Background: Patients with fibromyalgia usually have chronic, widespread 
musculoskeletal pain and associated fatigue, sleep disturbances, and other 
cognitive and somatic symptoms. Purpose: To investigate the efficacy of 
Qigong exercise on sleep quality in patients with fibromyalgia. Methods:
Forty-five females with fibromyalgia participated in this study. They were 
selected from outpatient clinics at Al-Azhar University Hospitals from 
September to November 2023. Their ages were 30–50 years old. Subjects were 
subdivided into two groups. The study group, consisting of thirty patients, 
received Qigong (active and passive) exercise, medical treatment, and an antiinflammatory diet, while the control group, consisting of fifteen patients, 
received medical treatment and nutritional interventions. Treatment lasted 8 
weeks, and the exercises were performed three times per week. The outcome 
measures were reassessed at baseline and after 8 weeks. Outcome measures 
included sleep quality and fatigue, which were assessed by the Pittsburgh Sleep 
Quality Index and Fatigue Severity Scale, respectively. Results: The results 
showed that there was a significant decrease in the Pittsburgh Sleep Quality 
Index and Fatigue Severity Scale post-treatment within groups compared with 
pre-treatment (p > 0.001), while there was no significant difference between 
groups post-treatment (p> 0.05). Conclusion: Qigong exercise had no 
additional benefit over the traditional program of medications and diet.