Balance deficiencies in women with fibromyalgia assessed using computerised dynamic posturography: a cross-sectional study in Spain.
BMJ Open
; 7(7): e016239, 2017 Aug 01.
Article
em En
| MEDLINE
| ID: mdl-28765133
ABSTRACT
OBJECTIVES:
Our aims were (1) to compare the sensory organisation of balance control and balance strategies between women with fibromyalgia (FM) and healthy women; (2) to investigate which sensory component, that is, vestibular, visual or somato-sensory, is the most affected in FM and (3) to determine the associations between the functional independence measure (FIM) and balance responses in FM.DESIGN:
Cross-sectional observational study.SETTING:
Urban regional hospital and university (Universidad Rey Juan Carlos, Madrid, Spain).PARTICIPANTS:
Twenty women with FM and 20 matched healthy women. PRIMARY/SECONDARY OUTCOMEMEASURES:
The sensory organisation test (SOT) was used to determine postural sway and balance during six different conditions with subjects in a standing position. The FIM was used to determine the level of functional independence in daily life activities (ADL). Between-group differences were analysed with analysis of covariance, and the Spearman's test was used for correlations.RESULTS:
Significant differences between-groups and between-conditions were found for all SOT conditions (all, p<0.001) women with FM showed lower scores being the vestibular score the most affected. Different correlations between SOT conditions and some specific ADL were observed in the FM group bathing activity and balance condition 6 (rs=0.541; p<0.001), bed transfers activity and conditions 2 (rs=0.491; p<0.001) and 3 (rs=0.510; p<0.001), positioning strategy six and dressing the upper (rs=0.530; p<0.001) or lower (rs=0.562; p<0.001) body, and toileting (rs=0.521; p<0.001) the greater the loss of balance, the greater the interference on some daily life activities.CONCLUSIONS:
Women with FM exhibited balance deficiencies and used different strategies for maintaining their balance in standing, which was associated with a negative impact on functional independence.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Postura
/
Atividades Cotidianas
/
Fibromialgia
/
Equilíbrio Postural
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
BMJ Open
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Espanha