Clinical Research Directory

Inclusion Criteria: * Adults aged 18 years or older, of any sex/gender, with a documented medical diagnosis of fibromyalgia established in primary or secondary healthcare settings according to the American College of Rheumatology (ACR) criteria (Häuser \& Fitzcharles, 2018). * Individuals able to understand and complete the self-report questionnaires used in the study. * Individuals with access to a compatible electronic device (smartphone, tablet, or computer) and an internet connection required for participation in the telerehabilitation intervention. * Individuals with basic digital literacy skills, defined as the ability to use electronic devices and interact with commonly used applications. * Individuals who provide written informed consent to participate in the study. Exclusion Criteria: * Current participation in another structured therapeutic exercise program, whether supervised or unsupervised. * Moderate to severe functional dependence in activities of daily living, defined as a score \<60 on the Barthel Index. * Absolute contraindications to therapeutic exercise, including hypertensive crisis (≥170/110 mmHg), dyspnea at rest, resting tachycardia, or severe glycemic abnormalities (blood glucose \>250 mg/dL or \<90 mg/dL in individuals receiving insulin therapy). * Severe uncontrolled pain, defined as a score ≥8 on the Numeric Pain Rating Scale (NPRS) at rest. * Medical or neurological conditions that significantly limit the safe performance of physical exercise, as determined by clinical assessment. * Recent changes in fibromyalgia-specific pharmacological treatment within the previous 4 weeks, to ensure clinical stability throughout the intervention period.