{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:52:39Z","timestamp":1792151559212,"version":"4.4.0"},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","issue":"9","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: The aim of this pilot study was to evaluate the preliminary efficacy and feasibility of integrating Osteopathic Manual Therapy Techniques combined with Clinical Pilates on pain, symptom severity, and sleep quality in patients with fibromyalgia.  METHODS: Twenty women with fibromyalgia were randomized into Osteopathic Manual Therapy Techniques+Clinical Pilates (n=11) and Clinical Pilates (n=9) groups. The protocol lasted 6 weeks (3 sessions\/week). Osteopathic Manual Therapy Techniques included rib raising, suboccipital myofascial release, Sternocleidomastoid (SCM) mobilization, diaphragm\/mediastinum techniques, and visceral mobilizations. Primary outcomes were the Widespread Pain Index, Symptom Severity Scale, and Pressure Pain Threshold. Sleep was assessed via the Pittsburgh Sleep Quality Index.  RESULTS: Both groups showed significant intra-group improvements (p&lt;0.05). Within-group analyses revealed that the Osteopathic Manual Therapy Techniques+Clinical Pilates group achieved significant improvements in Widespread Pain Index (p=0.003), Symptom Severity Scale (p=0.005), and Pittsburgh Sleep Quality Index (p=0.007). However, in the between-group analysis of change scores, the Osteopathic Manual Therapy Techniques+Clinical Pilates group demonstrated significantly superior improvements exclusively in sleep quality (Pittsburgh Sleep Quality Index, p=0.034) and maximal Pressure Pain Threshold at the trapezius (p=0.035) compared to the Clinical Pilates-only group, while between-group differences for Widespread Pain Index and Symptom Severity Scale did not reach statistical significance (p&gt;0.05).  CONCLUSION: Integrating Osteopathic Manual Therapy Techniques into exercise-based rehabilitation presents promising preliminary evidence for enhancing central sensitization symptoms and sleep quality in fibromyalgia patients, though larger trials are needed.<\/jats:p>","DOI":"10.1590\/1806-9282.20260646","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:15:57Z","timestamp":1792149357000},"source":"Crossref","is-referenced-by-count":0,"title":["Osteopathic manual therapy in fibromyalgia: a pilot study"],"prefix":"10.1590","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3492-7448","authenticated-orcid":false,"given":"Aziz","family":"Dengiz","sequence":"first","affiliation":[{"name":"Gaziantep Islam Science and Technology University","place":["Gaziantep, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3209-1499","authenticated-orcid":false,"given":"Elif Gur","family":"Kabul","sequence":"additional","affiliation":[{"name":"Usak University","place":["U\u015fak, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7375-6747","authenticated-orcid":false,"given":"Gulsum","family":"Tikac","sequence":"additional","affiliation":[{"name":"Siirt University","place":["Siirt, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7267-7622","authenticated-orcid":false,"given":"Bilge Basakci","family":"Calik","sequence":"additional","affiliation":[{"name":"Pamukkale University","place":["Denizli, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0090-0247","authenticated-orcid":false,"given":"U\u011fur","family":"Karasu","sequence":"additional","affiliation":[{"name":"Pamukkale University","place":["Denizli, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","series-title":"Essentials of pain medicine","first-page":"345","volume-title":"Fibromyalgia","author":"Smith HS","year":"2011","edition":"3rd ed."},{"issue":"10","key":"ref2","article-title":"Osteopathic manual treatment and fibromyalgia: a possible strategy?","volume":"14","author":"Bordoni B","year":"2022","journal-title":"Cureus"},{"key":"ref3","first-page":"214","article-title":"A touch of relief: a randomized controlled trial on the effect of osteopathic treatment on pain and heart rate variability in fibromyalgia patients","volume":"26","author":"Calsius J","year":"2021","journal-title":"J Bodyw Mov Ther"},{"key":"ref4","series-title":"Atlas of osteopathic techniques","first-page":"86","author":"Nicholas AS","year":"2012","edition":"2nd ed."},{"issue":"5","key":"ref5","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/acr.20140","article-title":"The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity","volume":"62","author":"Wolfe F","year":"2010","journal-title":"Arthritis Care Res (Hoboken)"},{"issue":"2","key":"ref6","first-page":"377","article-title":"A standardized manual tender point survey: I. 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