{
  "abstract": "Objective\n\nTo 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.Design\n\nTwo-arm, parallel-group randomized controlled trial.Subjects/patients\n\n68 adults with fibromyalgia confirmed according to the 2016 ACR criteria.Methods\n\nParticipants 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.Results\n\nSignificant 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.Conclusion\n\n6 months of supervised multicomponent telerehabilitation produced favourable longitudinal changes in fibromyalgia impact, sleep quality, depressive symptoms, and perceived stress compared with usual care.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece.",
    "Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece. egermanou@phed.auth.gr.",
    "Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece; TheMIS Orthopaedic Center, Thessaloniki, Greece."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Thomai Marantidou"
    },
    {
      "affs": [
        1
      ],
      "name": "Evangelia Germanou",
      "orcid": "0000-0003-1811-0729"
    },
    {
      "affs": [
        0
      ],
      "name": "Vasiliki Manou"
    },
    {
      "affs": [
        0
      ],
      "name": "Nikolaos Koutlianos"
    },
    {
      "affs": [
        0
      ],
      "name": "Evangelos Sykaras"
    },
    {
      "affs": [
        2
      ],
      "name": "Ioannis Terzidis",
      "orcid": "0000-0001-6530-2833"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/5p2rkyvq0y5zk.bib",
  "cited_by": 0,
  "doi": "10.2340/jrm.v58.46786",
  "fulltext_url": "https://europepmc.org/articles/PMC13673445",
  "id": "5p2rkyvq0y5zk",
  "issns": [
    "1650-1977",
    "1651-2081"
  ],
  "landing_url": "https://europepmc.org/article/MED/42867081",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2738|Fibromyalgia and Chronic Fatigue Syndrome Research"
    ]
  ],
  "openalex": "W7221667647",
  "pdf_url": "https://europepmc.org/articles/PMC13673445?pdf=render",
  "pmcid": "PMC13673445",
  "pmid": "42867081",
  "published": "2026-10-13",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/5p2rkyvq0y5zk.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:00Z",
      "native_id": "MED:42867081",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42867081"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2738|Fibromyalgia and Chronic Fatigue Syndrome Research",
      "subfield": "psychiatry"
    }
  ],
  "title": "Six-month supervised telerehabilitation combining pilates-based therapeutic exercise and self-myofascial release in adults with fibromyalgia: a randomized controlled trial.",
  "title_text": "Six-month supervised telerehabilitation combining pilates-based therapeutic exercise and self-myofascial release in adults with fibromyalgia: a randomized controlled trial.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:00Z",
  "url": "https://research.draconitic.com/paper/5p2rkyvq0y5zk",
  "venue": "Journal of rehabilitation medicine",
  "versions": []
}