Impaired Trunk Posture in Women With Fibromyalgia

Sempere-Rubio, Núria; Aguilar‐Rodríguez, Marta; Espí-López, Gemma Victoria; Cortés‐Amador, Sara; Pascual, Eliseo; Serra-Añó, Pilar

doi:10.1097/brs.0000000000002681

Cited by 7 publications

(9 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Parallel to the loss of strength, there is evidence in our study of an inability of the postural muscles to maintain posture, as reflected in the variable maintenance of thoracic posture. Our group previously confirmed a relationship between pain and poor sitting posture in FM [6], as already established in populations with pain [48]. Postural disorders are observed in women with FM, such as positioning the head abnormally forward; these are aggravated by the muscular and joint rigidity of the spine present in this syndrome, thus increasing pain and preventing normal activities of daily and working life [49].…”

Section: Discussionsupporting

confidence: 75%

“…This difficulty in maintaining the upright posture of the trunk and neck may be due to altered muscle control strategies. This is because, by positioning the head abnormally forward, resistance of the muscles responsible for the upright posture deteriorates and peripheral muscle pain appears, inducing changes in the adaptation of the central nervous system and producing impaired control strategies [6]. Furthermore, some emotional states often present in women with FM, such as depression and anxiety, necessarily influence QoL [42] and may induce postural dealignment [50,51].…”

Section: Discussionmentioning

confidence: 99%

“…To measure changes in thoracic posture, a photograph was taken each minute, using the same procedure as described in a previous study of our group [6]. The photographs were also analyzed with the software ImageJ (National Institutes of Health, Bethesda, Maryland, USA) [25], and we computed the difference between the last and the first photograph.…”

Section: Methodsmentioning

confidence: 99%

“…Fibromyalgia (FM) is a common chronic pain condition that has a significant impact on quality of life (QoL) [1], possibly due to its interference with physical ability, function, work, and social activities [2]. Previous studies revealed that the global physical condition (PC) in FM patients is impaired, since, compared to healthy counterparts, strength is reduced [3], postural control is altered [4,5], body posture is misaligned [6], or functional capacity is poor [1]. Furthermore, another important factor closely related to PC is flexibility, which is known to influence postural maintenance [7] and was independently associated with pain in this population [8], which was also associated with postural maintenance [6].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Physical Condition Factors that Predict a Better Quality of Life in Women with Fibromyalgia

Sempere-Rubio

Aguilar‐Rodríguez

Inglés

et al. 2019

IJERPH

View full text Add to dashboard Cite

What physical qualities can predict the quality of life (QoL) in women with fibromyalgia (FM)? QoL is a very complex outcome affected by multiple comorbidities in people with fibromyalgia. This study aims to determine which physical qualities can predict the quality of life in women with FM. Also, a comparison between the physical qualities of women with FM and healthy counterparts was conducted. In total, 223 women participated in this cross-sectional study, 123 with FM, with ages ranging between 45 and 70 years. The study was conducted at several fibromyalgia associations and specialized medical units. QoL was measured as the main outcome. In addition, functional capacity, muscular strength, maintenance of thoracic posture, postural control, flexibility, pain threshold, and anxiety were measured. Prediction of the QoL was conducted with multiple linear regression analysis and comparison between groups, using the Mann–Whitney U test. There were significant differences between groups in all the variables measured (p < 0.01). The multiple linear regression model showed that factors influencing QoL in women with FM for all the variables measured were functional capacity, handgrip strength and bicep strength, maintenance of thoracic posture, pain threshold, and anxiety (R2 = 0.53, p < 0.05). To conclude, women with FM show a significantly lower QoL than their healthy counterparts, and the factors that predict their perceived QoL are functional capacity, muscular strength, postural maintenance, pain threshold, and anxiety.

show abstract

Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Physical Condition Factors that Predict a Better Quality of Life in Women with Fibromyalgia

Sempere-Rubio

Aguilar‐Rodríguez

Inglés

et al. 2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…Also, joint hypermobility is three times more frequent in fibromyalgia than in control groups [60]. And, importantly, upon specific proprioception testing in fibromyalgia cohorts, significant alterations have been demonstrated in muscle contraction [61,62], muscle relaxation [63], vibration perception [61], joint position sense [64][65][66][67], and the proprioceptive component of postural control [61,65,[68][69][70][71] with frequent falls [68,72,73]. Problems in postural control or balance are also related to altered vestibular and visual dysfunction [68,73,74], which may indicate that sensory weakness is not limited to proprioception in fibromyalgia [50,51].…”

Section: Discussionmentioning

confidence: 99%

Distinctive alterations in the functional anatomy of the cerebral cortex in pain-sensitized osteoarthritis and fibromyalgia patients

et al. 2022

View full text Add to dashboard Cite

Background Pain-sensitized osteoarthritis and fibromyalgia patients characteristically show nociceptive system augmented responsiveness as a common feature. However, sensitization can be originally related to the peripheral injury in osteoarthritis patients, whereas pain and bodily discomfort spontaneously occur in fibromyalgia with no apparent origin. We investigated the distinct functional repercussion of pain sensitization in the cerebral cortex in both conditions. Methods Thirty-one pain-sensitized knee osteoarthritis patients and 38 fibromyalgia patients were compared with matched control groups. And new samples of 34 sensitized knee osteoarthritis and 63 fibromyalgia patients were used to directly compare each condition. A combined measure of local functional connectivity was estimated to map functional alterations in the cerebral cortex at rest. Results In osteoarthritis, weaker local connectivity was identified in the insula, which is a cortical area processing important aspects of the brain response to painful stimulation. In contrast, fibromyalgia patients showed weaker connectivity in the sensorimotor cortex extensively affecting the cortical representation of the body. Conclusions In osteoarthritis, weaker insular cortex connectivity is compatible with reduced neural activity during metabolic recovery after repeated activation. In the fibromyalgia neurophysiological context, weaker connectivity may better express both reduced neural activity and increased excitability, particularly affecting the sensorimotor cortex in patients with spontaneous body pain. Such a combination is compatible with a central gain enhancement mechanism, where low sensory tolerance results from the over-amplification of central sensory reception to compensate a presumably weak sensory input. We propose that deficient proprioception could be a factor contributing to weak sensory input.

show abstract