Assessment of the relationship between postural stability and sleep quality in patients with fibromyalgia
Abstract
The aim of this study is to investigate the relationship of postural stability and sleep disorders in patients with fibromyalgia syndrome. Frequency of falls in the last 6 months in 48 fibromyalgia and 32 control subjects were recorded. Postural stability was assessed by static posturography device (Tetrax, Sunlight Medical Ltd., Israel). Functional assessment consisted of lower-body strength; one-leg stance test were applied to all subjects. Fibromyalgia impact questionnaire (FIQ), sleep quality numeric rating scale (NRS), and Pittsburgh Sleep Quality Index were inquired. The number of falls in the last 6 months was significantly higher in the fibromyalgia group. Mean total value of stability indexes was 201.7 ± 70.9 vs. 162.6 ± 29.6 in fibromyalgia and control subjects (p < 0.05). NRS and Pittsburgh Sleep Quality Index were significantly higher in fibromyalgia patients. It was detected that there were significant relationships between fall risk and NRS scores (r = 0.565), and FIQ fatigue subscores (r = 0.560) (both p < 0.05). Worse postural performance and fall risk found in the fibromyalgia patients compared to controls were related with the sleep quality in the last 24 h and level of fatigue.
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No single mechanism exists that could explain altered postural instability in patients with fibromyalgia syndrome, but it could be explained by vestibular, somatosensory, or postural reflex disturbances.
“No single mechanism exists that could explain the altered postural instability in patients with FMS, but it could be explained by vestibular, somatosensory, or postural reflex disturbances [33].”
From Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence (2020) · cites this paper as [33]
Cites
An internet survey of 2,596 people with fibromyalgia
Bennett, R. M., Jones, J., Turk, D. C., Russell, I. J., & Matallana, L. (2007) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-8-27 · Cited by 865 · see citing works
Fibromyalgia Is Associated With Impaired Balance and Falls
Jones, K. D., Horak, F. B., Winters-Stone, K., Irvine, J. M., & Bennett, R. M. (2009) · JCR: Journal of Clinical Rheumatology · doi:10.1097/rhu.0b013e318190f991 · Cited by 162 · see citing works
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Diaz-Piedra, C., Di Stasi, L. L., Baldwin, C. M., Buela-Casal, G., & Catena, A. (2015) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2014.09.001 · Cited by 74 · see citing works
Peinado-Rubia, A., Osuna-Pérez, M. C., Rodríguez-Almagro, D., Zagalaz-Anula, N., López-Ruiz, M. C., & Lomas-Vega, R. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17093160 · Cited by 38 · see citing works
The relationship between cervical proprioception and balance in patients with fibromyalgia syndrome
Gucmen, B., Kocyigit, B. F., Nacitarhan, V., Berk, E., Koca, T. T., & Akyol, A. (2022) · Rheumatology International · doi:10.1007/s00296-021-05081-1 · Cited by 31 · see citing works
- Authors
- Akkaya, N., Akkaya, S., Atalay, N. S., Acar, M., Catalbas, N., & Sahin, F.
- Affiliations
- Pamukkale University (TR)
- Denizli Devlet Hastanesi (TR)
- Corresponding author
- Akkaya, Nuray
- Venue
- Clinical Rheumatology
- Published
- 2012-11-21
- Volume
- 32
- Issue
- 3
- Pages
- 325-331
- ISSN
- 0770-3198 (ISSN-L)
- 1434-9949
- OpenAlex
- W2070631430
- Cited by
- 43
- References
- 2
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 7 · 2016: 4 · 2015: 2 · 2014: 1
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Clinical Rheumatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Keywords
- fibromyalgia, postural stability, sleep quality, falls, fall risk, fatigue, static posturography, single-leg stance test, lower limb strength, Pittsburgh Sleep Quality Index, Fibromyalgia Impact Questionnaire
- MeSH terms
- Accidental Falls, Adult, Postural Balance, Fatigue, Female, Fibromyalgia, Fourier Analysis, Humans, Middle Aged, Surveys and Questionnaires, Risk Factors, Sleep Wake Disorders, Incidence, Case-Control Studies
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