All home-exercise sheets

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Home exercise sheet

Fibromyalgia

Vinys

Move slowly and stay in a range that feels comfortable. Mild stretch or effort is fine; sharp pain is a signal to stop.

Name:How often:Clinician:
  1. Cat-Cow, small range, demonstrated

    1. Cat-Cow, small range

    6 slow rounds

    1. Come onto all fours with hands under shoulders
    2. Move only through the middle of your range
    3. Keep the pace slow and even
  2. Open book, demonstrated

    2. Open book

    5 each side

    1. Lie on your side, knees bent up toward your chest, arms out in front
    2. Open your top arm across your body like a book cover
    3. Go to the first point of resistance and breathe there
  3. Glute bridge, demonstrated

    3. Glute bridge

    6 to 8 slow lifts

    1. Lie on your back, knees bent, feet flat and about hip-width apart
    2. Press through your heels and lift your hips
    3. Lower slowly, one vertebra at a time
  4. Extended exhale breathing, demonstrated

    4. Extended exhale breathing

    3 to 4 minutes

    1. Settle into any position you can stay in comfortably
    2. Breathe in through your nose for a count of four
    3. Breathe out for a count of six to eight
    4. Let the pause happen at the end of the exhale

The guidance behind these movements

  • EULAR revised recommendations for the management of fibromyalgia (Macfarlane et al., Annals of the Rheumatic Diseases, 2017). Non-pharmacological management is the focus of initial therapy; exercise carries the strongest evidence and was endorsed unanimously, with no distinction drawn between aerobic and strengthening exercise.
QR code to vinys.app/condition/fibromyalgia

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Move within a range that stays comfortable. Stop if this brings on sharp pain, dizziness, or symptoms that travel down an arm or a leg, and speak to a clinician before repeating it. Free to print and share: vinys.app/for-clinicians

Link to this sheet from your patient resources