Góes Suelen M, Leite Neiva, Stefanello Joice M F, Homann Diogo, Lynn Scott K, Rodacki André L F
Physical Education Department/Center for Motor Behaviour Studies, Federal University of Paraná, Curitiba, Paraná, Brazil.
Physical Education Department/Center of Quality of Life, Federal University of Paraná, Curitiba, Paraná, Brazil.
Clin Biomech (Bristol). 2015 Jul;30(6):593-8. doi: 10.1016/j.clinbiomech.2015.03.026. Epub 2015 Apr 2.
Fibromyalgia is a chronic pain condition, which involves reduced range of motion. This leads to gait changes and high incidence of falls. The understanding of the gait patterns in subjects with fibromyalgia and their relationship with falls may be useful when designing intervention programs. The purpose of this study was to evaluate the range of motion of the hip and ankle joints during gait in women with and without fibromyalgia. Further, we determined the relationship between joint range of motion and falls in this population.
Middle-aged women (16 with fibromyalgia and 16 as control group) were recruited. Pain intensity, physical activity level, and fall prevalence were assessed. Three dimensional gait analysis provided temporal and joint kinematic variables.
In general, hip and ankle range of motion were similar between groups, except that fibromyalgia group showed higher plantar flexion during toe-off (P<0.05) and reduced dorsiflexion during stance phase (P<0.05). Additionally, in the fibromyalgia group the higher number of falls was correlated to reduced dorsiflexion during stance phase. This limitation in dorsiflexion was related to longer length of time with fibromyalgia symptoms.
Women with fibromyalgia showed a higher number of falls, reduced dorsiflexion during stance phase, and increased plantar flexion during toe-off. Also, the higher number of falls reported in the fibromyalgia group was related to reduced dorsiflexion during stance phase, which was correlated to a longer length of time living with fibromyalgia symptoms. These data suggest that improving ankle kinematics in patients with fibromyalgia may help prevent falls and improve mobility.
纤维肌痛是一种慢性疼痛病症，会导致活动范围减小。这会引起步态改变以及高跌倒发生率。了解纤维肌痛患者的步态模式及其与跌倒的关系，在设计干预方案时可能会有所帮助。本研究的目的是评估患有和未患有纤维肌痛的女性在步态过程中髋关节和踝关节的活动范围。此外，我们还确定了该人群中关节活动范围与跌倒之间的关系。
招募了中年女性（16名患有纤维肌痛，16名作为对照组）。评估了疼痛强度、身体活动水平和跌倒发生率。三维步态分析提供了时间和关节运动学变量。
总体而言，两组之间髋关节和踝关节的活动范围相似，但纤维肌痛组在足趾离地时跖屈更高（P<0.05），在站立期背屈减小（P<0.05）。此外，在纤维肌痛组中，跌倒次数较多与站立期背屈减小有关。这种背屈受限与纤维肌痛症状持续时间较长有关。
患有纤维肌痛的女性跌倒次数更多，站立期背屈减小，足趾离地时跖屈增加。此外，纤维肌痛组报告的跌倒次数较多与站立期背屈减小有关，这与纤维肌痛症状持续时间较长相关。这些数据表明，改善纤维肌痛患者的踝关节运动学可能有助于预防跌倒并改善活动能力。
