{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:34:18Z","timestamp":1792067658180,"version":"4.4.0"},"reference-count":61,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012305","name":"Universit\u00e0 degli Studi del Molise","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012305","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Rheumatol"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To systematically synthesize and summarize qualitative findings on how adults with fibromyalgia perceive, negotiate, and sustain exercise and everyday movement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review of qualitative studies with meta-synthesis and meta-summary.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Literature search<\/jats:title>\n                    <jats:p>We searched CINAHL, EMBASE, PsycINFO, MEDLINE, Scopus, SPORTDiscus, and Web of Science until October 2025, supplemented by berry-picking techniques and gray literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study selection criteria<\/jats:title>\n                    <jats:p>We included qualitative primary studies or mixed-methods studies that clearly reported qualitative data; involved adults (\u2265\u200918\u00a0years) with fibromyalgia; and explored experiences of movement, physical activity, or exercise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data synthesis<\/jats:title>\n                    <jats:p>Sandelowski and Barroso\u2019s methodology was used for study classification, meta-synthesis, and meta-summary. Methodological quality was appraised with Critical Appraisal Skills Programme and Mixed Methods Appraisal Tool. The Confidence in the Evidence from Reviews of Qualitative Research approach evaluated certainty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirteen studies (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009213, 204 women; 19\u201382\u00a0years) were included. Four hundred thirty-two statements were extracted, synthesized into 15 categories, and grouped into four themes: (1) past experiences of movement; (2) movement during daily life: strategies, adaptations, and effects; (3) barriers to movement: personal, environmental, and relational; (4) facilitators to movement: peer support, empathic relationships, and f guide. Inter-study frequency effect sizes were highest for \u201cPositive effects\u201d (77%) and \u201cAltered body perception\u201d (69%) and lowest for \u201cStandardized, not personalized plan\u201d (31%). Overall confidence in the findings was moderate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For individuals with fibromyalgia, movement is experienced as both beneficial and risky. Patient-centered rehabilitation could validate pacing, formalize existing self-management strategies, and offer tailored, supported pathways to sustainable activity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10067-026-08005-1","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T15:44:43Z","timestamp":1772034283000},"page":"2437-2462","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Perception and lived experience of movement in patients with fibromyalgia: a qualitative systematic review with meta-synthesis and meta-summary"],"prefix":"10.1007","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3861-6858","authenticated-orcid":false,"given":"Matteo","family":"Cioeta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Sitzia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Marelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Bargeri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Giovannico","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Pellicciari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Germano","family":"Guerra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Crestani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvisa","family":"Palese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad","family":"Cook","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Rossettini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"8005_CR1","doi-asserted-by":"publisher","first-page":"3","DOI":"10.55563\/clinexprheumatol\/gz4i3i","volume":"39","author":"A Alciati","year":"2021","unstructured":"Alciati A, Nucera V, Masala I et al (2021) One year in review 2021: fibromyalgia. 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