Denche-Zamorano Ángel, Pereira-Payo Damián, Collado-Mateo Daniel, Adsuar-Sala José Carmelo, Tomas-Carus Pablo, Parraca Jose Alberto
Promoting a Healthy Society Research Group (PHeSO), Faculty of Sport Sciences, University of Extremadura, 10003 Caceres, Spain.
Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, 7004-516 Evora, Portugal.
J Funct Morphol Kinesiol. 2024 Sep 23;9(3):174. doi: 10.3390/jfmk9030174.
People with fibromyalgia (FM) experience a range of symptoms (chronic widespread pain, fatigue, mood disorder, sleep problems, muscle stiffness) that promote deterioration of physical condition and function. With impaired physical function, fear of falling and risk of falling increases. This study evaluated physical function, self-perceived physical fitness, falls, quality of life, and the degree of disability caused by FM according to fear and risk of falling in Spanish adult women with FM. Cross-sectional study involving 84 Spanish adult women with FM. Participants completed tests to assess their physical function and completed questionnaires to evaluate self-perceived physical fitness, falls, the disabling effect of FM, quality of life, fear of falling, and risk of falling. Nonparametric statistical tests were used to analyze possible intergroup differences (Mann-Whitney U test) and correlations between variables (Spearman's Rho). Women with a fear of falling and at risk of falling presented a worse performance in physical tests, worse self-perceived physical fitness, greater number of falls, lower quality of life, and greater degree of disability due to FM. Weak and moderate correlations were found for fear of falling and fall risk and the variables of interest. However, no intergroup differences were found, nor significant correlations in all variables. Women with FM who present fear of falling and risk of falling tend to have worse performance in physical function tests, in addition to worse self-perceived physical fitness, higher number of falls, poorer quality of life, and greater disabling effect of FM.
纤维肌痛（FM）患者会经历一系列症状（慢性广泛性疼痛、疲劳、情绪障碍、睡眠问题、肌肉僵硬），这些症状会促使身体状况和功能恶化。随着身体功能受损，跌倒恐惧和跌倒风险会增加。本研究根据西班牙成年女性纤维肌痛患者的跌倒恐惧和风险，评估了她们的身体功能、自我感知的身体健康状况、跌倒情况、生活质量以及纤维肌痛导致的残疾程度。对84名西班牙成年女性纤维肌痛患者进行了横断面研究。参与者完成了评估其身体功能的测试，并填写了问卷，以评估自我感知的身体健康状况、跌倒情况、纤维肌痛的致残影响、生活质量、跌倒恐惧和跌倒风险。采用非参数统计检验分析可能的组间差异（曼-惠特尼U检验）和变量之间的相关性（斯皮尔曼等级相关系数）。有跌倒恐惧和跌倒风险的女性在身体测试中的表现更差，自我感知的身体健康状况更差，跌倒次数更多，生活质量更低，因纤维肌痛导致的残疾程度更高。在跌倒恐惧和跌倒风险与相关变量之间发现了弱和中度的相关性。然而，未发现组间差异，所有变量之间也无显著相关性。有跌倒恐惧和跌倒风险的纤维肌痛女性除了自我感知的身体健康状况更差、跌倒次数更多、生活质量更差以及纤维肌痛的致残影响更大外，在身体功能测试中的表现往往也更差。
