The effects of EXOPULSE Mollii Suit in patients with fibromyalgia: a double-blind randomized sham-controlled trial (EXOFIB2) - Report - MDSpire

The effects of EXOPULSE Mollii Suit in patients with fibromyalgia: a double-blind randomized sham-controlled trial (EXOFIB2)

  • By

  • Naji Riachi

  • Ahmed Shatila

  • Sehriban Diab

  • Hasan Jaber

  • Mais Jawhari

  • Joseph G Mattar

  • Jean-Pascal Lefaucheur

  • Moussa A Chalah

  • Samar S Ayache

  • January 22, 2026

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Impact of EXOPULSE Mollii Suit on Fibromyalgia: Double-Blind Randomized Study

Overview

This double-blind, randomized, sham-controlled crossover study evaluated the effects of the EXOPULSE Mollii Suit on fibromyalgia patients. Results demonstrated significant improvements in fibromyalgia impact, pain, and quality of life following active stimulation compared to sham, with sustained benefits observed in an open-label extension.

Background

Fibromyalgia is a prevalent musculoskeletal disorder characterized by widespread pain, fatigue, and reduced quality of life. Conventional pharmacological treatments provide limited relief, prompting interest in non-pharmacological approaches such as transcutaneous electrical nerve stimulation (TENS). However, traditional TENS devices target limited body regions, which may be insufficient for fibromyalgia's widespread symptoms. The EXOPULSE Mollii Suit, a full-body garment with multiple electrodes, offers a novel approach by stimulating numerous muscle groups simultaneously to potentially alleviate fibromyalgia symptoms.

Data Highlights

OutcomeBaseline (Mean ± SD)Post-Active Intervention (Mean ± SD)Statistical Significance
FIQtotal Score66.06 ± 13.4650.81 ± 23.22Friedman’s P < .01, Dunn’s P < .05
Phase 1 Sham InterventionNot significant changeNot significant changeNS
Secondary Measures (Pain Catastrophizing, QoL domains)Improved post-active interventionImproved post-active interventionSignificant
Phase 2 Open-Label ExtensionContinued improvement in FIQtotal and secondary outcomesContinued improvementSignificant

Key Findings

  • Active EXOPULSE Mollii Suit stimulation for 2 weeks significantly reduced fibromyalgia impact as measured by FIQtotal scores.
  • No significant improvements were observed following the sham stimulation phase.
  • Secondary outcomes including pain catastrophizing and quality of life domains showed significant improvement after active treatment.
  • Open-label extension of 4 weeks demonstrated sustained benefits in fibromyalgia impact, depression, anxiety, and quality of life.
  • No severe adverse events were reported, indicating good tolerability of the intervention.

Clinical Implications

The EXOPULSE Mollii Suit represents a promising home-based neuromodulation therapy for fibromyalgia, offering clinically meaningful improvements in disease impact and related symptoms. Its full-body stimulation capability may address the widespread pain characteristic of fibromyalgia more effectively than conventional TENS devices. Clinicians should consider this modality as a complementary treatment option, pending further large-scale validation.

Conclusion

This study supports the efficacy and safety of the EXOPULSE Mollii Suit in reducing fibromyalgia symptoms and improving quality of life. These findings align with prior research and underscore the potential of full-body electrical stimulation as a novel therapeutic approach for fibromyalgia.

References

  1. Riachi et al. 2024 -- Impact of the EXOPULSE Mollii Suit on Fibromyalgia Patients: Results from a Double-Blind, Randomized Sham-Controlled Study (EXOFIB2)

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