Abstract
Objective: To describe the management of patients with fibromyalgia (FM) with regard to the use of combined or alternative therapies, in order to outline what would be the most appropriate approaches to be adopted in patients with the syndrome. Methods: This is an integrative literature review, with a qualitative approach and a descriptive objective of national and international studies. Through the Virtual Health Library (VHL) database and its allied websites, 22 articles were selected and analyzed. Results: 13.04% (n = 3) of the studies bring physical exercises, mainly aerobic, as propellants to relieve FM symptoms and improve health-related quality of life. In addition, 8.69% (n = 2) of the studies showed that aquatic exercises are as efficient as terrestrial exercises in terms of improving pain. Active neurodynamics and transcranial stimulation of the dorsolateral prefrontal cortex proved to be alternatives for the general relief of these patients. Final considerations: It is concluded that the practice of physical activities has a predominant role in the management of FM. However, there is a clear need for more consistent studies to improve therapy.