Department of Physiotherapy and Rehabilitation, Health Sciences Faculty, Ankara Yildirim Beyazit University, Ankara, Turkey.
Department of Physiotherapy and Rehabilitation, Health Sciences Faculty, Gazi University, Ankara, Turkey.
Rheumatol Int. 2019 Dec;39(12):2087-2094. doi: 10.1007/s00296-019-04399-1. Epub 2019 Jul 31.
This study aimed to investigate trunk position sense, postural stability, and spine posture in women with fibromyalgia syndrome (FMS). Fifteen (15) women with FMS and age- and gender-matched fifteen (15) healthy controls were included. Trunk position sense as indicated by trunk reposition errors (TRE) and spine posture (thoracic and lumbar curvature) was measured with a digital inclinometer. Postural stability [eyes open (EO) and eyes closed (EC) on bipedal stance (BS), EO on monopedal stance (MS), and limits of stability (LOS)] was assessed with a computerized stabilometer (Prokin, TecnoBody S.R.L., Dalmine, 24044 Bergamo, Italy). TRE (p = 0.002) and the angle of thoracic curvature (p = 0.009) were found higher in women with FMS compared to healthy controls; however, the angle of lumbar curvature was similar (p = 0.467). It was seen that women with FMS had higher anterior-posterior sway in EO-BS (p = 0.009) and EC-BS (p = 0.001), ellipse area in EC-BS (p = 0.015), EO-MS of the dominant side (p = 0.021), and EO-MS of the non-dominant side (p = 0.007), and medial-lateral sway in EO-MS of the dominant (DM) side (p = 0.004) and the non-dominant (NDM) side (p = 0.002). Ellipse area in EO-BS (p = 0.054), medial-lateral sway in EO-BS (p = 0.983) and EC-BS (p = 0.290), anterior-posterior sway in EO-MS of the DM (p = 0.059) and the NDM side (p = 0.065), and LOS did not differ between groups (p = 0.274). Women with FMS had poor trunk position sense and postural instability, and alterations in spine posture. Therefore, the training of trunk position sense, postural stability, and posture might be beneficial and, thus, should be considered while planning an optimal treatment.
本研究旨在探讨纤维肌痛综合征（FMS）女性的躯干位置感、姿势稳定性和脊柱姿势。纳入了 15 名 FMS 女性和年龄、性别匹配的 15 名健康对照组。使用数字测斜仪测量躯干位置感（由躯干重定位误差（TRE）和脊柱姿势（胸椎和腰椎曲度）表示）。使用计算机平衡仪（Prokin，TecnoBody S.R.L.，Dalmine，24044 Bergamo，Italy）评估姿势稳定性[睁眼（EO）和闭眼（EC）双足站立（BS）、EO 单足站立（MS）和稳定性极限（LOS）]。与健康对照组相比，FMS 女性的 TRE（p=0.002）和胸椎曲度角度（p=0.009）更高，而腰椎曲度角度相似（p=0.467）。FMS 女性在 EO-BS（p=0.009）和 EC-BS（p=0.001）中前后摆动更大，EC-BS 中的椭圆面积更大（p=0.015），优势侧 EO-MS 更大（p=0.021），非优势侧 EO-MS 更大（p=0.007），优势侧 EO-MS 的左右摆动更大（p=0.004）和非优势侧 EO-MS （p=0.002）。EO-BS 中的椭圆面积（p=0.054）、EO-BS 和 EC-BS 的左右摆动（p=0.983 和 p=0.290）、优势侧 EO-MS 的前后摆动（p=0.059）和非优势侧 EO-MS 的前后摆动（p=0.065）差异无统计学意义。FMS 女性躯干位置感和姿势稳定性较差，脊柱姿势改变。因此，训练躯干位置感、姿势稳定性和姿势可能有益，因此在制定最佳治疗方案时应予以考虑。
