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Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence

Patients with fibromyalgia syndrome (FMS) have a nonspecific postural balance disorder and a greater prevalence of falls. Objective: to clarify which aspects of maintaining balance are associated with the impact of the disorder and with balance confidence. Methods: A total of 182 persons with FMS ag...

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Autores principales: Peinado-Rubia, Ana, Osuna-Pérez, María C., Rodríguez-Almagro, Daniel, Zagalaz-Anula, Noelia, López-Ruiz, María C., Lomas-Vega, Rafael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246608/
https://www.ncbi.nlm.nih.gov/pubmed/32370043
http://dx.doi.org/10.3390/ijerph17093160
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author Peinado-Rubia, Ana
Osuna-Pérez, María C.
Rodríguez-Almagro, Daniel
Zagalaz-Anula, Noelia
López-Ruiz, María C.
Lomas-Vega, Rafael
author_facet Peinado-Rubia, Ana
Osuna-Pérez, María C.
Rodríguez-Almagro, Daniel
Zagalaz-Anula, Noelia
López-Ruiz, María C.
Lomas-Vega, Rafael
author_sort Peinado-Rubia, Ana
collection PubMed
description Patients with fibromyalgia syndrome (FMS) have a nonspecific postural balance disorder and a greater prevalence of falls. Objective: to clarify which aspects of maintaining balance are associated with the impact of the disorder and with balance confidence. Methods: A total of 182 persons with FMS agreed to participate in this study. After re-evaluation, 57 fully met inclusion criteria: age 40–70 years and moderate-severe impact of the illness according to the Fibromyalgia Impact Questionnaire (FIQ). All participants underwent a posture control analysis with a stabilometric platform, an evaluation of the perception of verticality and an exploration of the vestibular system via functional tests. Additionally, they self-completed questionnaires about balance confidence, central sensitization, pain catastrophizing, kinesiophobia, dizziness and days with episodes of instability. Results: The FIQ was associated with central sensitization and dizziness, which explained 56% of its variance (AdjR2 = 0.566), while days with instability, kinesiophobia and dizziness also explained more than half of the variance of the balance confidence scale (AdjR2 = 0.527). A high percentage of positive responses was found for functional tests (>50%) and a high dispersion in the stabilometric parameters. Conclusion: the detection of factors susceptible to intervention, such as disability due to dizziness, takes on special relevance in patients with FMS.
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spelling pubmed-72466082020-06-10 Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence Peinado-Rubia, Ana Osuna-Pérez, María C. Rodríguez-Almagro, Daniel Zagalaz-Anula, Noelia López-Ruiz, María C. Lomas-Vega, Rafael Int J Environ Res Public Health Article Patients with fibromyalgia syndrome (FMS) have a nonspecific postural balance disorder and a greater prevalence of falls. Objective: to clarify which aspects of maintaining balance are associated with the impact of the disorder and with balance confidence. Methods: A total of 182 persons with FMS agreed to participate in this study. After re-evaluation, 57 fully met inclusion criteria: age 40–70 years and moderate-severe impact of the illness according to the Fibromyalgia Impact Questionnaire (FIQ). All participants underwent a posture control analysis with a stabilometric platform, an evaluation of the perception of verticality and an exploration of the vestibular system via functional tests. Additionally, they self-completed questionnaires about balance confidence, central sensitization, pain catastrophizing, kinesiophobia, dizziness and days with episodes of instability. Results: The FIQ was associated with central sensitization and dizziness, which explained 56% of its variance (AdjR2 = 0.566), while days with instability, kinesiophobia and dizziness also explained more than half of the variance of the balance confidence scale (AdjR2 = 0.527). A high percentage of positive responses was found for functional tests (>50%) and a high dispersion in the stabilometric parameters. Conclusion: the detection of factors susceptible to intervention, such as disability due to dizziness, takes on special relevance in patients with FMS. MDPI 2020-05-01 2020-05 /pmc/articles/PMC7246608/ /pubmed/32370043 http://dx.doi.org/10.3390/ijerph17093160 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Peinado-Rubia, Ana
Osuna-Pérez, María C.
Rodríguez-Almagro, Daniel
Zagalaz-Anula, Noelia
López-Ruiz, María C.
Lomas-Vega, Rafael
Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence
title Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence
title_full Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence
title_fullStr Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence
title_full_unstemmed Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence
title_short Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence
title_sort impaired balance in patients with fibromyalgia syndrome: predictors of the impact of this disorder and balance confidence
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246608/
https://www.ncbi.nlm.nih.gov/pubmed/32370043
http://dx.doi.org/10.3390/ijerph17093160
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