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|A new approach in fibromyalgia exercise program: a preliminary study regarding the effectiveness of balance training|
|Kibar S, Yildiz HE, Ay S, Evcik D, Ergin ES|
|Archives of Physical Medicine and Rehabilitation 2015 Sep;96(9):1576-1582|
|5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*|
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 to 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) 4,000 device. Fall risk was assessedwiththe 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-1 concerning 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 HendrichII 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 levelsof patients with FMS. We also observed that depression deterioration was related to balance deficit and fall risk. Besides higher BMI wereassociated with the balance deficit and fall frequency.