Abstract
The aim of this study is to investigate the relationship of postural stability and sleep disorders in patients with fibromyalgia syndrome. Frequency of falls in the last 6 months in 48 fibromyalgia and 32 control subjects were recorded. Postural stability was assessed by static posturography device (Tetrax, Sunlight Medical Ltd., Israel). Functional assessment consisted of lower-body strength; one-leg stance test were applied to all subjects. Fibromyalgia impact questionnaire (FIQ), sleep quality numeric rating scale (NRS), and Pittsburgh Sleep Quality Index were inquired. The number of falls in the last 6 months was significantly higher in the fibromyalgia group. Mean total value of stability indexes was 201.7 ± 70.9 vs. 162.6 ± 29.6 in fibromyalgia and control subjects (p < 0.05). NRS and Pittsburgh Sleep Quality Index were significantly higher in fibromyalgia patients. It was detected that there were significant relationships between fall risk and NRS scores (r = 0.565), and FIQ fatigue subscores (r = 0.560) (both p < 0.05). Worse postural performance and fall risk found in the fibromyalgia patients compared to controls were related with the sleep quality in the last 24 h and level of fatigue.
Similar content being viewed by others
References
Yunus MB, Masi AT, Aldag JC (1989) A conrolled study of primary fibromyalgia syndrome: clinical features and association with other functional syndromes. J Rheumatol 19:62–71
Russek LN, Fulk GD (2009) Pilot study assessing balance in women with fibromyalgia syndrome. Physiother Theory Pract 25(8):555–565
Bennett RM, Jones J, Turk DC, Russell IJ, Matallana L (2007) An internet survey of 2,596 people with fibromyalgia. BMC Musculoskelet Disord 8:27
Jones KD, Horak FB, Winters-Stone K, Irvine JM, Bennett RM (2009) Fibromyalgia is associated with impaired balance and falls. J Clin Rheumatol 15(1):16–21
Paulus I, Brumagne S (2008) Altered interpretation of neck proprioceptive signals in persons with subclinical recurrent neck pain. J Rehabil Med 40:426–432
Avni N, Avni I, Barenboim E, Azaria B, Zadok D, Kohen-Raz R et al (2006) Brief posturographic test as an indicator of fatigue. Psychiatry Clin Neurosci 60(3):340–346
Ma J, Yao YJ, Ma RM, Li JQ, Wang T, Li XJ et al (2009) Effects of sleep deprivation on human postural control, subjective fatigue assessment and psychomotor performance. J Int Med Res 37(5):1311–1320
McLean SA, Clauw DJ (2005) Biomedical models of fibromyalgia. Disabil Rehabil 27:659–665
Adam M, Leblebici B, Erkan AN, Bagis S, Akman MN (2008) Ankylosing spondylitis and postural balance. Turk J Rheumatol 23:87–90
Oppehheim U, Kohen-Raz R, Alex D, Kohen-Raz A, Azarya M (1999) Postural characteristics of diabetic neuropathy. Diabetes Care 22:328–332
Gstöttner M, Neher A, Millonig M, Lembert S, Raschner C (2009) Balance ability and muscle response of the preferred and nonpreferred leg in soccer players. Mot Control 13:218–231
Ozdemir O, Gökce Kutsal Y (2009) Fall risk assesment of elderly by using posturography. Turk J Geriatr 12(4):177–180
Dıracoglu D, Cihan C, Issever H, Aydın R (2009) Postural performance in patients with cervical radiculopathy. Turk J Physc Ther Rehab 55:153–157
Tomas-Carus P, Gusi N, Hakinken A, Hakinken K, Raimundo A, Ortega-Alonso A (2009) Improvements of muscle strength predicted benefits in HRQOL and postural balance in women with fibromyalgia: an 8-month randomized controlled trial. Rheumatology (Oxford) 48(9):1147–1151
Bennett R (2005) The Fibromyalgia Impact Questionnaire (FIQ): a review of its development, current version, operating characteristics and uses. Clin Exp Rheumatol 23:154–162
Martin S, Chandran A, Zografos L, Zlateva G (2009) Evaluation of the impact of fibromyalgia on patients’ sleep and the content validity of two sleep scales. Health Qual Life Outcomes 7:64–70
Cunningham JM, Blake C, Power CK, O'Keeffe D, Kelly V, Horan S et al (2011) The impact on sleep of a multidisciplinary cognitive behavioural pain management programme: a pilot study. BMC Musculoskelet Disord 12:5
Rosenhall U, Johansson G, Orndahl G (1996) Otoneurologic and audiologic findings in fibromyalgia. Scand J Rehabil Med 28(4):225–232
Rosenhall U, Johansson G, Orndahl G (1987) Neuroaudiological findings in chronic primary fibromyalgia with dysesthesia. Scand J Rehabil Med 19(4):147–152
Tinetti ME, Williams TF, Mayewski R (1986) Fall risk index for elderly patients based on number of chronic disabilities. Am J Med 80(3):429–434
Disclosures
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Akkaya, N., Akkaya, S., Atalay, N.S. et al. Assessment of the relationship between postural stability and sleep quality in patients with fibromyalgia. Clin Rheumatol 32, 325–331 (2013). https://doi.org/10.1007/s10067-012-2117-y
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-012-2117-y