Evaluation of balance, fall risk, and related factors in patients with fibromyalgia syndrome

Sarıhan, Köksal; Uzkeser, Hülya; Erdal, Akın

doi:10.5606/tftrd.2021.6273

Cited by 9 publications

(9 citation statements)

References 27 publications

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“…Previous studies have examined and documented balance impairments in FMS individuals and the effects of different exercise regimens that aim to improve postural stability [40,41]. Impaired postural control and risk of falling were identified in FMS individuals compared to controls, and the risk of falling was increased in individuals without taking medication [22]. Similar to our study results, Gucmen et al [24] demonstrated a strong relationship between cervical repositioning tests and static and dynamic balance.…”

Section: Discussionsupporting

confidence: 86%

“…In a survey of 2596 FMS patients, postural control impairments were identified as among the most prevalent symptoms (45%) [21]. It is anticipated that clinical symptoms such as pain, sleep disturbances, physical fatigue, decreased muscle strength and endurance, impaired proprioception, anxiety, sensory deficits, and cognitive impairments may contribute to postural instability [21,22]. Chronic pain and fatigue are the primary symptoms of FMS [23].…”

Section: Introductionmentioning

confidence: 99%

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Cervical Joint Position Sense and Its Correlations with Postural Stability in Subjects with Fibromyalgia Syndrome

Reddy

Tedla

Dixit

et al. 2022

Life

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Cervical joint position sense (JPS) and postural stability are vital to maintaining balance and preventing falls in fibromyalgia syndrome (FMS). Impaired cervical JPS may influence postural stability, and understanding the relationship between them can aid in formulating treatment strategies in individuals with FMS. This study aims to (1) assess cervical JPS and postural stability between FMS and control group and (2) determine the correlation between cervical JPS and postural stability in the FMS group. This cross-sectional study recruited 92 FMS patients (mean age: 51.52 ± 7.7 yrs.) and 92 healthy controls (mean age: 49.36 ± 6.9 yrs.). A cervical range of motion (CROM) unit was utilized to assess cervical JPS. The postural stability was assessed using an IsoFree force platform, and anterior-posterior (A/P) and medial-lateral (M/L) directions of sway and ellipse area were measured. Cervical JPS and postural stability tests were assessed and compared between FMS and control groups. Cervical JPS was significantly impaired in FMS compared to the control group (p < 0.001). The JPS errors in FMS group were larger in flexion (FMS = 5.5°, control = 2.4°), extension (FMS = 6.4°, control = 3.0°), and rotation in left (FMS = 5.4°, control = 2.2°) and right directions (FMS = 5.1°, control = 2.8°). FMS individuals demonstrated statistically significant impaired postural stability compared to control in both the dominant and non-dominant legs tested (p < 0.001). The cervical JPS test showed moderate to strong positive correlations with postural stability variables. Statistically significant correlations were observed in all the JPS directions tested with all the postural stability variables (A/P and M/L sway and ellipse area). The correlation coefficients ranged between r =0.37 (moderate) to 0.75 (strong). Cervical JPS and postural stability are impaired in FMS individuals. A moderate to strong relationship existed between JPS and postural stability. Individuals with FMS who had a greater magnitude of cervical JPS errors exhibited more severe postural control deficits. Therefore, cervical JPS and postural stability tests should be incorporated into routine clinical practice when assessing or formulating treatment strategies for patients with FMS.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Cervical Joint Position Sense and Its Correlations with Postural Stability in Subjects with Fibromyalgia Syndrome

Reddy

Tedla

Dixit

et al. 2022

Life

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“…The gains in neuromuscular variables from 2023 402 (11 ) this online protocol are promising for counteracting the effects of strength loss when compared to previous studies with on-site intervention (27,28). Balance changes are directly related to the risk of falling, where women with fibromyalgia have a 45% higher chance of falls when compared to healthy women (29). Decreases found in the balance variables in this pilot study reinforce a better performance in postural control, being in accordance with other studies (30,31).…”

Section: Specific Initial Resultssupporting

confidence: 85%

Resistance training on postural balance, physical fitness, and fibromyalgia impact: pilot study of online intervention

L. Albuquerque,

Monteiro,

Alvarez

et al. 2023

Interciencia

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Fibromyalgia is a chronic disease with diverse physical and psychological symptoms and impairments. The present pilot study aims to evaluate the implementation of a previously protocoled online resistance training program in postural balance, physical fitness, and fibromyalgia impact, as well as adaptations and strategies necessary for a better follow-up of the participant during the program. Three participants with an average age of 53.67 (SD=5.51) years and medical diagnosis of fibromyalgia performed eight weeks of online resistance training exercises (2/week). Physical fitness and postural balance (force platform), fibromyalgia impact (FIQ), and symptoms (VAS) were evaluated before the exercises and after 16 sessions. The variation from pre to post-training intervention was determined by calculating the percentage of change in each variable. All participants showed gains in countermovement jump (11 to 46%), and a reduction in pain intensity (10 to 19%). Two out of three participants showed improvement in the countermovement jump with free arms (4 and 28%), medicine ball throw (2 and 42%), mood state (20 to 32%), also a reduction in FIQ (4 and 27%), center of pressure (COP) velocity with eyes open (10 and 7%), COP displacement with eyes open (6 and 9%), anxiety (15 to 84%) and fatigue (10 to 41%),. Only one participant has shown improvements in sleep quality (6%). Benefits on balance with eyes closed was not found. The online resistance training program protocol showed promising results in this pilot study, with potential gains in neuromuscular performance and balance, and reducing the negative symptoms associated with fibromyalgia. Adaptations were necessary throughout the program for better applicability.

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“…Balance disorders and the effect of various exercise programs on this condition in FMS patients have been researched in earlier studies [33][34][35]. Balance disorder and increased risk of falling were also detected in drug-free FMS patients [36]. Poor balance status in FMS has been attributed to various factors, including decreased muscle strength and performance, cognitive dysfunction, impairment in the sensory or motor system, and the existence of trigger points [35].…”

Section: Discussionmentioning

confidence: 99%

The relationship between cervical proprioception and balance in patients with fibromyalgia syndrome

Güçmen

Koçyiğit

Nacitarhan³

et al. 2022

Rheumatol Int

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Proprioceptive abnormalities, balance, and postural disorders have been previously reported in fibromyalgia syndrome (FMS). Unlike previous research, the aim of this study was to compare the proprioception of the cervical region of patients with FMS with a healthy control group. The relationship between cervical proprioception impairment and loss of balance was also examined. A total of 96 female FMS patients and 96 female healthy control subjects were enrolled in this case-control study. The cervical joint position error test (CJPET) was administered to the patient and control groups for cervical proprioception evaluation. FMS patients were assessed with a visual analogue scale (VAS), fibromyalgia impact questionnaire (FIQ), and fatigue severity scale (FSS). Balance tests were applied to both groups. FMS patients had significantly impaired CJPET results in all directions (p < 0.001). There were significant positive correlations between FIQ scores and CJPET results (r = 0.542 and p < 0.001 for right rotation; r = 0.604 and p < 0.001 for left rotation; r = 0.550 and p < 0.001 for flexion; r = 0.612 and p < 0.001 for extension). Significant correlations were found between CJPET measurements and balance tests (for sit-tostand test; r = 0.510 and p < 0.001 for right rotation; r = 0.431 and p < 0.001 for left rotation; r = 0.490 and p < 0.001 for flexion; r = 0.545 and p < 0.001 for extension), (for timed up and go test; r = 0.469 and p < 0.001 for right rotation; r = 0.378 and p < 0.001 for left rotation; r = 0.410 and p < 0.001 for flexion; r = 0.496 and p < 0.001 for extension) and (for one-legged balance test; r = −0.479 and p < 0.001 for right rotation; r = −0.365 and p < 0.001 for left rotation; r = −0.392 and p < 0.001 for flexion; r = −0.469 and p < 0.001 for extension). Cervical proprioception and balance were impaired in FMS patients. As the disease activity and fatigue level increased, so the deterioration in cervical proprioception became more evident. There were correlations that demonstrated an association between impaired cervical proprioception and poor balance tests. Therefore, proprioception and balance assessments should be integrated into the physical examination processes of FMS patients.

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Evaluation of balance, fall risk, and related factors in patients with fibromyalgia syndrome

Cited by 9 publications

References 27 publications

Cervical Joint Position Sense and Its Correlations with Postural Stability in Subjects with Fibromyalgia Syndrome

Cervical Joint Position Sense and Its Correlations with Postural Stability in Subjects with Fibromyalgia Syndrome

Resistance training on postural balance, physical fitness, and fibromyalgia impact: pilot study of online intervention

The relationship between cervical proprioception and balance in patients with fibromyalgia syndrome

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