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. 2020 May 1;17(9):3160.
doi: 10.3390/ijerph17093160.

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

Ana Peinado-Rubia  1 , María C Osuna-Pérez  2 , Daniel Rodríguez-Almagro  2 , Noelia Zagalaz-Anula  2 , María C López-Ruiz  2 , Rafael Lomas-Vega  2
Affiliations

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

Ana Peinado-Rubia et al. Int J Environ Res Public Health. .

Abstract

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.

Keywords: fibromyalgia; postural balance; quality of life; vestibular diseases.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Flowchart showing the selection of participants.
See this image and copyright information in PMC

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