平衡、身体残疾、力量、机械敏感性和脊柱活动度对纤维肌痛女性在家、工作和休闲时间身体活动的影响。

The influence of balance, physical disability, strength, mechanosensitivity and spinal mobility on physical activity at home, work and leisure time in women with fibromyalgia.

作者信息

Cerón-Lorente Laura, Valenza Marie Carmen, Pérez-Mármol José Manuel, García-Ríos María Del Carmen, Castro-Sánchez Adelaida María, Aguilar-Ferrándiz María Encarnación

机构信息

Department of Physical Therapy, Faculty of Health Sciences, University of Granada (UGR), Spain.

出版信息

Clin Biomech (Bristol). 2018 Dec;60:157-163. doi: 10.1016/j.clinbiomech.2018.10.009. Epub 2018 Oct 10.

DOI:10.1016/j.clinbiomech.2018.10.009

PMID:30366245

Abstract

BACKGROUND

Fibromyalgia syndrome is a chronic disease consisting of widespread pain, fatigue, sleep disturbances, and cognitive impairments, among other symptoms, which affect daily physical activity. However, the influence of functional status on physical activity involved in leisure, household and work activities has not been researched previously. The main objective was to evaluate balance, strength, spinal mobility, mechanosensitivity and function levels as related factors of physical activity in female with fibromyalgia.

METHODS

Thirty-four patients with Fibromyalgia and 22 matched controls were included in a cross-sectional study. Dynamic and static balance, general and daily activities disability, lumbosacral mechanosensitivity, spinal range of motion, lower limb strength, physical activity in leisure, household and work activities were registered. We tested for differences between groups by using independent sample t-tests. The influence of demographics, symptoms and physical outcomes on physical activity was statistically analyzed using bivariate and multivariate regression analyses.

FINDINGS

There was a significant association between leisure-time physical activity scores and age (r = 0.564), spinal flexion (r = 0.512), spinal extension (r = 0.421) and the total range of spinal inclination (r = 0.533). Fifty-eight percent of the variance of leisure-time physical activity was explained by age and range of spinal flexion-extension. Similarly, functional mobility was associated with physical activity at home and work scores (r = 0.459), explaining 21% of its variance.

INTERPRETATION

A higher time spent in leisure, household and work activities was related to higher age, spinal range of motion and lower functional mobility in women with Fibromyalgia. Rehabilitation intervention programs should promote physical activity at home, work and leisure time.

摘要

背景

纤维肌痛综合征是一种慢性疾病，症状包括广泛疼痛、疲劳、睡眠障碍和认知障碍等，会影响日常身体活动。然而，功能状态对休闲、家务和工作活动中的身体活动的影响此前尚未得到研究。主要目的是评估平衡、力量、脊柱活动度、机械敏感性和功能水平作为纤维肌痛女性身体活动的相关因素。

方法

一项横断面研究纳入了34名纤维肌痛患者和22名匹配的对照组。记录动态和静态平衡、一般和日常活动能力障碍、腰骶部机械敏感性、脊柱活动范围、下肢力量、休闲、家务和工作活动中的身体活动情况。我们使用独立样本t检验来检验组间差异。使用双变量和多变量回归分析对人口统计学、症状和身体结果对身体活动的影响进行统计分析。

结果

休闲时间身体活动得分与年龄（r = 0.564）、脊柱前屈（r = 0.512）、脊柱后伸（r = 0.421）以及脊柱倾斜总范围（r = 0.533）之间存在显著关联。年龄和脊柱屈伸范围解释了休闲时间身体活动方差的58%。同样，功能活动能力与在家和工作时的身体活动得分相关（r = 0.459），解释了其方差的21%。