3.5)
TENS 21; 4.3 (2.9) 17; 3.5 (2.8)
Strength training 18; 4.3 (2.9) 39; 5.3 (2.7)
Pain clinic 17; 4.8 (3.1) 4; 5.9 (3.3)
Acupuncture 15; 4.5 (3.5) 11; 4.4 (3.3)
Cognitive-behavioral therapy 8; 4.3 (3.2) 11; 5.5 (3.0)
Hypnosis 3; 2.5 (2.9) 1; 4.5 (3.3)
  1. * Details are available on request.