Assessment of the relationship between postural stability and sleep quality in patients with fibromyalgia

Akkaya, Nuray; Akkaya, Semih; Atalay, Nilgün Şimşir; Acar, Merve; Catalbas, Necdet; Şahin, Füsun

doi:10.1007/s10067-012-2117-y

Cited by 36 publications

(22 citation statements)

References 13 publications

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“…8, 25 It has also been applied to explore the impact of sleep disorders on postural stability 1, 2 but few other studies are reported. Despite its limited application to sleep, the NRS is a widely used methodology that has long been well accepted in as a measure of pain intensity.…”

Section: Discussionmentioning

confidence: 99%

Subjective Sleep Quality Deteriorates Before Development of Painful Temporomandibular Disorder

Sanders

Akinkugbe

Bair

et al. 2016

The Journal of Pain

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There is good evidence that poor sleep quality increases risk of painful temporomandibular disorder (TMD). However little is known about the course of sleep quality in the months preceding TMD onset, and whether the relationship is mediated by heightened sensitivity to pain. The Pittsburgh Sleep Quality Index was administered at enrollment into the OPPERA prospective cohort study. Thereafter the Sleep Quality Numeric Rating Scale was administered every three months to 2,453 participants. Sensitivity to experimental pressure pain and pinprick pain stimuli was measured at baseline and repeated during follow-up of incident TMD cases (n=220) and matched TMD-free controls (n=193). Subjective sleep quality deteriorated progressively, but only in those who subsequently developed TMD. A Cox proportional hazards model showed that risk of TMD was greater among participants whose sleep quality worsened during follow-up (adjusted hazard ratio=1.73, 95% confidence limits: 1.29, 2.32). This association was independent of baseline measures of sleep quality, psychological stress, somatic awareness, comorbid conditions, non-pain facial symptoms and demographics. Poor baseline sleep quality was not significantly associated with baseline pain sensitivity or with subsequent change in pain sensitivity. Furthermore the relationship between sleep quality and TMD incidence was not mediated via baseline pain sensitivity nor change in pain sensitivity.

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Section: Discussionmentioning

confidence: 99%

Subjective Sleep Quality Deteriorates Before Development of Painful Temporomandibular Disorder

Sanders

Akinkugbe

Bair

et al. 2016

The Journal of Pain

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“…A PSQI total score >5 indicates poor sleep [ 40 ]. The PSQI has been used previously in studies of FM [ 41 , 42 ].…”

Section: Methodsmentioning

confidence: 99%

Resistance exercise improves physical fatigue in women with fibromyalgia: a randomized controlled trial

et al. 2016

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BackgroundFibromyalgia (FM) affects approximately 1–3 % of the general population. Fatigue limits the work ability and social life of patients with FM. A few studies of physical exercise have included measures of fatigue in FM, indicating that exercise can decrease fatigue levels. There is limited knowledge about the effects of resistance exercise on multiple dimensions of fatigue in FM. The present study is a sub-study of a multicenter randomized controlled trial in women with FM. The purpose of the present sub-study was to examine the effects of a person-centered progressive resistance exercise program on multiple dimensions of fatigue in women with FM, and to investigate predictors of the potential change in fatigue.MethodsA total of 130 women with FM (age 22–64 years) were included in this assessor-blinded randomized controlled multicenter trial examining the effects of person-centered progressive resistance exercise compared with an active control group. The intervention was performed twice a week for 15 weeks. Outcomes were five dimensions of fatigue measured with the Multidimensional Fatigue Inventory (MFI-20). Information about background was collected and the women also completed several health-related questionnaires. Multiple linear stepwise regression was used to analyze predictors of change in fatigue in the total population.ResultsA higher improvement was found at the post-treatment examination for change in the resistance exercise group, as compared to change in the active control group in the MFI-20 subscale of physical fatigue (resistance group Δ –1.7, SD 4.3, controls Δ 0.0, SD 2.7, p = 0.013), with an effect size of 0.33. Sleep efficiency was the strongest predictor of change in the MFI-20 subscale general fatigue (beta = −0.54, p = 0.031, R2 = 0.05). Participating in resistance exercise (beta = 1.90, p = 0.010) and working fewer hours per week (beta = 0.84, p = 0.005) were independent significant predictors of change in physical fatigue (R2 = 0.14).ConclusionsPerson-centered progressive resistance exercise improved physical fatigue in women with FM when compared to an active control group.Trial registrationClinicalTrials.gov NCT01226784. Registered 21 October 2010.

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“…In this regard, it has been hypothesized that fall status is predicted by perception of postural instability, balance performance, and executive function processing speed [ 12 ], impact of FM measured by the Fibromyalgia Impact Questionnaire (FIQ) [ 10 , 13 ], hip extension rate of torque development, duration of fibromyalgia symptoms, overall pain, and knee pain [ 13 ]. Similarly, balance performance has been associated with strength, pain [ 13 ], sleep quality, and fatigue [ 14 ]. Most of these studies stated that there is a need for further studies with larger samples.…”

Section: Introductionmentioning

confidence: 99%

Fear of Falling in Women with Fibromyalgia and Its Relation with Number of Falls and Balance Performance

Collado-Mateo

Gallego-Diaz

Adsuar

et al. 2015

BioMed Research International

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Objective. To evaluate fear of falling, number of falls, and balance performance in women with FM and to examine the relationship between these variables and others, such as balance performance, quality of life, age, pain, and impact of fibromyalgia. Methods. A total of 240 women participated in this cross-sectional study. Of these, 125 had fibromyalgia. Several variables were assessed: age, fear of falling from 0 to 100, number of falls, body composition, balance performance, lower limb strength, health-related quality of life, and impact of fibromyalgia. Results. Women with fibromyalgia reported more falls and more fear of falling. Fear of falling was associated with number of falls in the last year, stiffness, perceived balance problems, impact of FM, and HRQoL whereas the number of falls was related to fear of falling, balance performance with eyes closed, pain, tenderness to touch level, anxiety, self-reported balance problems, impact of FM, and HRQoL. Conclusion. FM has an impact on fear of falling, balance performance, and number of falls. Perceived balance problems seem to be more closely associated with fear of falling than objective balance performance.

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Assessment of the relationship between postural stability and sleep quality in patients with fibromyalgia

Cited by 36 publications

References 13 publications

Subjective Sleep Quality Deteriorates Before Development of Painful Temporomandibular Disorder

Subjective Sleep Quality Deteriorates Before Development of Painful Temporomandibular Disorder

Resistance exercise improves physical fatigue in women with fibromyalgia: a randomized controlled trial

Fear of Falling in Women with Fibromyalgia and Its Relation with Number of Falls and Balance Performance

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