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Gender differences in patients with fibromyalgia: a gait analysis
Jose Heredia-Jimenez1,2, Eva Orantes-Gonzalez3,4
1Department of Physical Education and Sport, Faculty of Education, Economy & Technology of Ceuta, University of Granada, C/ Cortadura del Valle, s/n., 51001, Ceuta, Spain. herediaj@ugr.es.
Clinical Rheumatology
|September 23, 2018
Summary
This study found that fibromyalgia patients exhibit altered gait patterns, including increased variability and asymmetry, especially when walking faster. These gait differences between fibromyalgia patients and healthy individuals could aid in diagnosing and evaluating fibromyalgia.
Area of Science:
- Biomechanics
- Neurology
- Rheumatology
Background:
- Fibromyalgia (FM) is a chronic condition characterized by widespread pain and fatigue, often impacting motor function.
- Gait analysis is crucial for understanding functional mobility and identifying impairments in neurological and rheumatological conditions.
- Previous research has explored gait in FM, but comprehensive analysis of spatio-temporal parameters, asymmetry, variability, and bilateral coordination, particularly across different velocities and genders, is needed.
Purpose of the Study:
- To analyze spatio-temporal gait parameters, asymmetry, variability, and bilateral coordination in individuals with fibromyalgia compared to healthy controls.
- To investigate the effects of usual and faster walking velocities on these gait parameters in both groups.
- To determine if gender influences gait characteristics in fibromyalgia patients.
Main Methods:
- Gait analysis was performed on 55 women and 12 men with fibromyalgia and 44 women and 17 healthy controls using the GAITRite system.
- Participants walked at their usual and faster velocities.
- Calculated parameters included spatio-temporal measures, coefficients of variation, bilateral coordination, and gait asymmetry indices.
Main Results:
- All participants showed increased spatio-temporal parameters when walking faster.
- Fibromyalgia groups exhibited greater bilateral coordination, asymmetry, and stance phase variability at faster speeds.
- Fibromyalgia women differed from healthy women in spatio-temporal, variability, and coordination parameters; fibromyalgia men differed in velocity, cadence, stride length, swing time variability, and stance asymmetry compared to healthy men.
- No significant gender differences were found within the fibromyalgia groups.
Conclusions:
- Gait analysis reveals significant differences in spatio-temporal parameters, variability, and coordination between fibromyalgia patients and healthy individuals, particularly at faster walking speeds.
- These gait alterations in fibromyalgia patients are not gender-specific.
- Fast walking tests could serve as a valuable tool for the diagnosis and evaluation of fibromyalgia in both male and female patients.
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