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Fibromyalgia is a chronic syndrome characterized by widespread pain, persistent fatigue, sleep disturbances, and functional limitations that may significantly impair quality of life. In this context, the Pilates method is considered a potential physiotherapeutic intervention. This study aimed to analyze the effects of the Pilates method on pain reduction and quality of life improvement in women aged 18 to 65 years diagnosed with fibromyalgia. This is an integrative literature review based on searches conducted in the PubMed, SciELO, LILACS, and PEDro databases, considering publications from 2015 to 2025. Seven studies investigating different Pilates protocols and their effects on pain, fibromyalgia impact, and quality of life were included. The results demonstrated pain reduction and improvements in aspects related to the impact of the disease. However, findings regarding quality of life were variable, and some studies reported similar effects between Pilates and other exercise modalities, such as hydrotherapy and aquatic aerobic exercise. It is concluded that the Pilates method may contribute to fibromyalgia management by helping control pain and improve functional outcomes. Nevertheless, further studies with larger samples, standardized protocols, and longer follow-up periods are needed to clarify the magnitude and sustainability of these benefits.
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Cruz et al. (2026) studied this question.
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