Fibromyalgia Is Associated With Impaired Balance and Falls
Open accessAbstract
BACKGROUND/OBJECTIVE: The purpose of this study was to determine whether fibromyalgia (FM) patients differ from matched healthy controls in clinical tests of balance ability and fall frequency. METHODS: Thirty-four FM patients and 32 age-matched controls were administered the Balance Evaluation-Systems Test (BESTest), rated their balance confidence with the Activities-Specific Balance Confidence (ABC) Scale, and reported the number of falls in the last 6 months. The Fibromyalgia Impact Questionnaire was used to assess FM severity. RESULTS: FM patients had significantly impaired balance in all components of the BESTest compared with controls. They also scored more poorly on balance confidence. Overall FM severity (Fibromyalgia Impact Questionnaire) correlated significantly with the BESTest and the ABC scale. The BESTest and ABC correlated significantly with 6 commonly reported FM symptoms (excluding pain). FM patients reported a total of 37 falls over the last 6-months compared with 6 falls in healthy controls. CONCLUSION: FM is associated with balance problems and increased fall frequency. Patients were aware of their balance problems. These results suggest that FM may affect peripheral and/or central mechanisms of postural control. Further objective study is needed to identify the relative contributions of various neural and musculoskeletal and other impairments to postural stability in FM to provide clinicians with methods to maximize postural stability and help fall prevention.
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The incidence of falls in patients with fibromyalgia syndrome is 1.75 falls per person each 6 months.
“The incidence of falls in FMS patients has been reported as 1.75 falls/person each 6 months [3].”
From Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence (2020) · cites this paper as [3]
The Results report 37 falls among FM patients over six months, not 1.75 falls per patient. The Study sample and setting section says 46 FM patients underwent testing and five were excluded from group analyses; even using the remaining 41 patients, 37 falls is about 0.90 per patient. (LLM, conf=0.87)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredPostural stability is a predictor of the severity of fibromyalgia as measured with the FIQ.
“In a study by Jones et al. [3], postural stability was a predictor of the severity of fibromyalgia as measured with the FIQ”
From Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence (2020) · cites this paper as [3]
The Results report that the BESTest balance score correlated with FIQ severity (r = −.48, p<.05), and the Methods identify the FIQ as the measure of fibromyalgia severity. The paper reports an association, not an analysis establishing postural stability as a predictor of severity. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThere is a significant correlation between balance confidence measured with the ABC scale and disease severity measured with the FIQ (r = −0.64).
“Evidence shows a significant correlation between balance confidence (measured with the Activities-Specific Balance Confidence—ABC) and disease severity measured with the fibromyalgia impact questionnaire FIQ (r = −0.64) [3].”
From Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence (2020) · cites this paper as [3]
Patients with fibromyalgia syndrome present with a nonspecific postural balance disorder and an increased prevalence of falls.
“Recent studies have shown that patients with FMS present with a nonspecific postural balance disorder and an increased prevalence of falls [3].”
From Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence (2020) · cites this paper as [3]
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- Authors
- Jones, K. D., Horak, F. B., Winters-Stone, K., Irvine, J. M., & Bennett, R. M.
- Affiliations
- Oregon Health & Science University (US)
- Corresponding author
- Jones, Kim D.
- Venue
- JCR: Journal of Clinical Rheumatology
- Published
- 2009-01
- Volume
- 15
- Issue
- 1
- Pages
- 16-21
- ISSN
- 1076-1608 (ISSN-L)
- PMC
- PMC2836495
- OpenAlex
- W2097637005
- Cited by
- 162
- References
- 36
- Citations by year
- 2025: 4 · 2024: 8 · 2023: 15 · 2022: 10 · 2021: 13 · 2020: 12 · 2019: 11 · 2018: 8 · 2017: 8 · 2016: 7 · 2015: 9 · 2014: 7 · 2013: 7 · 2012: 17
- FWCI
- 34.80
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- JCR Journal of Clinical Rheumatology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r37ag006457-28)
- National Institute on Aging (R37-AG006457, 2 R37 AG006457-19)
- National Institute of Nursing Research (R01NR008150, 5 R01 NR8150-4)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Keywords
- fibromyalgia, balance disorders, falls, postural control, balance confidence, Balance Evaluation Systems Test, Activities-specific Balance Confidence Scale, Fibromyalgia Impact Questionnaire, fall prevention, postural stability
- MeSH terms
- Accidental Falls, Adult, Postural Balance, Female, Fibromyalgia, Humans, Male, Middle Aged, Severity of Illness Index, Cohort Studies, Case-Control Studies
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