Fibromyalgia: is there association between balance and pain? a pilot study

Santo, Adriana de Sousa do Espírito; Mango, Pamela Cristina; Assumpção, Ana; Sauer, Justin; Marques, Amélia Pasqual

doi:10.1590/1809-2950/341210114

Cited by 4 publications

(8 citation statements)

References 34 publications

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“…Regarding the perception of pain, measured with the analogue visual scale and in somatosensory measures such as pain thresholds, there were significant differences in both types of WBV with respect to the control group. These improvements in pain perception are in line with other studies [ 35 , 43 ]. Vibration strongly affects the afferent discharge of the quick adaptation mechanoreceptors and the muscle spindles.…”

Section: Discussionsupporting

confidence: 93%

“…The present study has compared the effectiveness of two types of WBV, one vertical and one rotational, through a 12-week training in patients with fibromyalgia, in comparison with a control group that did not perform any training. This comparison was carried out on various fibromyalgia outcomes: self-report questionnaires on fibromyalgia impact [ 29 ], pain [ 30 ] quality of life [ 31 ], vibration sensitivity [ 34 ], functional motor capacity [ 35 , 36 , 37 , 38 ] (Berg Scale, 6-min walking test, and isometric back muscle strength), and balance [ 35 ]. The therapy program based on both WBV platforms showed differences in terms of results.…”

Section: Discussionmentioning

confidence: 99%

“…This is a functional assessment tool, consisting of scores ranging from 0 (impaired) to 56 (excellent, highest level of function). It has been used in patients with fibromyalgia to assess balance [ 35 ]. Its reliability is high, with a pooled estimate of 0.97 (95% CI 0.96 to 0.98) and its validity is 0.953 (95% CI 0.910 to 0.975).…”

Section: Methodsmentioning

confidence: 99%

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A Comparison of the Effect of Two Types of Whole Body Vibration Platforms on Fibromyalgia. A Randomized Controlled Trial

Mingorance

Montoya

Miranda

et al. 2021

IJERPH

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Whole body vibration has been proven to improve the health status of patients with fibromyalgia, providing an activation of the neuromuscular spindles, which are responsible for muscle contraction. The present study aimed to compare the effectiveness of two types of whole body vibrating platforms (vertical and rotational) during a 12-week training program. Sixty fibromyalgia patients (90% were women) were randomly assigned to one of the following groups: group A (n = 20), who performed the vibration training with a vertical platform; group B (n = 20), who did rotational platform training; or a control group C (n = 20), who did not do any training. Sensitivity measures (pressure pain and vibration thresholds), quality of life (Quality of Life Index), motor function tasks (Berg Scale, six-minute walking test, isometric back muscle strength), and static and dynamic balance (Romberg test and gait analysis) were assessed before, immediately after, and three months after the therapy program. Although both types of vibration appeared to have beneficial effects with respect to the control group, the training was more effective with the rotational than with vertical platform in some parameters, such as vibration thresholds (p < 0.001), motor function tasks (p < 0.001), mediolateral sway (p < 0.001), and gait speed (p < 0.05). Nevertheless, improvements disappeared in the follow-up in both types of vibration. Our study points out greater benefits with the use of rotational rather than vertical whole body vibration. The use of the rotational modality is recommended in the standard therapy program for patients with fibromyalgia. Due to the fact that the positive effects of both types of vibration disappeared during the follow-up, continuous or intermittent use is recommended.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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A Comparison of the Effect of Two Types of Whole Body Vibration Platforms on Fibromyalgia. A Randomized Controlled Trial

Mingorance

Montoya

Miranda

et al. 2021

IJERPH

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“…This is a functional test in which the patient walks as far as possible for 6 min (35). It has been validated for patients with fibromyalgia (34,36). • Isometric back muscle strength was determined by a dynamometer (T.K.K.5002).…”

Section: Motor Function Tasksmentioning

confidence: 99%

The Therapeutic Effects of Whole-Body Vibration in Patients With Fibromyalgia. A Randomized Controlled Trial

et al. 2021

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Fibromyalgia is a chronic pain disease with few effective therapeutic options. We evaluated the efficacy of a 12-weeks therapy program that involves the use of whole body vibration in patients with fibromyalgia. The experimental group (N = 20 patients) participated in a neuromuscular training with a rotational whole body vibration platform for 12 weeks. The control group (N = 20 patients) received no physiotherapy treatment. The following variables were assessed before, after and 3 months after the therapy program: Fibromyalgia impact questionnaire, pain intensity, quality of life, sensitivity measurements (pressure pain thresholds, vibration thresholds), motor function tasks (Berg scale, 6-min walk test, isometric back muscle strength), and static and dynamic balance. We found improvements in the indexes of functional disability, static equilibrium and vibration sensitivity and a reduction of pain sensitivity. Our results showed that the intervention group improved almost all parameters immediately after the therapy program, in contrast to the control group that showed no changes. These improvements were not maintained in the follow-up. The whole body vibration therapy can be an effective therapy in patients with fibromyalgia and it can improve symptomatology and quality of life in these patients.

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“…Ainda, outro estudo verificou que mulheres com FM, se comparadas a indivíduos sem a doença, apresentam déficit de equilíbrio postural e da autoconfiança por conta da dor e dos agravos causados pela patologia 13 . O mesmo foi observado no estudo atual, em que o indivíduo apresentava sério déficit do equilíbrio postural, que foi amenizado após a intervenção fisioterapêutica proposta.…”

Section: Pós-intervençãounclassified

Atuação fisioterapêutica em um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia

et al. 2017

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Introdução:As doenças reumáticas podem manifestar-se de forma isolada ou concomitante, como, por exemplo, o lúpus eritematoso sistêmico, que pode associar-se à artrite reumatoide e à fibromialgia, comprometendo a funcionalidade e a qualidade de vida. O objetivo deste estudo foi verificar os efeitos da fisioterapia na dor, na força de preensão palmar, no equilíbrio postural, no nível de incapacidade e na qualidade de vida de um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia. Relato de caso: Mulher, 56 anos, diagnosticada com lúpus eritematoso sistêmico, artrite reumatoide e fibromialgia há 14 anos. Sua queixa principal era dor generalizada e intensa em diversos pontos do corpo. Foram avaliados a dor, a força de preensão palmar, o equilíbrio postural, o nível de incapacidade e a qualidade de vida. O indivíduo realizou 30 sessões de fisioterapia (cinesioterapia e hidrocinesioterapia), duas vezes por semana, entre os meses de agosto e novembro de 2015, na Clínica de Fisioterapia da Universidade de Passo Fundo. Após a intervenção, houve diminuição da dor em 5 pontos e da incapacidade em 30%; aumento da força de preensão palmar em 2,2 kgf (mão direita) e 1,2 kgf (mão esquerda); e do equilíbrio postural em 6 pontos. Como consequência, a qualidade de vida do indivíduo melhorou. Conclusão: A fisioterapia demonstrou-se eficaz na diminuição da dor e da incapacidade, no aumento da força de preensão palmar bilateral e do equilíbrio postural e na melhora da qualidade de vida em um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia.Palavras-chave: lúpus eritematoso sistêmico; artrite reumatoide; fibromialgia; exercício; fisioterapia; hidroterapia. ABSTRACTIntroduction: Rheumatic diseases may occur singularly or in concomitant way, such as systemic lupus erythematosus, that may be associated with rheumatoid arthritis and fibromyalgia, compromising the functionality and quality of life. The aim of this study was to investigate the effects of physiotherapy on pain, handgrip strength, postural balance, incapacity level and quality of life in an individual with systemic lupus erythematosus associated with rheumatoid arthritis and fibromyalgia. Case report: Woman, 56 years old, diagnosed with systemic lupus erythematosus, rheumatoid arthritis and fibromyalgia for 14 years. Her main complaint was widespread and intense pain in several points of the body. We evaluated pain, handgrip strength, postural balance, incapacity level and quality of life. The individual performed 30 sessions of physiotherapy (kinesiotherapy and hydrokinesiotherapy), twice a week, between August and November 2015, at Physiotherapy Clinic of the University of Passo Fundo. After the intervention, there was reduction of pain by 5 points and incapacity by 30%, increased handgrip strength in 2,2 kgf (right hand) and 1,2 kgf (left hand) and postural balance in 6 points. As a consequence, the individual's quality of life improved. Conclusion: The physiotherapy proved to be effective in ...

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Fibromyalgia: is there association between balance and pain? a pilot study

Abstract: balance self-efficacy in women with fibromyalgia. There is an association between scales in the Fibromyalgia group.

Cited by 4 publications

References 34 publications

A Comparison of the Effect of Two Types of Whole Body Vibration Platforms on Fibromyalgia. A Randomized Controlled Trial

A Comparison of the Effect of Two Types of Whole Body Vibration Platforms on Fibromyalgia. A Randomized Controlled Trial

The Therapeutic Effects of Whole-Body Vibration in Patients With Fibromyalgia. A Randomized Controlled Trial

Atuação fisioterapêutica em um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia

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