Abstract
Patients with juvenile fibromyalgia（JFM） have been treated with multidirectional approach during
hospitalization in our hospital. Admission isolates JFM patients from their troublesome environment that they cannot handle well in their school and/or home． The patients who have severe physical disability and come-up against difficult situation were suitable for hospitalization． The patients are in scheduled daily life and enroll in an in-hospital class during hospitalization． Rehabilitation is started for improvement of patient's physical disability and drug therapy is helpful for relieving pain． A total of 32 children（aged 7.9-15.7 years）who admitted in our hospital from March 2001 to December
2012 were retrospectively examined by medical record． Fifty-three percent of the patients were improved in clinical stage，and only one patient got worse in activities of daily living． In nine out of 32 patients，tender point counts were decreased，and disappeared in 6 out of 32 patients． Nine out of 25 patients who stopped going to school came to go to school at three months after leaving hospital．
We suggest that multidirectional approach during hospitalization must be effective therapy for severe JFM patients to improve their physical disability．
