Achados vestibulares em pacientes portadores de fibromialgia

Zeigelboim, Bianca Simone; Moreira, Denise Nunnes

doi:10.1590/s1809-48722011000300003

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…Besides the understanding that FM involves disordered central pain processing, another innovative view consists of its characterization as a multi-sensory syndrome, i.e., arising from more than one of the sensory systems, or a dysfunction in sensory integration [ 3 ]. FM patients also report vertigo and dizziness, described as instability [ 4 , 5 , 6 , 7 ]. A recent study concluded that the feelings of dizziness and unsteadiness of the patients with FM might be amplified by CSS [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of vestibular symptoms in FM patients and the presence of FM in vestibular patients remain largely unexplored. In 2011, a study evaluated the vestibular functions of FM patients through peripheral function tests, focusing solely on potential peripheral vestibular disorders [ 7 ]. This paper was one of the few to analyze and assess the vestibular involvement in FM patients from empirical evidence, overall suggesting that vestibular dysfunction in FM patients should be further explored.…”

Section: Introductionmentioning

confidence: 99%

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Vestibular Disability/Handicap in Fibromyalgia: A Questionnaire Study

Mucci

Demori

Rapallo

et al. 2022

JCM

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Fibromyalgia (FM) is a poorly understood, central pain processing disorder characterized by a broad range of symptoms, such as chronic pain, sleep disruption, chronic fatigue, and psychosomatic symptoms. In addition, recent studies have shown that FM patients also experience dizziness. We aimed to establish a prevalence rate of vestibular symptoms in a population of FM patients through a battery of questionnaires investigating socio-demographic, clinical and psychological characteristics, combined with the Dizziness Handicap Inventory (DHI) and the Situational Vertigo Questionnaire (SVQ). A total of 277 respondents, officially diagnosed with FM, completed the full study, while 80 controls were also included for DHI and SVQ questionnaires. We found that FM participants were significantly affected by vestibular symptoms, which correlated with FM-associated pain and non-pain symptoms. The dizziness reported by FM participants showed peculiar features suggesting an FM-intrinsic mechanism of vestibular dysfunction, possibly linked to migraine and dysautonomia conditions. Correlations between dizziness and depressive mood (or neuroticism), revealed an impact of dizziness on psychological status, leading to depressive reactions and interpersonal difficulties, and possibly involving a noxious, self-sustained stress condition. In conclusion, data showed a manifesting dizziness condition in FM patients that warrants careful clinical attention due to its possible inherent role in the syndrome.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Vestibular Disability/Handicap in Fibromyalgia: A Questionnaire Study

Mucci

Demori

Rapallo

et al. 2022

JCM

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“…Seu diagnóstico é efetuado na presença de dor generalizada no período de três meses consecutivos, combinado com sensibilidade à palpação em 11 pontos pré-determinados em diversas partes do corpo. Pode estar relacionada a diversos sintomas como a fadiga, insônia, ansiedade, depressão e intolerância ao frio [1,2].…”

Section: Introductionunclassified

“…Estudos atuais demonstraram anormalidades bioquímicas, metabólicas e imunorreguladoras relacionadas à FM. Os mecanismos mais aceitos em relação à fisiopatologia da mesma são alterações em alguns mecanismos centrais de controle da dor podendo ocasionar em disfunções neuro-hormonais [1]. Pode estar associada também a distúrbios que podem sobrepor-se à FM, dentre os quais podemos citar o transtorno depressivo maior, síndrome do intestino irritável, distúrbios temporomandibulares, alterações sensoriais e dificuldade na inibição do mecanismo da dor [4].…”

Section: Introductionunclassified

Avaliação estabilométrica, eletromiográfica e qualidade de vida em pacientes com fibromialgia

Wagner¹,

Carvalho²,

Silva³

et al. 2020

Fisioter Bras

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Introdução: A fibromialgia é uma síndrome crônica não inflamatória, tendo como característica a dor difusa, seu diagnóstico é efetuado na presença de dor generalizada, sensibilidade à palpação em 11 pontos pré-determinados. Objetivo: Avaliar o equilíbrio, controle motor e a qualidade de vida em pacientes com fibromialgia. Métodos: Estudo controlado, duplo cego e inferencial de abordagem quantitativa, foi realizado com 11 voluntários com idade entre 18 e 75 anos. Avaliação eletromiográfica, estabilométrica, e aplicação dos questionários de qualidade de vida SF-36, Escala de Epworth e Escala de Depressão de Beck foram realizados. Resultados: Os participantes tinham idade média de 45,5 anos. Na Escala de Epworth apresentaram sonolência grave (54,54%), na Escala de Depressão de Beck apresentaram-se sem depressão ou depressão leve (36,36%), no Questionário SF-36 obtiveram pontuações próximas a 0. Na eletromiografia, encontrou-se pouca contração muscular para glúteo médio (35,03), supraespinhoso (135,5) e trapézio (176,08). Na estabilometria, obteve-se área de oscilação de 1,68 cm², velocidade anteroposterior e médio-lateral (1,50 e 1,21, respectivamente). Conclusão: Conclui-se que os pacientes com fibromialgia apresentaram redução na contração das musculaturas afetadas, desequilíbrio anterior e à direita com grande oscilação de área na plataforma de força e alteração no tempo de reação ao desequilíbrio.Palavras-chave: fibromialgia, equilíbrio, eletromiografia.

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Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial

et al. 2023

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Background: Fibromyalgia Syndrome (FMS) is a highly prevalent health problem whose main symptom is widespread pain, although it presents as other manifestations, such as loss of balance, that seem to mainly affect visuo-vestibular information. Objective: to compare the effects of a Vestibular Rehabilitation (VR) program versus those of a Conventional Physical Exercise (CPE) program on the health status of patients with FMS. Methods: A single-blind randomized controlled trial was performed. Patients with FMS were randomly assigned to VR or CPE programs. The protocols were performed in 40 min group sessions, twice weekly, for 16 sessions. Perceived health status, static and dynamic balance, verticality perception, confidence in balance, sensitization and kinesiophobia were measured at baseline, post-treatment and at the three-month follow-up and analyzed using an intention-to-treat approach. Results: Forty-eight subjects were randomly assigned, of whom thirty-five completed the planned VR (n = 19) or CPE (n = 16) program. At the three-month follow-up, there were differences in physical health status measured with the SF-12 (mean = −4.36, SE = 1.88, p = 0.027), balance during walking (mean = 1.90, SE = 0.57, p = 0.002), the perception of verticality in degrees (mean = 3.61, SE = 1.51, p = 0.024) and the anteroposterior position of the center of pressure (mean = −7.88, SE = 2.80, p = 0.009), as well as a decrease in the number of falls (mean = 0.98, SE = 0.44, p = 0.033), favoring the VR group. Conclusions: Vestibular Rehabilitation can be as beneficial as conventional exercise in improving the state of health in patients with Fibromyalgia Syndrome, providing additional improvements in physical health status, body balance, the perception of verticality and the number of falls.

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Achados vestibulares em pacientes portadores de fibromialgia

Cited by 4 publications

References 13 publications

Vestibular Disability/Handicap in Fibromyalgia: A Questionnaire Study

Vestibular Disability/Handicap in Fibromyalgia: A Questionnaire Study

Avaliação estabilométrica, eletromiográfica e qualidade de vida em pacientes com fibromialgia

Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial

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