Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?

ulus, yasemin; TANDER, NAZİFE BERNA; BİLGİCİ, Ayhan; DURMUŞ, Dilek; AKYOL, Yeşim; Kuru, Omer

Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?

Yasemin ULUS, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsun, Türkiye)

Yeşim AKYOL, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsun, Türkiye)

NAZİFE BERNA TANDER, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsun, Türkiye)

Dilek DURMUŞ, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsun, Türkiye)

Ayhan BİLGİCİ, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsun, Türkiye)

Ömer KURU (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsun, Türkiye)

Turkish Journal of Rheumatology(.)Archives of Rheumatology

2 0

Yıl: 2013 Cilt: 28 Sayı: 1 Sayfa Aralığı: 10 - 15 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?

Öz:

Amaç: Bu çalışmada fibromiyalji sendromu (FS) olan hastalarda hipermobilite ile denge sorunu arasındaki ilişki ve bu ilişkinin düşme sıklığı üzerine etkisi araştırıldı.Hastalar ve yöntemler: Altmış FS'li ve 30 sağlıklı kadın kontrol çalışmaya dahil edildi. Tüm katılımcıların ortalama yaşı 41.8±9.9 yıl olup, yaşları 22-62 yıl arasında idi. Hastalar üç gruba ayrıldı: grup 1 hipermobilitesi olan FS'li hastalardan, grup 2 hipermobilitesi olmayan FS'li hastalardan ve grup 3 kontrollerden oluşuyordu. Fibromiyalji sendromu olan hastaların sonuç ölçümleri; hastalarda hastalık süresi, görsel analog ölçeği (GAÖ) ile değerlendirildiği üzere ağrı, Fibromyalji Etki Anketli (FEA) ile değerlendirildiği üzere hastalık aktivitesini içermekteydi. Tüm katılımcılarda düşme sayısı, altı dakika yürüme testi (6DYT) ile fonksiyonel performans, gözler açıkken tek bacak denge testi ve Berg Denge Skalası (BDS) ile denge ve Beighton kriterleri ile hipermobilite değerlendirildi.Bulgular: Grup 1 ve 2 arasında hastalık süresi, GAS ağrı, FEA ve düşme sayısı açısından istatistiksel olarak anlamlı fark yoktu (p>0.05). Düşme sayısı grup 1'de grup 3'den anlamlı olarak farklıydı (p<0.05). Altı dakika yürüme testi gruplar arasında anlamlı olarak farklı değildi (p>0.05). Ortalama tek bacak denge testi zamanı ve ortalama BDS skoru her üç grupta anlamlı olarak farklıydı (p<0.05). Ağrı, denge testleri ve düşme sayısı arasında anlamlı ilişki saptanmadı (p>0.05). Hipermobilitenin denge testleri üzerine anlamlı etkisi saptandı (p<0.001).Sonuç: Hipermobilitesi olan FS'li hastalarda, hipermobilitesi olmayan FS'li hastalara ve sağlıklı kontrollere kıyasla, denge sorunu anlamlı olarak yüksek bulundu. Bu durum FS'li hastaların değerlendirilmesinde göz önünde bulundurulmalı, hastalar bilgilendirilmeli ve gerekli ölçümler yapılmalıdır

Anahtar Kelime:

Konular: Romatoloji

Hipermobil Fibromiyalji Hastalarında Denge Sorunu Var mı?

Öz:

Objectives: This study aims to investigate the relationship between hypermobility and balance problem and the possible effect of this relationship on fall frequency in patients with fibromyalgia syndrome (FMS). Patients and methods: Sixty female patients with FMS and 30 healthy female controls were included in the study. The mean age of all participants was 41.8±9.9 years with a range of 22 to 62 years. The patients were divided into three groups: group 1 included FMS patients with hypermobility, group 2 included FMS patients without hypermobility, and group 3 included controls. Outcome measures for the FMS patients included disease duration, pain as assessed by the Visual Analog Scale (VAS), disease activity as assessed by the Fibromyalgia Impact Questionnaire (FIQ). The number of falls, functional performance as assessed by six-minute walk distance (6MWD) test, balance as assessed by the one-legged balance test with open eyes in conjunction with the Berg Balance Scale (BBS), and hypermobility as assessed by the Beighton criteria were evaluated in all participants. Results: There was no statistically significant difference between groups 1 and 2 in terms of duration of disease, VAS pain, FIQ, or number of falls (p>0.05). The number of falls was significantly different in group 1 than group 3 (p<0.05). There was no significant difference among the groups in the 6MWD test (p>0.05). The mean one-leg balance testing time and the mean BBS score were significantly different in the three groups (p<0.05). No significant correlation was found among the pain and balance tests and the number of falls (p>0.05). Hypermobility had a significant effect on the balance tests (p<0.001). Conclusion: The balance problem was found to be significantly higher in FMS patients with hypermobility than in those without hypermobility and in the healthy controls. This situation needs to be considered when clinically assessing FMS patients, as well as the patients should be informed, and appropriate measurements should be performed

Anahtar Kelime:

Konular: Romatoloji

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ulus y, AKYOL Y, TANDER N, DURMUŞ D, BİLGİCİ A, Kuru O (2013). Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?. , 10 - 15.
Chicago	ulus yasemin,AKYOL Yeşim,TANDER NAZİFE BERNA,DURMUŞ Dilek,BİLGİCİ Ayhan,Kuru Omer Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?. (2013): 10 - 15.
MLA	ulus yasemin,AKYOL Yeşim,TANDER NAZİFE BERNA,DURMUŞ Dilek,BİLGİCİ Ayhan,Kuru Omer Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?. , 2013, ss.10 - 15.
AMA	ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?. . 2013; 10 - 15.
Vancouver	ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?. . 2013; 10 - 15.
IEEE	ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O "Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?." , ss.10 - 15, 2013.
ISNAD	ulus, yasemin vd. "Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?". (2013), 10-15.

APA	ulus y, AKYOL Y, TANDER N, DURMUŞ D, BİLGİCİ A, Kuru O (2013). Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28(1), 10 - 15.
Chicago	ulus yasemin,AKYOL Yeşim,TANDER NAZİFE BERNA,DURMUŞ Dilek,BİLGİCİ Ayhan,Kuru Omer Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?. Turkish Journal of Rheumatology(.)Archives of Rheumatology 28, no.1 (2013): 10 - 15.
MLA	ulus yasemin,AKYOL Yeşim,TANDER NAZİFE BERNA,DURMUŞ Dilek,BİLGİCİ Ayhan,Kuru Omer Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.28, no.1, 2013, ss.10 - 15.
AMA	ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(1): 10 - 15.
Vancouver	ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(1): 10 - 15.
IEEE	ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O "Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28, ss.10 - 15, 2013.
ISNAD	ulus, yasemin vd. "Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?". Turkish Journal of Rheumatology(.)Archives of Rheumatology 28/1 (2013), 10-15.