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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.