Fibromyalgia (FMS) is a chronic, multifactorial syndrome characterized by widespread pain, fatigue, and cognitive disturbances. This interventional study evaluates the impact of structured physical training using diagnostic-training devices (Zebris treadmill and Alfa balance platform) and transcutaneous neuromodulation (NESA X-Signal) on pain, sleep quality, and overall health status in patients with fibromyalgia and chronic fatigue symptom.
Participants are allocated into three groups:
1. Physical training + conventional physiotherapy, 2. Transcutaneous neuromodulation + conventional physiotherapy, 3. Control (conventional physiotherapy only). The results will support the development of evidence-based rehabilitation protocols for fibromyalgia patients.
Age between 20 and 80 years
Confirmed diagnosis of fibromyalgia
Presence of chronic fatigue symptoms
Stable health condition
Lack of informed consent or cooperation
Refusal to undergo procedures beyond standard NFZ physiotherapy
Cancer
Neurological disorders (e.g., neuralgia, multiple sclerosis, diabetic polyneuropathy, stroke)