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Vol. 19. Issue 1.
Pages 18-25 (January 2023)
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Vol. 19. Issue 1.
Pages 18-25 (January 2023)
Original Article
Investigation of effectiveness of reformer pilates in individuals with fibromyalgia: A randomized controlled trial
Investigación de la eficacia de pilates con Reformer en personas con fibromialgia: un ensayo controlado aleatorio
Berna Cagla Caglayana,
Corresponding author

Corresponding author.
, Bilge Basakci Calikb, Elif Gur Kabulc, Ugur Karasud
a Faculty of Health Sciences, Physiotherapy and Rehabilitation, Okan Universit, Istanbul, Turkey
b School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey
c Institute of Health Sciences, Physiotherapy and Rehabilitation, Usak University, Uzak, Turkey
d Department of Rheumatology, Medical Faculty of Pamukkale University, Denizli, Turkey
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Introduction and objectives

Fibromyalgia (FM) is a chronic condition characterized by widespread pain, sleep disorder, fatigue, other somatic symptoms. Clinical pilates method is therapeutic modality that can be used in improving the symptoms. The aim of this study was to investigate the effectiveness of reformer pilates exercises in individuals with FM and to compare with home mat pilates.

Material and methods

Twenty-eight women (age mean=45.61±10.31) diagnosed with FM were included in this study. Participants were randomly divided into two groups as reformer pilates group (n=14) and home mat pilates group (n=14). Reformer and home mat pilates exercises were given 2 times a week for 6 weeks. The number of painful regions with Pain Location Inventory (PLI), clinical status with Fibromyalgia Impact Questionnaire (FIQ), lower extremity muscle strength with Chair Stand Test, functional mobility with The Timed Up and Go Test (TUG), biopsychosocial status with Cognitive Exercise Therapy Approach-Biopsychosocial Questionnaire (BETY-BQ) and quality of life with Short Form-36 (SF-36) were evaluated. All evaluations were assessed before and after treatment.


There was a significant difference in FIQ and chair stand test in reformer pilates group, while in PLI, FIQ, BETY-BQ vs. SF-36 Physical Component in home group (p<0.05) compared with baseline. There were no statistical differences between the groups in terms of delta value (p>0.05).


Reformer pilates exercises had positive effects on clinical status and muscle strength while home mat pilates exercises had positive effects on the number of painful regions, clinical status, biopsychosocial status and physical component quality of life.

Clinical trial registration number NCT04218630.

Muscle strength
Introducción y objetivos

La fibromialgia (FM) es una condición crónica caracterizada por dolor generalizado, trastornos del sueño, fatiga y otros síntomas somáticos. El método de Pilates clínico es una modalidad terapéutica que se puede utilizar para mejorar los síntomas. El objetivo de este estudio fue investigar la efectividad de los ejercicios de Pilates con aparato (Reformer) y Pilates con colchoneta en casa, en personas con FM.

Material y métodos

Se incluyeron 28 mujeres (edad media = 45,61 ± 10.31) diagnosticadas con FM. Las participantes se dividieron aleatoriamente en dos grupos: un grupo de Pilates con aparato (n = 14) y el otro grupo de Pilates con colchoneta casa (n = 14), 2 veces a la semana durante 6 semanas. Se evaluaron el número de regiones dolorosas con Pain Location Inventory (PLI), el estado clínico con Fibromyalgia Impact Questionnaire (FIQ), la fuerza muscular de las extremidades inferiores con la prueba de sentarse y levantarse de una silla, la movilidad funcional con The Timed Up and Go Test (TUG), el estado biopsicosocial con el Cognitive Exercise Therapy Approach-Biopsychosocial Questionnaire (BETY-BQ) y la calidad de vida con el cuestionario Corto-36 (SF-36). Las evaluaciones se realizaron antes y después de la intervención.


Se observaron diferencias significativas en el FIQ y en la prueba de sentarse y levantarse de una silla en el grupo de Pilates con Reformer; a diferencia del grupo de Pilates con colchoneta en casa, las diferencias fueron en las mediciones del PLI, FIQ, BETY-BQ y el componente físico del SF-36 (p < 0,05) comparados con la evaluación basal. No hubo diferencias significativas en valor delta entre los grupos (p > 0,05).


Los ejercicios de Pilates con Reformer tuvieron efectos positivos en el estado clínico y la fuerza muscular, mientras que los ejercicios de Pilates con colchoneta en casa tuvieron efectos positivos en el número de regiones dolorosas, el estado clínico, el estado biopsicosocial y en el componente físico de la calidad de vida.

Número de registro del ensayo clínico NCT04218630.

Palabras clave:
Fuerza muscular


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