I generally follow ACSM guidelines.
People with fibromyalgia have decrease muscle strength, lower cardiorespiratory and V02 is lower.
My objectives when designing an exercise program for someone with fibromyalgia are:
1. Increase cardiorespiratory capacity.
2. Increase functional strength and capacity
3. Increase overall flexibility
4. Improve joint stability
It is important that fitness professional be aware of their client’s pain threshold and to always train them at a low intensity. Research shows that higher intensity workouts increase DOMS.