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An Instrumented Pull Test to Characterize Postural Responses
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Trunk position sense, postural stability, and spine posture in fibromyalgia
Seyda Toprak Celenay1, Oguzhan Mete2, Ozge Coban2
1Department of Physiotherapy and Rehabilitation, Health Sciences Faculty, Ankara Yildirim Beyazit University, Ankara, Turkey. sydtoprak@hotmail.com.
Rheumatology International
|August 2, 2019
Summary
Women with fibromyalgia syndrome (FMS) exhibit impaired trunk position sense and postural instability. These findings suggest that incorporating trunk proprioception, balance, and posture training into FMS treatment plans may be beneficial.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Fibromyalgia syndrome (FMS) is a chronic condition characterized by widespread pain, fatigue, and cognitive difficulties.
- Impaired sensorimotor control, including trunk position sense and postural stability, may contribute to functional limitations in individuals with FMS.
- Understanding these deficits is crucial for developing effective rehabilitation strategies.
Purpose of the Study:
- To investigate differences in trunk position sense, postural stability, and spine posture between women with FMS and healthy controls.
- To identify potential correlations between these parameters and FMS symptomatology.
- To inform the development of targeted interventions for FMS management.
Main Methods:
- A case-control study involving 15 women with FMS and 15 age- and gender-matched healthy controls.
- Trunk position sense (trunk reposition errors) and spine posture (thoracic and lumbar curvature) were measured using a digital inclinometer.
- Postural stability was assessed using a computerized stabilometer under various conditions (eyes open/closed, bipedal/monopedal stance, limits of stability).
Main Results:
- Women with FMS demonstrated significantly higher trunk reposition errors and thoracic curvature compared to controls.
- Individuals with FMS exhibited poorer postural stability, evidenced by increased sway and reduced ability to maintain balance in several conditions.
- No significant differences were observed in lumbar curvature or limits of stability between the groups.
Conclusions:
- Women with FMS present with deficits in trunk position sense, postural instability, and altered thoracic spine posture.
- These findings highlight the importance of addressing sensorimotor impairments in FMS rehabilitation.
- Training trunk position sense, postural stability, and posture should be considered integral components of an optimal FMS treatment plan.
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