RT journal article T1 Effects of a Strength and Creative Dance Intervention on Brain Electrical Activity, Heart Rate Variability, and Dual-Task Performance in Women with Fibromyalgia: A Randomized Controlled Trial Protocol A1 Melo-Alonso, Maria A1 Padilla Moledo, María del Carmen A1 Martinez-Sánchez, Almudena A1 Bohn, Lucimere A1 Molero, Pablo A1 Dominguez-Muñoz, Francisco Javier A1 Villafaina, Santos A1 Olivares, Pedro R A1 Tornero-Quiñones, Inmaculada A1 Leon-LLamas, Juan Luis A1 Gusi, Narcis A2 Didáctica de la Educación FísicaPlástica y Musical K1 activities of daily living K1 creative K1 EGG K1 exercise K1 fall K1 stimulus–response paradigm AB Fibromyalgia is a complex chronic disorder involving persistent widespread pain accompaniedby functional limitations, cognitive impairments, and alterations in neural processing.Previous research indicates that exercise-based interventions can play a key role in alleviatingsymptom burden and enhancing physical performance; however, there is limitedevidence regarding their impact on neurophysiological mechanisms. Creative dance, incombination with strength training, may stimulate both motor and cognitive systems,promoting brain plasticity and functional improvements. This study will analyze the effectsof a six-week strength and creative dance program on physical fitness under single- anddual-task conditions in women with fibromyalgia and will explore the associated changesin brain electrical activity and autonomic modulation. Methods: This randomized controlledtrial will be divided into an exercise group (n = 22) and a control group (n = 22).The 6-week supervised intervention consists of two 60-min sessions per week, combiningstrength exercises and creative dance. Primary outcomes include physical fitness tests(strength, mobility, balance, and agility gait test in single-task and dual-task), fibromyalgiasymptoms, and quality of life. Secondary outcomes include changes in electroencephalography,heart rate variability, physical activity level, and fear of falling. Statistical analyseswill compare within- and between-group differences using non-parametric tests and effectsizes. It is hypothesized that the intervention will improve physical fitness and dual-taskperformance, alongside increases in brain activity power. This study may provide insightsinto the neurophysiological mechanisms underlying the benefits of exercise benefitsin fibromyalgia. PB MDPI SN 2075-4663 YR 2026 FD 2026-02-04 LK http://hdl.handle.net/10498/38887 UL http://hdl.handle.net/10498/38887 LA eng NO This research was funded by in the framework of the Spanish National R + D + i Plan; thecurrent project PID2019-107191RB I00/AEI/10.13039/501100011033was co-funded by the Spanish Agencyof Research of the Spanish Ministry of Sciences and Innovation MICIU/AEI/10.13039/501100011033and by “ERDF A way of making Europe”. The author M.M.-A. was supported by a grant from the“Sistema Extremeño de Ciencia, Tecnología e Innovación” by Junta de Extremadura and co-financedby FSE+ of Extremadura (PD23108). The author A.M.-S. was supported with a grant by the ValhondoCalaff Foundation (Caceres, Spain). This study was co-funded by the Research grant for Groups(GR24088, AFYCAV Group) co-funded in its part at 84% by European Union, ERDF/UE, and Juntade Extremadura “a way of making Europe”. This study was supported by the Biomedical ResearchExcellence Networking Center on Frailty and Healthy Aging (CIBERFES) and ERDF/EU funds fromthe European Union (CB16/10/00477) “a way of making Europe”. The funders played no role inthe study design, the data collection, and analysis, the decision to publish, or the preparation ofthe manuscript. DS Repositorio Institucional de la Universidad de Cádiz RD 10-nov-2026