Gait disorders in patients with fibromyalgia
Gait disorders in patients with fibromyalgia
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DOI：
10.1016/j.jbspin.2005.10.020
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发表时间：
2006-10-01
期刊：
影响因子：
4.2
通讯作者：
Barrey, Eric
中科院分区：
文献类型：
--
作者：
Auvinet, Bernard;Bileckot, Richard;Barrey, Eric
目的：本研究的目的是比较纤维肌痛患者和对照组的步态。方法：必须测量纤维肌痛患者的步态，因为这种疾病的评估标准是半定量的。我们使用了由法国国家农业研究所开发的获得专利的步态分析系统(Locometrix(TM)Centaure Metrix，France)。14名女性(平均年龄50±5岁；平均身高162±5 cm；平均体重68±13 kg)符合美国风湿病学会关于纤维肌痛的标准，并与14名性别、年龄、身高和体重相匹配的对照组进行放松步行评估。步行速度显著降低(P<；0.001)，因为步长(P<；0.001)和骑行频率(P<；0.001)减少。由此产生的运动迟缓(P<；0.001)是区分两组的最佳因素。患者的规律性受到影响(P<；0.01)；这个变量很有趣，因为在健康、活跃的成年人中，它与年龄和性别无关。结论：测量表征放松步行的变量为纤维肌痛患者提供了有用的量化数据。(C)2006年爱思唯尔公司。版权所有。
Objectives: The objective of this study was to compare gait in patients with fibromyalgia and in matched controls.Methods: Measurements must be obtained in patients with fibromyalgia, as the evaluation scales for this disorder are semi-quantitative. We used a patented gait analysis system (Locometrix(TM) Centaure Metrix, France) developed by the French National Institute for Agricultural Research. Relaxed walking was evaluated in 14 women (mean age 50 +/- 5 years; mean height 162 +/- 5 cm; and mean body weight 68 +/- 13 kg) meeting American College of Rheumatology criteria for fibromyalgia and in 14 controls matched on sex, age, height, and body weight.Results: Gait during stable walking was severely altered in the patients. Walking speed was significantly diminished (P < 0.001) as a result of reductions in stride length (P < 0.001) and cycle frequency (P < 0.001). The resulting bradykinesia (P < 0.001) was the best factor for separating the two groups. Regularity was affected in the patients (P < 0.01); this variable is interesting because it is independent of age and sex in healthy, active adults.Conclusion: Measuring the variables that characterize relaxed walking provides useful quantitative data in patients with fibromyalgia. (C) 2006 Elsevier SAS. All rights reserved.