Effects of a six-month online supervised Pilates and self-myofascial release program for adults with fibromyalgia

INTERVENTION: Following completion of the baseline assessment (T0) and before the start of the intervention, participants were allocated to the intervention or control group using simple randomisation with a 1:1 allocation ratio. The random allocation sequence was generated using an online random‐number generator. Participants in the intervention group received a six‐month supervised, group‐based multicomponent telerehabilitation programme delivered live via videoconferencing. Sessions were held three times per week for approximately 50–60 minutes. Each session included breathing and mobility exercises, self‐myofascial release using foam rollers or tennis balls, mat‐based Pilates exercises, core stabilization, low‐load progressive resistance exercises, stretching and relaxation. Exercise volume and complexity were progressively adjusted according to individual tolerance and symptoms. Sessions were supervised in real time, with verbal instructions, demonstration and technique correction where required. Morning and afternoon groups followed the same exercise protocol, and participants could attend either group according to their availability. Participants in the control group continued their usual daily activities and did not participate in an organized exercise programme during the six‐month study period. Outcomes were assessed remotely using self‐administered electronic questionnaires at baseline (T0), 3 months (T1) and 6 months (T2). CONDITION: Fibromyalgia ; Musculoskeletal Diseases PRIMARY OUTCOME: Overall fibromyalgia impact measured using revised Fibromyalgia Impact Questionnaire (FIQR) at baseline, 3 months and 6 months SECONDARY OUTCOME: Anxiety symptoms measured using Depression Anxiety Stress Scales‐42 (DASS‐42), Anxiety subscale at baseline, 3 months and 6 months Depressive symptoms measured using Depression Anxiety Stress Scales‐42 (DASS‐42), Depression subscale at baseline, 3 months and 6 months Perceived stress measured using Depression Anxiety Stress Scales‐42 (DASS‐42), Stress subscale at baseline, 3 months and 6 months Sleep quality measured using Pittsburgh Sleep Quality Inde X(PSQI) at baseline, 3 months and 6 months INCLUSION CRITERIA: 1. Adults aged =18 years 2. Documented physician diagnosis of fibromyalgia 3. Sufficient written Greek language proficiency to understand study instructions and complete the questionnaires 4. Access to an internet‐enabled device and basic digital literacy sufficient to participate in live videoconferencing sessions