Article

OBJECTIVES: To determine the effectiveness of balance exercises on the functional
level and quality of life (QOL) of patients with fibromyalgia syndrome (FMS) and
to investigate the circumstances associated with balance disorders in FMS.
DESIGN: Randomized controlled trial.
SETTING: Physical medicine and
rehabilitation clinic. PARTICIPANTS: Patients (N=57) (age range, 18-65y) with FMS
were randomly assigned into 2 groups. INTERVENTIONS:
Group 1 was given
flexibility and balance exercises for 6 weeks, whereas group 2 received only a
flexibility program as the control group. MAIN OUTCOME MEASURES: Functional
balance was measured by the Berg Balance Scale (BBS), and dynamic and static
balance were evaluated by a kinesthetic ability trainer (KAT) device. Fall risk
was assessed with the Hendrich II fall risk model. The Nottingham Health Profile,
Fibromyalgia Impact Questionnaire (FIQ), and Beck Depression Inventory (BDI) were
used to determine QOL and functional and depression levels, respectively.
Assessments were performed at baseline and after the 6-week program. RESULTS: In
group 1, statistically significant improvements were observed in all parameters
(P<.05), but no improvement was seen in group 2 (P>.05). When comparing the 2
groups, there were significant differences in group 1 concerning the KAT static
balance test (P=.017) and FIQ measurements (P=.005). In the correlation analysis,
the BDI was correlated with the BBS (r=-.434) and Hendrich II results (r=.357),
whereas body mass index (BMI) was correlated with the KAT static balance
measurements (r=.433), BBS (r=-.285), and fall frequency (r=.328). CONCLUSIONS: A
6-week balance training program had a beneficial effect on the static balance and
functional levels of patients with FMS. We also observed that depression
deterioration was related to balance deficit and fall risk. Higher BMI was
associated with balance deficit and fall frequency.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS