Variability of gait, bilateral coordination, and asymmetry in women with fibromyalgia
Variability of gait, bilateral coordination, and asymmetry in women with fibromyalgia
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DOI：
10.1016/j.gaitpost.2016.01.008
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发表时间：
2016-03-01
期刊：
影响因子：
2.4
通讯作者：
Soto-Hermoso, V. M.
中科院分区：
文献类型：
--
作者：
Heredia-Jimenez, J.;Orantes-Gonzalez, E.;Soto-Hermoso, V. M.
目的：分析纤维肌痛如何影响步态的可变性、不对称性和舒适快速行走的双侧协调性。方法：对65例纤维肌痛（FM）患者和50例健康女性进行分析。步态分析使用仪器化走道（GAITRite系统）进行。平均步行速度，变异系数（CV）的步长，摆动时间，和步宽的数据，获得和双边协调和步态不对称性进行了analysed.Results：FM患者的速度显着低于健康组。FM患者的CV_StrideLength值显著较高（p = 0.04; p < 0.001），CV_SwingTime（p < 0.001; p < 0.001），CV_StepWidth（p = 0.004; p < 0.001）、相位协调指数（p = 0.01; p = 0.03）和p_CV（p < 0.001; p = 0.001）均优于对照组，以舒适或快速行走。步态不对称只表现出显着差异，在快速condition.Conclusion：FM患者走得更慢，并提出了更大的变化步态和较差的双边协调比健康人。步态不对称只在快速条件下表现出差异。的变异性和双边协调的影响，特别是FM的妇女。因此，可以分析步态的变异性和双侧协调性，以补充FM患者的步态评估。(C)© 2016 Elsevier B. V.版权所有。
Purpose: To analyze how fibromyalgia affected the variability, asymmetry, and bilateral coordination of gait walking at comfortable and fast speeds.Methods: 65 fibromyalgia (FM) patients and 50 healthy women were analyzed. Gait analysis was performed using an instrumented walkway (GAITRite system). Average walking speed, coefficient of variation (CV) of stride length, swing time, and step width data were obtained and bilateral coordination and gait asymmetry were analyzed.Results: FM patients presented significantly lower speeds than the healthy group. FM patients obtained significantly higher values of CV_StrideLength (p = 0.04; p < 0.001), CV_SwingTime (p < 0.001; p < 0.001), CV_StepWidth (p = 0.004; p < 0.001), phase coordination index (p = 0.01; p = 0.03), and p_CV (p < 0.001; p = 0.001) than the control group, walking at comfortable or fast speeds. Gait asymmetry only showed significant differences in the fast condition.Conclusion: FM patients walked more slowly and presented a greater variability of gait and worse bilateral coordination than healthy subjects. Gait asymmetry only showed differences in the fast condition. The variability and the bilateral coordination were particularly affected by FM in women. Therefore, variability and bilateral coordination of gait could be analyzed to complement the gait evaluation of FM patients. (C) 2016 Elsevier B.V. All rights reserved.