Aquatic therapy improves self-reported sleep quality in fibromyalgia patients: a systematic review and meta-analysis.

Forest plot analysis of Pittsburgh sleep quality index at short- and mid-term follow-up showed a trend in favour of aquatic therapy, although not statistically significant, with weighted mean difference (WMD) = -1.71 (95% CI: -4.17 to -0.75, p = 0.17).

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In the short term, five studies collected data; our analysis showed a positive trend in favour of aquatic therapy in four studies [ 23 , 27 , 32 , 36 ], but the Fonseca [ 29 ] study showed a trend in favour of the Inter-relational School of FM (Figs. 3 , 4 and 5 ).

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