• Meditative exercise modalities most effective for improving sleep quality
• Less fatigue after exercise programmes
• Further research needed into specialised exercise modalities

Patients with fibromyalgia feel less tired after training. And although exercise in general does not seem an effective means to improve sleep quality, exercise modalities aimed at relaxation – such as Tai Chi and Qigong – appear to be most promising. This is concluded by an international research group after performing a systematic review with meta-analysis of the literature, which included 37 studies with data of more than two thousand participants.