Treatment of Fibromyalgia Syndrome: Recommendations of Recent Evidence-Based Interdisciplinary Guidelines with Special Emphasis on Complementary and Alternative Therapies

Table 3

Positive treatment recommendations guidelines for complementary and alternative medicine treatments by the German and Israeli guidelines.

	Germany		Israel
	Level of evidence	Strength of recommendation	Level of evidence	Strength of recommendation
Acupuncture	Ia	C	III	Not recommended
Biofeedback	IIa	C	No comment
Hypnosis/guided imagery	IIIa	C	No comment
Meditative movement therapies (Qi-Gong, Tai-Chi, Yoga)	Ia	A	III	C*
Relaxation training (combined with exercise)	Ia	A	No comment

∗Only Tai Chi recommended.
A: strong recommendation: the intervention should be offered to most of the patients.
B: recommendation: the intervention may be offered to the majority of patients. the intervention may not be offered to a substantial minority of the patients.
C: open recommendation: the intervention can be offered to a minority patients.