{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:53:54Z","timestamp":1791892434354,"version":"4.3.4"},"reference-count":39,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JRM"],"abstract":"<jats:p>Objective: 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.\nDesign: Two-arm, parallel-group randomized controlled trial.\nSubjects\/Patients: 68 adults with fibromyalgia confirmed according to the 2016 ACR criteria.\nMethods: Participants were randomized to a 6-month supervised home-based telerehabilitation programme (n\u2009=\u200935) or usual care (n\u2009=\u200933). 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.\nResults: Significant group-by-time interactions were observed for fibromyalgia impact (p\u2009&lt;\u20090.001, partial \u03b72\u2009=\u20090.132), sleep quality (p\u2009&lt;\u20090.001, partial \u03b72\u2009=\u20090.129), depressive symptoms (p\u2009=\u20090.002, partial\u00a0\u03b72\u2009=\u20090.129), and perceived stress (p\u2009=\u20090.028, partial \u03b72\u2009=\u20090.065), but not for anxiety (p\u2009=\u20090.701). Mean intervention adherence was 87.5%, with no adverse or serious adverse events reported in either group.\nConclusion: 6 months of supervised multicomponent telerehabilitation produced favourable longitudinal changes in fibromyalgia impact, sleep quality, depressive symptoms, and perceived stress compared with usual care.<\/jats:p>","DOI":"10.2340\/jrm.v58.46786","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:00:28Z","timestamp":1791889228000},"page":"jrm46786","source":"Crossref","is-referenced-by-count":0,"title":["Six-month supervised telerehabilitation combining pilates-based therapeutic exercise and self-myofascial release in adults with fibromyalgia: a randomized controlled trial"],"prefix":"10.2340","volume":"58","author":[{"given":"Thomai","family":"Marantidou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1811-0729","authenticated-orcid":false,"given":"Evangelia","family":"Germanou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasiliki","family":"Manou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Koutlianos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evangelos","family":"Sykaras","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6530-2833","authenticated-orcid":false,"given":"Ioannis","family":"Terzidis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"171138","doi-asserted-by":"crossref","unstructured":"Clauw DJ. 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Arch Phys Med Rehabil 2009; 90: 1983\u20131988.","DOI":"10.1016\/j.apmr.2009.06.021"},{"key":"171145","doi-asserted-by":"crossref","unstructured":"Nithuthorn C, Chaipichit N, Jeeraaumponwat T, Maiprasert M, Dilokthornsakul P. Effect of Pilates on pain and health-related quality of life in fibromyalgia patients: a systematic review and meta-analysis. J Clin Med 2024; 13: 7447.","DOI":"10.3390\/jcm13237447"},{"key":"171146","doi-asserted-by":"crossref","unstructured":"Rodr\u00edguez-Fuentes G, Berm\u00fadez-Rodas A, Rodr\u00edguez-Otero H, Campo-Prieto P. The Pilates method as a therapeutic intervention in patients with fibromyalgia: a systematic review and meta-analysis. Appl Sci 2026; 16: 1324.","DOI":"10.3390\/app16031324"},{"key":"171147","doi-asserted-by":"crossref","unstructured":"Ide FC, D\u2019Oliveira A, Vieira EP, Martins TB, Andrade A, do Nascimento IB. What are the effects of connective tissue massage vs myofascial release on fibromyalgia pain? 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