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Cited by 22Balance, Gait, and Falls PreventionFibromyalgia and Chronic Fatigue Syndrome ResearchCardiovascular Syncope and Autonomic Disorders

Balance deficiencies in women with fibromyalgia assessed using computerised dynamic posturography: A cross-sectional study in Spain

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Pérez-de-Heredia-Torres, Marta, Huertas-Hoyas, Elisabet, Martínez-Piédrola, Rosa, Palacios-Ceña, Domingo, Alegre-Ayala, Jorge, Santamaría-Vázquez, Montserrat, Fernández-de-las-Peñas, César·2017·BMJ Open
DOI 10.1136/bmjopen-2017-016239PMC PMC5642772
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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 outcome measures: 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 (r s =0.541; p<0.001), bed transfers activity and conditions 2 (r s =0.491; p<0.001) and 3 (r s =0.510; p<0.001), positioning strategy six and dressing the upper (r s =0.530; p<0.001) or lower (r s =0.562; p<0.001) body, and toileting (r s =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.

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  • Patients with fibromyalgia show poor balance and use different strategies to maintain an upright posture which could be associated with disorders of the vestibular system.

    “According to Pérez-de-Heredia-Torres et al. [35] patients with fibromyalgia show poor balance and use different strategies to maintain an upright posture which could be associated with disorders of the vestibular system.”

    From Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence (2020) · cites this paper as [35]

    The Conclusions state that women with fibromyalgia have poor balance, use different strategies to maintain upright posture, and may have vestibular-system disturbances. The claim extends this finding to patients generally, although the study included only women. The Discussion also notes that vestibular function was not directly evaluated. (LLM, conf=0.84)

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Cited by

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Authors
Pérez-de-Heredia-Torres, M., Huertas-Hoyas, E., Martínez-Piédrola, R., Palacios-Ceña, D., Alegre-Ayala, J., Santamaría-Vázquez, M., & Fernández-de-las-Peñas, C.
Affiliations
  • Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain
  • Universidad Rey Juan Carlos (ES)
  • Department of Health Sciences, Burgos Universit, Burgos, Spain
ORCID
Martínez-Piédrola, Rosa
Venue
BMJ Open
Publisher
BMJ
Published
2017-07
Volume
7
Issue
7
Pages
e016239
ISSN
2044-6055 (ISSN-L)
DOI
10.1136/bmjopen-2017-016239
PMC
PMC5642772
OpenAlex
W2741252118
Cited by
22
References
3
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 1 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 2
FWCI
6.09
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • BMJ Open (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Repositorio Institucional de la Universidad de Burgos (University of Burgos) (submittedVersion, cc-by-nc)
  • HighWire Press Open Archive (submittedVersion)
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 control, postural sway, somatosensory loss, balancing strategy, functional independence, activities of daily living, women
MeSH terms
Activities of Daily Living, Adult, Computers, Cross-Sectional Studies, Postural Balance, Female, Fibromyalgia, Humans, Middle Aged, Posture, Proprioception, Spain, Case-Control Studies

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