Source: Rheumatology Vol 57, Suppl 3 Date: April 25, 2018 URL: https://academic.oup.com/rheumatology/article/57/suppl_3/key075.505/4971407 The G.E.T. Going Group: A graded exercise therapy circuit class for rheumatology pain patients: outcomes of those completing the group, and survey of reasons for non-completion ---------------------------------------------------------- James P Wright(1), William J Gregory(1,2) 1 Rehabilitation, Salford Royal NHS Foundation Trust, Salford, UK 2 Health, Psychology and Social Care, Manchester Metropolitan University, Manchester, UK Abstract Background Since 2012 at Salford Royal we have been running a physiotherapy-led graded exercise circuit class for people with chronic fatigue syndrome (CFS); more recently this groups inclusion criteria has been expanded to treat patients with a diagnosis of fibromyalgia. Methods Over a six month period (May 2017 to October 2017), data were collected for non-CFS patients attending the full six sessions of the graded exercise group. The session involves a five minute warm up and then an eight station circuit of graded exercises each undertaken for a two minute period. Patients are encouraged to gradually increase their exertion by recording exercise repetitions and with careful monitoring by a physiotherapist and a therapy assistant. Measure Your Medical Outcome Profile version 2 (MYMOP2) (Paterson 1999) was used as the primary outcome measure; the one-minute sit-to-stand test was chosen as the secondary outcome measure. Early in data collection it was noted that a number of patients failed to make all six sessions. An analysis was undertaken of those patients who failed to make the six sessions to see if there were any consistent reasons for non-attendance. Results Sixteen patients with a diagnosis of fibromyalgia completed the six sessions. Across this group there was an overall average total MYMOP2 improvement of 0.84 (averages of 0.33 and 0.82 increases in symptoms 1 and 2; average 0.93 increase in activity and 0.80 increase in well-being scores). One-minute sit-to-stand scores also improved for the group, with an average improvement of 1.33 repetitions. Eleven of the patients failing to fully complete the six sessions were successfully contacted by phone and consented to discuss their reasons for failing to complete the course (Table 1). Conclusion For those patients able to commit to the full six sessions programme, a physiotherapy-led, graded exercise circuit class results in benefits seen to subjective and objective measures. However, with this cohort of fibromyalgia patients there were issues with exercise class adherence; non-compliance of fibromyalgia patients with rehabilitation programmes has previously been documented (Naylor et al. 2017). We have concluded a greater educational component needs to be added pre-group to better engage patients in their rehabilitation goals. -------- (c) 2018 Oxford University Press (c) 2018 British Society for Rheumatology My suggestion - maybe you should educate yourselves a little about these conditions, rather than the patients.