postural control deficits in people with fibromyalgia a pilot study姿势控制赤字的纤维肌痛患者一个试点研究.pdfVIP

Jones et al. Arthritis Research Therapy 2011, 13:R127 /content/13/4/R127 RESEARCH ARTICLE Open Access Postural control deficits in people with fibromyalgia: a pilot study 1* 2 1 1 2 Kim D Jones , Laurie A King , Scott D Mist , Robert M Bennett and Fay B Horak Abstract Introduction: Postural instability and falls are increasingly recognized problems in patients with fibromyalgia (FM). The purpose of this study was to determine whether FM patients, compared to age-matched healthy controls (HCs), have differences in dynamic posturography, including sensory, motor, and limits of stability. We further sought to determine whether postural instability is associated with strength, proprioception and lower-extremity myofascial trigger points (MTPs); FM symptoms and physical function; dyscognition; balance confidence; and medication use. Last, we evaluated self-reported of falls over the past six months. Methods: In this cross-sectional study, we compared middle-aged FM patients and age-matched HCs who underwent computerized dynamic posturography testing and completed the Fibromyalgia Impact Questionnaire-Revised (FIQR) and balance and fall questionnaires. All subjects underwent a neurological and musculoskeletal examination. Descriptive statistics were used to characterize the sample and explore the relationships between variables. The relationships between subjective, clinical and objective variables were evaluated by correlation and regression analyses. Results: Twenty-five FM patients and twenty-seven HCs (combined mean age ± standard deviation (SD): 48.6 ± 9.7 years) completed testing. FM patients scored statistically lower on composite sensory organization tests (primary outcome; P 0.010), as well as