Trunk position sense, postural stability, and spine posture in fibromyalgia

Çelenay, Şeyda Toprak; Mete, Oğuzhan; Çoban, Özge; Oskay, Deran; Erten, Şükran

doi:10.1007/s00296-019-04399-1

Cited by 24 publications

(16 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The increased thoracic kyphosis in FMS populations has also been supported by Celenay et al [33], who found that women with FMS had an increased thoracic kyphosis angle compared to the control group. However, the lumbar lordosis was not significantly different between groups while in our study the group with FMS had a slightly higher lumbar lordotic angle compared to the control group.…”

Section: Discussionsupporting

confidence: 52%

See 1 more Smart Citation

An Investigation of the Association between 3D Spinal Alignment and Fibromyalgia

Ahbouch

Moustafa

Shousha

et al. 2022

JCM

View full text Add to dashboard Cite

Fibromyalgia syndrome (FMS) is a common condition lacking strong diagnostic criteria; these criteria continue to evolve as more and more studies are performed to explore it. This investigation sought to identify whether participants with FMS have more frequent and larger postural/spinal displacements in comparison to a matched control group without the condition of FMS. A total of 67 adults (55 females) out of 380 participants with FMS were recruited. Participants with FMS were sex- and age-matched with 67 asymptomatic participants (controls) without FMS. We used a three-dimensional (3D) postural assessment device (Formetric system) to analyze five posture variables in each participant in both groups: (1) thoracic kyphotic angle, (2) trunk imbalance, (3) trunk inclination, (4) lumbar lordotic angle, and (5) vertebral rotation. In order to determine whether 3D postural measures could predict the likelihood of a participant having FMS, we applied the matched-pairs binary logistic regression analysis. The 3D posture measures identified statistically and clinically significant differences between the FMS and control groups for each of the five posture variables measured (p < 0.001). For three out of five posture measurements assessed, the binary logistic regression identified there was an increased probability of having FMS with an increased: (1) thoracic kyphotic angle proportional odds ratio [Prop OR] = 1.76 (95% CI = 1.03, 3.02); (2) sagittal imbalance Prop OR = 1.54 (95% CI = 0.973, 2.459); and (3) surface rotation Prop OR = 7.9 (95% CI = 1.494, 41.97). We identified no significant probability of having FMS for the following two postural measurements: (1) coronal balance (p = 0.50) and (2) lumbar lordotic angle (p = 0.10). Our study’s findings suggest there is a strong relationship between 3D spinal misalignment and the diagnosis of FMS. In fact, our results support that thoracic kyphotic angle, sagittal imbalance, and surface rotation are predictors of having FMS.

show abstract

Section: Discussionsupporting

confidence: 52%

“…Some recent studies investigated spine posture in individuals, commonly women, with FMS [30][31][32][33]. Sempere-Rubio et al [30] found that there is an altered trunk posture in women with FMS compared to a control group.…”

Section: Discussionmentioning

confidence: 99%

An Investigation of the Association between 3D Spinal Alignment and Fibromyalgia

Ahbouch

Moustafa

Shousha

et al. 2022

JCM

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 – 67 ], and the proprioceptive component of postural control [ 61 , 65 , 68 – 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

“…Only the unadjusted logistic regression model of anterior–posterior sway in the tandem position showed a significant and high AUC, such that it can be probably used to discriminate between falls and no falls, but the ORs were not significant. There are studies in which it has been shown that there is higher anterior–posterior sway in patients with RA compared to healthy subjects [ 43 , 45 , 46 ], but to the best of the authors knowledge there are no studies containing reports about its impact on fall risk in patients with RA. However, higher sway generally indicates less postural control.…”

Section: Discussionmentioning

confidence: 99%

“…However, higher sway generally indicates less postural control. Thus, patients with RA have poorer balance control in medio-lateral as well as in anterior–posterior direction compared to healthy subjects [ 42 – 46 ].…”

Section: Discussionmentioning

confidence: 99%

Balance and prospective falls in patients with rheumatoid arthritis

Wiegmann

Armbrecht

Borucki

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Postural control is associated with fall risk. Patients with rheumatoid arthritis (RA) have a higher risk to fall than healthy subjects. The objective of this study was to identify associations between variables of postural control with prospective falls in patients with RA. Methods For the baseline, the balance performance of 289 men and women with RA, ages 24–85 years, was evaluated by SPPB, FICSIT-4 and Romberg tests. Postural sway for Romberg, semitandem, tandem and one-leg stands were measured with the Leonardo Mechanograph®. Self-reported disability was assessed using the Health Assessment Questionnaire (HAQ) and the Activity-specific Balance Confidence Scale (ABC-scale). Falls were reported in quarterly reports over a year. Univariate and multiple logistic regression analysis were used to explore any associations with falling. Receiver-operating characteristics were determined, and the area under the curve is reported. Results A total of 238 subjects completed the 1-year follow-up, 48 (20.2%) experienced at least one fall during the observational period. Age (OR = 1.04, CI 1.01–1.07), HAQ (OR = 1.62, 1.1–2.38), FICSIT-4 scoring 0–4 (OR = 2.38, 1.13–5.0), and one-leg standing (OR = 2.14, 1.06–4.31) showed significant associations with falls. With regard to the SPPB and ABC-scale, no statistically significant associations with falls were found. The quartiles containing the worst results of medio-lateral sway of Romberg (OR = 2.63, CI 1.03–6.69), total sway of semitandem (OR = 3.07, CI 1.10–8.57) and tandem (OR = 2.86, CI 1.06–7.69), and area of sway of semitandem (OR = 2.80, CI 1.11–7.08) stands were associated with falls. Conclusions The assessment of a one-leg stand seems to be a good screening tool to discriminate between high and low risk of falls in RA patients in clinical practice. A low FICSIT-4 score and several sway parameters are important predictors of falls. Trial registration The study has been registered at the German Clinical Trials Register and the WHO International Clinical Trials Registry Platform (ICTRP) since 16 March 2017 (DRKS00011873).

show abstract

Trunk position sense, postural stability, and spine posture in fibromyalgia

Cited by 24 publications

References 36 publications

An Investigation of the Association between 3D Spinal Alignment and Fibromyalgia

An Investigation of the Association between 3D Spinal Alignment and Fibromyalgia

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

Balance and prospective falls in patients with rheumatoid arthritis

Contact Info

Product

Resources

About