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Variability of gait, bilateral coordination, and asymmetry in women with fibromyalgia

PURPOSE: To analyze how fibromyalgia affected the variability, asymmetry, and
bilateral coordination of gait walking at comfortable and fast speeds. METHODS:
65 fibromyalgia (FM) patients and 50 healthy women were analyzed. Gait analysis
was performed using an instrumented walkway (GAITRite system). Average walking
speed, coefficient of variation (CV) of stride length, swing time, and step width
data were obtained and bilateral coordination and gait asymmetry were analyzed.
RESULTS: FM patients presented significantly lower speeds than the healthy group.
FM patients obtained significantly higher values of CV_StrideLength (p=0.04;
p<0.001), CV_SwingTime (p<0.001; p<0.001), CV_StepWidth (p=0.004; p<0.001), phase
coordination index (p=0.01; p=0.03), and p_CV (p<0.001; p=0.001) than the control
group, walking at comfortable or fast speeds. Gait asymmetry only showed
significant differences in the fast condition. CONCLUSION:
FM patients walked
more slowly and presented a greater variability of gait and worse bilateral
coordination than healthy subjects. Gait asymmetry only showed differences in the
fast condition. The variability and the bilateral coordination were particularly
affected by FM in women. Therefore, variability and bilateral coordination of
gait could be analyzed to complement the gait evaluation of FM patients.
CI - Copyright (c) 2016 Elsevier B.V. All rights reserved.

Langue : ANGLAIS

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