Six-month supervised telerehabilitation combining pilates-based therapeutic exercise and self-myofascial release in adults with fibromyalgia: a randomized controlled trial.
- 1Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece.
- 2Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece. [email protected].
- 3Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece; TheMIS Orthopaedic Center, Thessaloniki, Greece.
Abstract
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.Design
Two-arm, parallel-group randomized controlled trial.Subjects/patients
68 adults with fibromyalgia confirmed according to the 2016 ACR criteria.Methods
Participants 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
Significant 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
6 months of supervised multicomponent telerehabilitation produced favourable longitudinal changes in fibromyalgia impact, sleep quality, depressive symptoms, and perceived stress compared with usual care.
Related
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BibTeX
@article{marantidou2026sixmonth,
title = {{Six-month supervised telerehabilitation combining pilates-based therapeutic exercise and self-myofascial release in adults with fibromyalgia: a randomized controlled trial.}},
author = {Thomai Marantidou and Evangelia Germanou and Vasiliki Manou and Nikolaos Koutlianos and Evangelos Sykaras and Ioannis Terzidis},
journal = {Journal of rehabilitation medicine},
year = {2026},
month = oct,
doi = {10.2340/jrm.v58.46786},
url = {https://europepmc.org/article/MED/42867081},
note = {CC BY},
}
RIS
TY - JOUR
TI - Six-month supervised telerehabilitation combining pilates-based therapeutic exercise and self-myofascial release in adults with fibromyalgia: a randomized controlled trial.
AU - Thomai Marantidou
AU - Evangelia Germanou
AU - Vasiliki Manou
AU - Nikolaos Koutlianos
AU - Evangelos Sykaras
AU - Ioannis Terzidis
PY - 2026
DA - 2026/10/13
JO - Journal of rehabilitation medicine
DO - 10.2340/jrm.v58.46786
UR - https://europepmc.org/article/MED/42867081
AB - 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.Design Two-arm, parallel-group randomized controlled trial.Subjects/patients 68 adults with fibromyalgia confirmed according to the 2016 ACR criteria.Methods Participants 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 Significant 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 6 months of supervised multicomponent telerehabilitation produced favourable longitudinal changes in fibromyalgia impact, sleep quality, depressive symptoms, and perceived stress compared with usual care.
SN - 1650-1977
SN - 1651-2081
ER -