{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:13:14Z","timestamp":1787670794529,"version":"build-2736575974"},"reference-count":56,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Background and Objectives: Fibromyalgia syndrome (FM) is a chronic pain disorder that is ranked as one of the four most common rheumatological diseases in the world. This study aims to investigate the effects of an eight-week mat Pilates and electro-muscle stimulation (EMS) with combined mat Pilates exercises on pain, depression, anxiety, and strength in sedentary women. Methods: This study is a single-blind randomized controlled trial. A total of 30 sedentary female patients (Pilates (n = 15), EMS (n = 15)) diagnosed with FM were included in the study. The patients were subjected to Beck Depression (BDIs) and Anxiety Inventories (BAIs); a Fibromyalgia Impact Questionnaire (FIQ); five different Single-Leg Hop Tests (SLHTs); modified push-up (MPU), Handgrip Strength (HGS), Deep Squat (DSQ), V-Sit Flexor, bent-arm hang (BA), sit-up and Biering-S\u00f8rensen tests; and anthropometric tests before and after the 8-week exercise program. Results: The eight weeks of mat Pilates exercises combined with mat Pilates and EMS revealed significant results (p &lt; 0.05) in anthropometric data (abdomen, lower abdomen, hips) (p &lt; 0.05) except for the results of chest circumference measurements (p &gt; 0.05). In addition, there were statistically significant positive results in BDIs, BAIs, FIQs, lower extremity (all SLHTs and DSQ), upper extremity (MPU, HGS, BA), and core (V-SIT, sit-up, Biering-S\u00f8rensen test) strength test findings (p &lt; 0.05). Conclusions: Combining the mat Pilates exercises with EMS is an effective and reliable method to improve the pain, anxiety, depression, and strength of female patients diagnosed with FM.<\/jats:p>","DOI":"10.3390\/jpm14070697","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T06:51:53Z","timestamp":1719557513000},"page":"697","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effects of Electro-Muscle Stimulation Exercise Combined with Mat Pilates on Pain, Anxiety, and Strength in Sedentary Females with Fibromyalgia: A Single-Blind Randomized Controlled Trial"],"prefix":"10.3390","volume":"14","author":[{"given":"\u0130smail","family":"Eseo\u011flu","sequence":"first","affiliation":[{"name":"Vocational School of Health Services, Dokuz Eyl\u00fcl University, \u0130zmir 35340, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0046-6711","authenticated-orcid":false,"given":"Ali","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Faculty of Yasar Do\u011fu Sport Sciences, Ondokuz May\u0131s University, Samsun 55270, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berna","family":"An\u0131l","sequence":"additional","affiliation":[{"name":"Faculty of Yasar Do\u011fu Sport Sciences, Ondokuz May\u0131s University, Samsun 55270, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esra","family":"Korkmaz","sequence":"additional","affiliation":[{"name":"Faculty of Yasar Do\u011fu Sport Sciences, Ondokuz May\u0131s University, Samsun 55270, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1000-2881","authenticated-orcid":false,"given":"Enes","family":"Akdemir","sequence":"additional","affiliation":[{"name":"Faculty of Yasar Do\u011fu Sport Sciences, Ondokuz May\u0131s University, Samsun 55270, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2826-1566","authenticated-orcid":false,"given":"Co\u015fkun","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Kelkit Ayd\u0131n Do\u011fan Vocational School, G\u00fcm\u00fc\u015fhane University, G\u00fcm\u00fc\u015fhane 29600, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lokman","family":"Kehribar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Faculty of Medicine, Dokuz Eyl\u00fcl University, \u0130zmir 35340, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9793-5870","authenticated-orcid":false,"given":"Nur","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Medical Ecology and Hydroclimatology, Samsun Training and Research Hospital, Samsun 55090, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Egemen","family":"Ermi\u015f","sequence":"additional","affiliation":[{"name":"Faculty of Yasar Do\u011fu Sport Sciences, Ondokuz May\u0131s University, Samsun 55270, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burak","family":"Yolda\u015f","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Samsun Havza State Hospital, Samsun 55700, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osman","family":"\u0130mamo\u011flu","sequence":"additional","affiliation":[{"name":"Faculty of Yasar Do\u011fu Sport Sciences, Ondokuz May\u0131s University, Samsun 55270, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"15022","DOI":"10.1038\/nrdp.2015.22","article-title":"Fibromyalgia","volume":"1","author":"Ablin","year":"2015","journal-title":"Nat. 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