{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T22:40:56Z","timestamp":1769640056778,"version":"3.49.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>Fibromyalgia (FM) is a chronic syndrome characterized by widespread pain, fatigue, sleep disturbances, and reduced quality of life. Non\u2010pharmacological interventions, such as aquatic physiotherapy (AP), have been proposed to alleviate symptoms and improve both physical and psychological outcomes. Therefore,\u00a0this study aimed to evaluate the effects of an 8\u2010week AP program on pain intensity and sleep quality in women with FM, and to explore changes in specific sleep dimensions, including latency, duration, efficiency, disturbances, and daytime dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a quasi\u2010experimental pre\u2010post study including thirteen women with FM who participated in an 8\u2010week AP program at a school clinic. The program consisted of two 45\u2010min sessions per week in a therapeutic pool heated to 33\u00b0C\u201335\u00b0C, including warm\u2010up, aerobic and resistance exercises, and relaxation. Pain was assessed using the Visual Analogue Scale (VAS), and sleep quality using the Pittsburgh Sleep Quality Index (PSQI). Measurements were taken before and after the intervention. Data were analyzed to examine within\u2010group changes rather than causal effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>AP led to significant reductions in pain intensity, from severe to mild\u2010to\u2010moderate (VAS), and improvements in overall sleep quality (PSQI score reduced from 16 to 9), including enhanced sleep latency, duration, efficiency, disturbances, and reduced daytime dysfunction. Participants also reported improvements in functional capacity and psychological well\u2010being. No adverse events related to the intervention were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Participation in the AP program was associated with reductions in pain and improvements in sleep quality among women with FM. These findings suggest potential benefits linked to the physical and psychosocial effects of aquatic exercise. Despite limitations such as the small size and absence of a control group, AP appears to be a feasible complementary intervention in public health and clinical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70150","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T21:59:52Z","timestamp":1766181592000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Aquatic Physiotherapy on Pain and Sleep Quality in Women With Fibromyalgia: A Pre\u2010Post Study"],"prefix":"10.1002","volume":"31","author":[{"given":"Josilene C\u00e2mara","family":"Ferreira","sequence":"first","affiliation":[{"name":"Department of Physiotherapy Santa Terezinha University Center  S\u00e3o Lu\u00eds Maranh\u00e3o Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8459-6849","authenticated-orcid":false,"given":"Maria Madalena Corr\u00eaa","family":"Melo","sequence":"additional","affiliation":[{"name":"Department of Pharmaceutical Sciences University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raylson De Jesus Pereira","family":"Barros","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Santa Terezinha University Center  S\u00e3o Lu\u00eds Maranh\u00e3o Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luana Rodrigues de Lima","family":"Sipa\u00faba","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Santa Terezinha University Center  S\u00e3o Lu\u00eds Maranh\u00e3o 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