Bieżący numer
Archiwum
Online first
O czasopiśmie
Redakcja
Rada Naukowa
Wydawca
Standardy etyczne i procedury
Bazy indeksacyjne
Recenzenci
Recenzenci Honorowi
Prenumerata
Kontakt
Najczęściej czytane artykuły
Dla autorów
Opłata za przetwarzanie artykułu (APC)
Książki i Konferencje
Książki
Konferencje
SARS CoV-2/COVID-19
PRACA ORYGINALNA
The relationship between the functional status of the extremities and “core” stabilization in women with fibromyalgia
1
Faculty of Physiotherapy and Rehabilitation, Pamukkale University, Denizli, Turkey
2
Faculty of Health Sciences, Physiotherapy and Rehabilitation, Usak University, Usak, Turkey
3
Department of Rheumatology, Medical Faculty, Pamukkale University, Denizli, Turkey
Data nadesłania: 16-08-2024
Data ostatniej rewizji: 26-09-2024
Data akceptacji: 13-10-2024
Data publikacji: 24-12-2024
Autor do korespondencji
Elif Gur Kabul
Faculty of Health Sciences, Physiotherapy and Rehabilitation, Usak University, Ankara-Izmir Road 8. Km. 1 Eylul Campus, 64000, Usak, Turkey
Faculty of Health Sciences, Physiotherapy and Rehabilitation, Usak University, Ankara-Izmir Road 8. Km. 1 Eylul Campus, 64000, Usak, Turkey
Reumatologia 2024;62(6):412-420
SŁOWA KLUCZOWE
DZIEDZINY
STRESZCZENIE
Introduction:
The aim of this study was to examine the relationship between the functional status of the extremities and “core” stabilization in women with fibromyalgia (FM).
Material and methods:
Fifty-seven women with FM were included. The Widespread Pain Index (WPI), Visual Analogue Scale-Pain (VAS-Pain), Symptom Severity Scale (SSS), Fibromyalgia Impact Questionnaire (FIQ), McGill Static endurance tests (trunk flexors endurance, trunk extensors endurance, lateral bridge tests), Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), grip strength, Lower Extremity Functional Scale (LEFS), chair-stand test, pressure pain threshold and 6-minute walk test (6MWT) were used in evaluation.
Results:
The trunk flexors endurance test showed a weak correlation with 6MWT (r = 0.392), DASH (r = –0.347), LEFS (r = 0.328) and WPI (r = –0.289). The trunk extensors endurance test showed a weak correlation with grip strength-right (r = 0.285), DASH (r = –0.301) and LEFS (r = 0.321) and a moderate correlation with grip strength-left (r = 0.407), chair-stand test (r = 0.470) and 6MWT (r = 0.524). The right lateral bridge test showed a weak correlation with grip strength-right (r = 0.271), DASH (r = –0.379), LEFS (r = 0.254), WPI (r = –0.306), average of maximal values of pressure pain threshold (r = 0.316) and average of mean values of pressure pain threshold (r = 0.337); it showed a moderate correlation with grip strength-left (r = 0.418) and 6MWT (r = 0.414). The left lateral bridge test showed a weak correlation with grip strength-right (r = 0.279), chair-stand test (r = 0.276), 6MWT (r = 0.359), DASH (r = –0.294), average of maximal values of pressure pain threshold (r = 0.315) and average of mean values of pressure pain threshold (r = 0.370); it showed a moderate correlation with grip strength-left (r = 0.502) (p < 0.05).
Conclusions:
Core muscle endurance is associated with upper and lower extremity functional level and pain parameters in women with FM.
The aim of this study was to examine the relationship between the functional status of the extremities and “core” stabilization in women with fibromyalgia (FM).
Material and methods:
Fifty-seven women with FM were included. The Widespread Pain Index (WPI), Visual Analogue Scale-Pain (VAS-Pain), Symptom Severity Scale (SSS), Fibromyalgia Impact Questionnaire (FIQ), McGill Static endurance tests (trunk flexors endurance, trunk extensors endurance, lateral bridge tests), Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), grip strength, Lower Extremity Functional Scale (LEFS), chair-stand test, pressure pain threshold and 6-minute walk test (6MWT) were used in evaluation.
Results:
The trunk flexors endurance test showed a weak correlation with 6MWT (r = 0.392), DASH (r = –0.347), LEFS (r = 0.328) and WPI (r = –0.289). The trunk extensors endurance test showed a weak correlation with grip strength-right (r = 0.285), DASH (r = –0.301) and LEFS (r = 0.321) and a moderate correlation with grip strength-left (r = 0.407), chair-stand test (r = 0.470) and 6MWT (r = 0.524). The right lateral bridge test showed a weak correlation with grip strength-right (r = 0.271), DASH (r = –0.379), LEFS (r = 0.254), WPI (r = –0.306), average of maximal values of pressure pain threshold (r = 0.316) and average of mean values of pressure pain threshold (r = 0.337); it showed a moderate correlation with grip strength-left (r = 0.418) and 6MWT (r = 0.414). The left lateral bridge test showed a weak correlation with grip strength-right (r = 0.279), chair-stand test (r = 0.276), 6MWT (r = 0.359), DASH (r = –0.294), average of maximal values of pressure pain threshold (r = 0.315) and average of mean values of pressure pain threshold (r = 0.370); it showed a moderate correlation with grip strength-left (r = 0.502) (p < 0.05).
Conclusions:
Core muscle endurance is associated with upper and lower extremity functional level and pain parameters in women with FM.
REFERENCJE (46)
1.
Sarzi-Puttini P, Giorgi V, Marotto D, et al. Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol 2020; 16: 645–660, DOI: 10.1038/s41584-020-00506-w.
2.
Sener U, Ucok K, Ulasli AM, et al. Evaluation of health-related physical fitness parameters and association analysis with depression, anxiety, and quality of life in patients with fibromyalgia. Int J Rheum Dis 2016; 19: 763–772, DOI: 10.1111/1756-185X.12237.
3.
Alciati A, Nucera V, Masala IF, et al. One year in review 2021: fibromyalgia. Clin Exp Rheumatol 2021; 39 Suppl 130: 3–12, DOI: 10.55563/clinexprheumatol/gz4i3i.
4.
Willardson JM. Core stability training: applications to sports conditioning programs. J Strength Cond Res 2007; 21: 979–985, DOI: 10.1519/R-20255.1.
5.
Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med 2006; 36: 189–198, DOI: 10.2165/ 00007256-200636030-00001.
6.
Vleeming A, Pool-Goudzwaard AL, Stoeckart R, et al. The posterior layer of the thoracolumbar fascia: Its function in load transfer from spine to legs. Spine (Phila Pa 1976) 1995; 20: 753–758.
7.
Saeterbakken AH, van den Tillaar R, Seiler S. Effect of core stability training on throwing velocity in female handball players. J Strength Cond Res 2011; 25: 712–718, DOI: 10.1519/JSC.0b013e3181cc227e.
8.
De Blaiser C, De Ridder R, Willems T, et al. Impaired core stability as a risk factor for the development of lower extremity overuse injuries: a prospective cohort study. Am J Sports Med 2019; 47: 1713–1721, DOI: 10.1177/0363546519837724.
9.
Rosemeyer JR, Hayes BT, Switzler CL, Hicks-Little CA. Effects of core-musculature fatigue on maximal shoulder strength. J Sport Rehabil 2015; 24: 384–390, DOI: 10.1123/jsr.2014-0216.
10.
Yumusak S, Büyükturan B, Karartı C, Büyükturan O. Investigation of The Relationship Between Strength and Endurance of The Trunk Muscle With Functional Parameters in Young Individuals. Hacettepe University Faculty of Health Sciences Journal 2020; 7: 296–309.
11.
Soriano-Maldonado A, Henriksen M, Segura-Jiménez V, et al. Association of physical fitness with fibromyalgia severity in women: The al-Ándalus Project. Arch Phys Med Rehabil 2015; 96: 1599–1605, DOI: 10.1016/j.apmr.2015.03.015.
12.
Çelenay ST, Külünkoğlu BA, Küçükşahin O. Evaluatıon of balance, endurance and flexıbılıty ın women wıth fıbromyalgıa syndrome. Turk J Physiother Rehabil 2017; 28: 125–131.
13.
Okumus M, Gokoglu F, Kocaoglu S, et al. Muscle performance in patients with fibromyalgia. Singapore Med J 2006; 47: 752–756.
14.
García-Hermoso A, Saavedra JM, Escalante Y. Effects of exercise on functional aerobic capacity in adults with fibromyalgia syndrome: a systematic review of randomized controlled trials. J Back Musculoskelet Rehabil 2015; 28: 609–619.
15.
Yakut H, Özalevli S, Birlik AM. Association between core stability and physical function, functional performance in patients with systemic sclerosis. Int J Rheum Dis 2021; 24: 548–554, DOI: 10.1111/1756-185X.14067.
16.
Acar Y, Ilçin N, Gürpinar B, et al. Core stability and balance in patients with ankylosing spondylitis. Rheumatol Int 2019; 39: 1389–1396, DOI: 10.1007/s00296-019-04341-5.
17.
Wolfe F, Clauw DJ, Fitzcharles MA, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken) 2010; 62: 600–610, DOI: 10.1002/acr.20140.
18.
Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 1990; 13: 227–236, DOI: 10.1002/nur.4770130405.
19.
Jensen KB, Kosek E, Wicksell R, et al. Cognitive Behavioral Therapy increases pain-evoked activation of the prefrontal cortex in patients with fibromyalgia. Pain 2012; 153: 1495–1503, DOI: 10.1016/j.pain.2012.04.010.
20.
Burckhardt CS, Clark SR, Bennett RM. The fibromyalgia impact questionnaire: development and validation. J Rheumatol 1991; 18: 728–733.
21.
McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil 1999; 80: 941–944, DOI: 10.1016/s0003-9993(99)90087-4.
22.
Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand). The Upper Extremity Collaborative Group (UECG). Am J Ind Med 1996; 29: 602–608, DOI: 10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L.
23.
Kim JK, Park MG, Shin SJ. What is the minimum clinically important difference in grip strength? Clin Orthop Relat Res 2014; 472: 2536–2541, DOI: 10.1007/s11999-014-3666-y.
24.
Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport 1999; 70: 113–119, DOI: 10.1080/ 02701367.1999.10608028.
25.
Citaker S, Kafa N, Kanik ZH, et al. Translation, cross-cultural adaptation and validation of the Turkish version of the Lower Extremity Functional Scale on patients with knee injuries. Arch Orthop Trauma Surg 2016; 136: 389–395, DOI: 10.1007/s00402-015-2384-6.
26.
ATS committee on proficiency standards for clinical pulmonary function laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166: 111–117, DOI: 10.1164/ajrccm.166.1.at1102.
27.
Carbonell-Baeza A, Ruiz JR, Aparicio VA, et al. The 6-minute walk test in female fibromyalgia patients: relationship with tenderness, symptomatology, quality of life, and coping strategies. Pain Manag Nurs 2013; 14: 193–199, DOI: 10.1016/j.pmn. 2011.01.002.
28.
Larsson A, Palstam A, Bjersing J, et al. Controlled, cross-sectional, multi-center study of physical capacity and associated factors in women with fibromyalgia. BMC Musculoskelet Disord 2018; 19: 121, DOI: 10.1186/s12891-018-2047-1.
29.
Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil 2004; 85 (3 suppl 1): S86–S92, DOI: 10.1053/j.apmr. 2003.12.005.
30.
Bliss LS, Teeple P. Core stability: the centerpiece of any training program. Curr Sports Med Rep 2005; 4: 179–183, DOI: 10.1007/s11932-005-0064-y.
31.
Hodges P, Holm AK, Holm S, et al. Intervertebral stiffness of the spine is increased by evoked contraction of transversus abdominis and the diaphragm: in vivo porcine studies. Spine (Phila Pa 1976) 2003; 28: 2594–2601, DOI: 10.1097/01.BRS.0000096676.14323.25.
32.
Gillen G, Boiangiu C, Neuman M, et al. Trunk posture affects upper extremity function of adults. Percept Mot Skills 2007; 104: 371–380, DOI: 10.2466/pms.104.2.371-380.
33.
Dierks TA, Manal KT, Hamill J, et al. Proximal and distal influences on hip and knee kinematics in runners with patellofemoral pain during a prolonged run. J Orthop Sports Phys Ther 2008; 38: 448–456, DOI: 10.2519/jospt.2008.2490.
34.
McGill SM. Core training: Evidence translating to better performance and injury prevention. Strength Cond J 2010; 32: 33–42.
35.
De Blaiser C, Roosen P, Willems T, et al. Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review. Phys Ther Sport 2018; 30: 48–56, DOI: 10.1016/j.ptsp.2017.08.076.
36.
Nordenskiold UM, Grimby G. Grip force in patients with rheumatoid arthritis and fibromyalgia and in healthy subjects: a study with the Grippit instrument. Scand J Rheumatol 1993; 22: 14–19, DOI: 10.3109/03009749309095105.
37.
Panton LB, Kingsley JD, Toole T, et al. A comparison of physical functional performance and strength in women with fibromyalgia, age- and weight-matched controls, and older women who are healthy. Phys Ther 2006; 86: 1479–1488, DOI: 10.2522/ptj.20050320.
38.
Mannerkorpi K, Burckhardt CS, Bjelle A. Physical performance characteristics of women with fibromyalgia. Arthritis Care Res 1994; 7: 123–129, DOI: 10.1002/art.1790070305.
39.
Ng JK, Richardson CA, Jull GA. Electromyographic amplitude and frequency changes in the iliocostalis lumborum and multifidus muscles during a trunk holding test. Phys Ther 1997; 77: 954–961, DOI: 10.1093/ptj/77.9.954.
40.
Teyhen DS, Rieger JL, Westrick RB, et al. Changes in deep abdominal muscle thickness during common trunk-strengthening exercises using ultrasound imaging. J Orthop Sports Phys Ther 2008; 38: 596–605, DOI: 10.2519/jospt.2008.2897.
41.
Mease P. Fibromyalgia syndrome: review of clinical presentation, pathogenesis, outcome measures, and treatment. J Rheumatol Suppl 2005; 75: 6–21.
42.
Puente CP, Furlong LV, Gallardo CE, et al. Self-efficacy and affect as mediators between pain dimensions and emotional symptoms and functional limitation in women with fibromyalgia. Pain Manag Nurs 2015; 16: 60–68, DOI: 10.1016/j.pmn. 2014.04.005.
43.
Devrimsel G, Turkyilmaz AK, Beyazal MS, et al. Assessment of hand function and disability in fibromyalgia. Z Rheumatol 2019; 78: 889–893, DOI: 10.1007/s00393-018-0558-7.
44.
Yumuşak S, Büyükturan B, Kararti C, et al. Investigation of the relationship between strength and endurance of the trunk muscle with functional parameters in young ındividuals. Hacettepe University Faculty of Health Sciences Journal 2020; 7: 296–309.
45.
Borghuis J, Hof LA, Lemmink KA. The importance of sensory- motor control in providing core stability. Sports Med 2008; 38: 893–916, DOI: 10.2165/00007256-200838110-00002.
46.
Cobb SC, Bazett-Jones DM, Joshi MN, et al. The relationship among foot posture, core and lower extremity muscle function, and postural stability. J Athl Train 2014; 49: 173–180, DOI: 10.4085/1062-6050-49.2.02.
Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Udostępnij
| eISSN: | 2084-9834 |
| ISSN: | 0034-6233 |
Przetwarzamy dane osobowe zbierane podczas odwiedzania serwisu. Realizacja funkcji pozyskiwania informacji o użytkownikach i ich zachowaniu odbywa się poprzez dobrowolnie wprowadzone w formularzach informacje oraz zapisywanie w urządzeniach końcowych plików cookies (tzw. ciasteczka). Dane, w tym pliki cookies, wykorzystywane są w celu realizacji usług, zapewnienia wygodnego korzystania ze strony oraz w celu monitorowania ruchu zgodnie z Polityką prywatności. Dane są także zbierane i przetwarzane przez narzędzie Google Analytics (więcej).
Możesz zmienić ustawienia cookies w swojej przeglądarce. Ograniczenie stosowania plików cookies w konfiguracji przeglądarki może wpłynąć na niektóre funkcjonalności dostępne na stronie.
Możesz zmienić ustawienia cookies w swojej przeglądarce. Ograniczenie stosowania plików cookies w konfiguracji przeglądarki może wpłynąć na niektóre funkcjonalności dostępne na stronie.
