Evidence map›Paper›PMID 41053520›Full record

Trial reportClinical rheumatology2025

The efficacy of a telerehabilitation-based clinical Pilates program on lumbopelvic muscle morphology and strength in female patients with fibromyalgia syndrome: a randomized controlled trial.

Fulden Sari, Yasemin Mirza, Pınar Diydem Yılmaz, Adem Küçük

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fulden SariFaculty of Physical Therapy and Rehabilitation, Department of Physiotherapy and Rehabilitation, Bingöl University, Bingöl, Turkey. fuldensari@hotmail.com.ORCID http://orcid.org/0000-0002-5628-698X
Yasemin MirzaFaculty of Health Science, Department of Physiotherapy and Rehabilitation, Necmettin Erbakan University, Konya, Turkey.
Pınar Diydem YılmazFaculty of Medicine, Department of Radiology, Necmettin Erbakan University, Konya, Turkey.
Adem KüçükFaculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Necmettin Erbakan University, Konya, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe current study aims to assess the effects of a tele-rehabilitation-based clinical Pilates exercise program on morphological structure, endurance, central sensitization, pain, fatigue, anxiety, and depression in Fibromyalgia syndrome (FMS) patients.

methodThirty women with FMS were randomized into two groups: the telerehabilitation group (TG) or the control group (CG). An online clinical Pilates-based exercise program targeting stability and strength that was conducted for 8 weeks with 2 sessions per week was developed for TG. The same exercise programs for the CG were provided in printed brochures. Lumbopelvic muscle thickness, core endurance tests, disease activity, fatigue, central sensitization, pain, anxiety, and depression were evaluated in patients at the beginning and end of the study.

resultsDecrease in lumbopelvic muscle thickness and core endurance strength in FMS patients compared to healthy individuals (p < 0.017). There was a significant effect of group × time interaction (F = 4.900, p = 0.035; F = 5.063, p = 0.032) for external oblique (right and left, respectively), fatigue (F = 15.489, p < 0.001), central sensitization (F = 17.518, p < 0.001), anxiety (F = 8.672, p = 0.006) in favor of the TG. Significant time effects were observed across all examined outcomes, covering lumbopelvic muscle thickness, fatigue, central sensitization, anxiety, depression, and core endurance strength (p < 0.05). Following the 8-week intervention, both groups exhibited significant within-group decreases in disease activity and pain. However, the TG demonstrated significantly greater improvements in disease activity and pain compared with the CG (p < 0.05).

conclusionTelerehabilitation-based treatment programs are effective in increasing lumbopelvic muscle thickness and core muscle endurance. Accordingly, we recommend the widespread use of this innovative treatment approach in FMS. Keypoints • FMS patients indicated lower core endurance strengths compared to healthy groups • TG showed greater improvements in muscle thickness and core endurance strength • Telerehabilitation is feasible and effective for managing the complexities of FMS • The telerehabilitation program was superior and more effective than home exercises.

Indexed as

Exercise Movement TechniquesExercise TherapyFibromyalgiaMuscle, SkeletalMuscle StrengthTelerehabilitationAdultAnxietyDepressionFatigueFemaleHumansMiddle AgedTreatment OutcomeChronic painExerciseTelehealthTelemedicine

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.