Authors
Thomai Marantidou, Evangelia Germanou, Vasiliki Manou, Nikolaos Koutlianos, Evangelos Sykaras, Ioannis Terzidis
Published in
Journal of rehabilitation medicine. Volume 58. Pages jrm46786. Oct 13, 2026. Epub Oct 13, 2026.
Abstract
To evaluate the effects of a 6-month supervised multicomponent telerehabilitation programme combining Pilates-based therapeutic exercise and self-myofascial release on fibromyalgia impact, sleep quality, and psychological outcomes.
Two-arm, parallel-group randomized controlled trial.
68 adults with fibromyalgia confirmed according to the 2016 ACR criteria.
Participants were randomized to a 6-month supervised home-based telerehabilitation programme (n = 35) or usual care (n = 33). The intervention comprised 3 live online sessions weekly combining Pilates-based therapeutic exercise, self-myofascial release, core stabilization, low-load resistance exercise, stretching, and relaxation. Outcomes were assessed at baseline, 3 months, and 6 months using validated patient-reported measures.
Significant group-by-time interactions were observed for fibromyalgia impact (p < 0.001, partial η2 = 0.132), sleep quality (p < 0.001, partial η2 = 0.129), depressive symptoms (p = 0.002, partial η2 = 0.129), and perceived stress (p = 0.028, partial η2 = 0.065), but not for anxiety (p = 0.701). Mean intervention adherence was 87.5%, with no adverse or serious adverse events reported in either group.
6 months of supervised multicomponent telerehabilitation produced favourable longitudinal changes in fibromyalgia impact, sleep quality, depressive symptoms, and perceived stress compared with usual care.
PMID:
42867081
Bibliographic data and abstract were imported from PubMed on 14 Oct 2026.
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