A New Approach in Fibromyalgia Exercise Program: A Preliminary Study Regarding the Effectiveness of Balance Training.
OBJECTIVE: To determine the effectiveness of balance exercises on the functional level and quality of life (QoL) of patients with fibromyalgia syndrome (FMS) and investigate the circumstances associated with balance disorders in FMS.
DESIGN: Randomized controlled trial
SETTING: Physical medicine and rehabilitation clinic
PARTICIPANTS: Patients (age=18-65) with FMS were randomly assigned into two groups.
INTERVENTIONS: Group-1 was given flexibility and balance exercises for six weeks while group-2 received only flexibility program as the control group.
MAIN OUTCOME MEASURES: Functional balance was measured by Berg Balance Scale (BBS), dynamic and static balance were evaluated by Sport Kinesthetic Ability Trainer (KAT) 4000 device. Fall risk was assessed with the Hendrich II Fall Risk Model. Nottingham Health Profile, Fibromyalgia Impact Questionnaire (FIQ), Beck Depression Inventory (BDI) were used to determine QoL, functional and depression levels respectively. Assessments were performed at the baseline and after six-week program.
RESULTS: In group-1 (n=28), statistically significant improvements were observed in all parameters (p?0.05), but no improvement was seen in group-2 (n=29) (p?0.05). When comparing the two groups, there were significant differences in group-1concerning the KAT static balance test(p=0.017) and the FIQ measurements (p=0.005). In the correlation analysis,the BDI was correlated with the BBS(r=-0.434) and Hendrich II results (r=0.357), whereas the BMI was correlated with the KAT static balance measurements (r=0.433), BBS (r=-0.285), and fall frequency (r=0.328).
CONCLUSIONS: A six-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. Besides higher BMI were associated with the balance deficit and fall frequency.
Source: Archives of Physical Medicine and Rehabilitation, May 19, 2015. By S. Kibar, H.E. Yildiz, S. Ay, D. Evcik and E.S. Ergin. Department of Physical Medicine and Rehabilitation, Ufuk University School of Medicine, Ankara, Turkey. Electronic address: firstname.lastname@example.org.