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<dc:title>Balance deficiencies in women with fibromyalgia assessed using computerised dynamic posturography: a cross-sectional study in Spain</dc:title>
<dc:creator>Pérez de Heredia Torres, Marta</dc:creator>
<dc:creator>Huertas Hoyas, Elisabet</dc:creator>
<dc:creator>Martínez Piédrola, Rosa</dc:creator>
<dc:creator>Palacios Ceña, Domingo</dc:creator>
<dc:creator>Alegre Ayala, Jorge</dc:creator>
<dc:creator>Santamaría Vázquez, Montserrat</dc:creator>
<dc:creator>Fernández de las Peñas, César</dc:creator>
<dc:description>Objectives Our aims were (1) to compare the sensory organisation of balance control and balance strategies between women with fibromyalgia (FM) and healthy women; (2) to investigate which sensory component, that is, vestibular, visual or somato-sensory, is the most affected in FM and (3) to determine the associations between the functional independence measure (FIM) and balance responses in FM.&#xd;
&#xd;
Design Cross-sectional observational study.&#xd;
&#xd;
Setting Urban regional hospital and university (Universidad Rey Juan Carlos, Madrid, Spain).&#xd;
&#xd;
Participants Twenty women with FM and 20 matched healthy women.&#xd;
&#xd;
Primary/secondary outcome measures The sensory organisation test (SOT) was used to determine postural sway and balance during six different conditions with subjects in a standing position. The FIM was used to determine the level of functional independence in daily life activities (ADL). Between-group differences were analysed with analysis of covariance, and the Spearman's test was used for correlations.&#xd;
&#xd;
Results Significant differences between-groups and between-conditions were found for all SOT conditions (all, p&lt;0.001): women with FM showed lower scores being the vestibular score the most affected. Different correlations between SOT conditions and some specific ADL were observed in the FM group: bathing activity and balance condition 6 (rs=0.541; p&lt;0.001), bed transfers activity and conditions 2 (rs=0.491; p&lt;0.001) and 3 (rs=0.510; p&lt;0.001), positioning strategy six and dressing the upper (rs=0.530; p&lt;0.001) or lower (rs=0.562; p&lt;0.001) body, and toileting (rs=0.521; p&lt;0.001): the greater the loss of balance, the greater the interference on some daily life activities.&#xd;
&#xd;
Conclusions Women with FM exhibited balance deficiencies and used different strategies for maintaining their balance in standing, which was associated with a negative impact on functional independence.</dc:description>
<dc:date>2023-11-17T08:10:22Z</dc:date>
<dc:date>2023-11-17T08:10:22Z</dc:date>
<dc:date>2017-08</dc:date>
<dc:type>info:eu-repo/semantics/article</dc:type>
<dc:identifier>2044-6055</dc:identifier>
<dc:identifier>http://hdl.handle.net/10259/8040</dc:identifier>
<dc:identifier>10.1136/bmjopen-2017-016239</dc:identifier>
<dc:identifier>2044-6055</dc:identifier>
<dc:language>eng</dc:language>
<dc:relation>BMJ Open. 2023, V. 7, n. 7, e016239</dc:relation>
<dc:relation>http://dx.doi.org/10.1136/bmjopen-2017-016239</dc:relation>
<dc:rights>http://creativecommons.org/licenses/by-nc/4.0/</dc:rights>
<dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
<dc:rights>Atribución-NoComercial 4.0 Internacional</dc:rights>
<dc:publisher>BMJ</dc:publisher>
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