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

Ana Peinado-Rubia, María C. Osuna-Pérez, Daniel Rodríguez-Almagro, Noelia Zagalaz-Anula, María C. López-Ruiz and Rafael Lomas-Vega
Additional contact information
Ana Peinado-Rubia: AFIXA Fibromyalgia Association, Jaén, Spain
María C. Osuna-Pérez: Department of Health Sciences, University of Jaén, 23071 Jaén, Spain
Daniel Rodríguez-Almagro: Department of Health Sciences, University of Jaén, 23071 Jaén, Spain
Noelia Zagalaz-Anula: Department of Health Sciences, University of Jaén, 23071 Jaén, Spain
María C. López-Ruiz: Department of Health Sciences, University of Jaén, 23071 Jaén, Spain
Rafael Lomas-Vega: Department of Health Sciences, University of Jaén, 23071 Jaén, Spain

IJERPH, 2020, vol. 17, issue 9, 1-12

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; vestibular diseases; postural balance; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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