Collado-Mateo Daniel, Adsuar José C, Olivares Pedro R, Dominguez-Muñoz Francisco J, Maestre-Cascales Cristina, Gusi Narcis
Faculty of Sport Science, University of Extremadura , Cáceres , Spain.
Instituto de Actividad Física y Salud, Universidad Autonoma de Chile, Talca, Chile; Instituto Superior de Educación Física, Universidad de la República, Uruguay.
PeerJ. 2016 Feb 1;4:e1656. doi: 10.7717/peerj.1656. eCollection 2016.
Background. Fibromyalgia is a chronic disease characterized by widespread pain and other associated symptoms. It has a relevant impact on physical fitness and the ability to perform daily living tasks. The objective of the study was to analyze the step-by-step-performance and the trunk tilt of women with fibromyalgia in the 10-step stair climbing test compared with healthy controls. Methods. A cross-sectional study was carried out. Twelve women suffering from fibromyalgia and eight healthy controls were recruited from a local association. Participants were asked to climb 10 stairs without carrying a load and 10 stairs carrying a load of 5 kg in each hand. Mediolateral trunk tilt was assessed using the "Functional Assessment of Biomechanics (FAB)" wireless motion capture device, and the time between steps was assessed via weight-bearing insoles. Results. Trunk tilt in the stair-climbing task carrying a load was significantly higher in women with fibromyalgia when compared to the healthy controls (2.31 (0.63) vs. 1.69 (0.51) respectively). The effect of carrying a load was significantly higher for women with fibromyalgia compared with healthy controls at the intermediate and final part of the task. Discussion. Trunk tilt during stair climbing while carrying a load was higher in women with FM, which could increase the risk of falling. Additionally, women with FM experienced a higher pace slowdown as a consequence of the load, which supports the need of including specific strength and resistance training to physical therapies for this population.
背景。纤维肌痛是一种以广泛疼痛和其他相关症状为特征的慢性疾病。它对身体健康和执行日常生活任务的能力有显著影响。本研究的目的是分析纤维肌痛女性在10级爬楼梯测试中的逐步表现和躯干倾斜情况，并与健康对照组进行比较。方法。进行了一项横断面研究。从当地一个协会招募了12名患有纤维肌痛的女性和8名健康对照者。参与者被要求空手爬10级楼梯，以及双手各持5公斤重物爬10级楼梯。使用“生物力学功能评估（FAB）”无线运动捕捉设备评估躯干的内外侧倾斜度，并通过负重鞋垫评估步间时间。结果。与健康对照组相比，患有纤维肌痛的女性在负重爬楼梯任务中的躯干倾斜度显著更高（分别为2.31（0.63）和1.69（0.51））。在任务的中间和最后部分，与健康对照组相比，患有纤维肌痛的女性负重的影响显著更大。讨论。患有纤维肌痛的女性在负重爬楼梯时的躯干倾斜度更高，这可能会增加跌倒风险。此外，患有纤维肌痛的女性由于负重而步速减慢更为明显，这支持了针对该人群的物理治疗需要包括特定的力量和耐力训练。
