Orthopaedic Nurses Certification Board (ONCB) Metabolic/Inflammatory/Tumors Practice Exam

What is the best initial supportive therapy for managing phycological symptoms in patients with fibromyalgia syndrome?

1. High-impact aerobics

2. Warm fluids therapy

3. Low-impact exercise

4. Bed rest

The correct answer is: Low-impact exercise

The best initial supportive therapy for managing psychological symptoms in patients with fibromyalgia syndrome is low-impact exercise. This approach is particularly beneficial because it helps to improve overall physical function, reduce fatigue, and enhance mood by stimulating the release of endorphins, which are natural mood lifters. Low-impact exercises, such as walking, swimming, or cycling, are more sustainable for individuals with fibromyalgia, as they minimize the risk of exacerbating pain while promoting physical activity. Regular engagement in low-impact exercise has been shown to reduce anxiety and depressive symptoms commonly experienced by those with fibromyalgia. In contrast, high-impact aerobics may not be well-tolerated due to the risk of increased pain or fatigue, especially among individuals with a lowered threshold for pain or physical limitations. Warm fluids therapy could provide temporary relief but does not address the psychological aspects directly nor promote active participation in physical activities. Conversely, bed rest can lead to deconditioning and might worsen both physical and psychological symptoms, further indicating its ineffectiveness compared to the active participation promoted by low-impact exercise.