Lomas-Vega Rafael, Rodríguez-Almagro Daniel, Peinado-Rubia Ana Belén, Zagalaz-Anula Noelia, Molina Francisco, Obrero-Gaitán Esteban, Ibáñez-Vera Alfonso Javier, Osuna-Pérez María Catalina
Department of Health Sciences, University of Jaén, 23071 Jaén, Spain.
AFIXA Fibromyalgia Association, 23008 Jaén, Spain.
Diagnostics (Basel). 2020 Dec 6;10(12):1057. doi: 10.3390/diagnostics10121057.
To develop and validate a tool for evaluating balance and neuromotor function in patients with fibromyalgia (FMS).
Brainstorming, the nominal group technique, and pilot-testing were used to select a battery of 20 functional balance tests that were included in a screening tool. A total of 108 subjects (62 with fibromyalgia syndrome, 22 aged over 65 years, and 24 healthy subjects) participated in this validation study. Factor validity, internal consistency, the ability to discriminate between patients and healthy subjects, and concurrent validity with the Fibromyalgia Impact Questionnaire (FIQ), the Central Sensitization Inventory (CSI), the 12-Item Short-Form Health Survey (SF-12), and other tools for measuring balance, such as the Dizziness Handicap Inventory (DHI), the Activities-Specific Balance Confidence Scale (ABC-16), the Falls Efficacy Scale-International (FES-I), and posturographic parameters, were evaluated.
The factorial analysis extracted four factors that explained 70% of the variance. The Alpha Cronbach value was 0.928. Concurrent validity of the screening tool with respect to other tools was high, and the receiver operating characteristic (ROC) curve analysis showed an AUC value of 0.932 for discriminating between healthy and FMS subjects. Severe balance disorder related to head movements in FMS patients was found.
The 20-item JAEN (Joint Assessment of Equilibrium and Neuro-motor Function) screening tool is a valid and reliable tool for assessing balance in patients with FMS.
开发并验证一种用于评估纤维肌痛（FMS）患者平衡和神经运动功能的工具。
采用头脑风暴法、名义小组技术和预试验，从一系列功能性平衡测试中筛选出20项测试纳入筛查工具。共有108名受试者（62例纤维肌痛综合征患者、22例65岁以上老年人和24名健康受试者）参与了这项验证研究。评估了该工具的因子效度、内部一致性、区分患者和健康受试者的能力，以及与纤维肌痛影响问卷（FIQ）、中枢敏化量表（CSI）、12项简明健康调查（SF - 12）以及其他平衡测量工具（如头晕残障量表（DHI）、特定活动平衡信心量表（ABC - 16）、国际跌倒效能量表（FES - I））和姿势描记参数的同时效度。
因子分析提取了四个因子，解释了70%的方差。克朗巴哈α值为0.928。筛查工具与其他工具的同时效度较高，受试者工作特征（ROC）曲线分析显示，区分健康受试者和FMS受试者的曲线下面积（AUC）值为0.932。发现FMS患者存在与头部运动相关的严重平衡障碍。
20项JAEN（平衡与神经运动功能联合评估）筛查工具是评估FMS患者平衡的有效且可靠的工具。
