Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial
Background: Fibromyalgia Syndrome (FMS) is a highly prevalent health problem whose main symptom is widespread pain, although it presents as other manifestations, such as loss of balance, that seem to mainly affect visuo-vestibular information. Objective: to compare the effects of a Vestibular Rehabi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Biomedicines |
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| Online Access: | https://www.mdpi.com/2227-9059/11/5/1297 |
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| author | Ana Belén Peinado-Rubia María Catalina Osuna-Pérez Irene Cortés-Pérez Alicia Rojas-Navarrete María del Rocío Ibancos-Losada Rafael Lomas-Vega |
| author_facet | Ana Belén Peinado-Rubia María Catalina Osuna-Pérez Irene Cortés-Pérez Alicia Rojas-Navarrete María del Rocío Ibancos-Losada Rafael Lomas-Vega |
| author_sort | Ana Belén Peinado-Rubia |
| collection | DOAJ |
| description | Background: Fibromyalgia Syndrome (FMS) is a highly prevalent health problem whose main symptom is widespread pain, although it presents as other manifestations, such as loss of balance, that seem to mainly affect visuo-vestibular information. Objective: to compare the effects of a Vestibular Rehabilitation (VR) program versus those of a Conventional Physical Exercise (CPE) program on the health status of patients with FMS. Methods: A single-blind randomized controlled trial was performed. Patients with FMS were randomly assigned to VR or CPE programs. The protocols were performed in 40 min group sessions, twice weekly, for 16 sessions. Perceived health status, static and dynamic balance, verticality perception, confidence in balance, sensitization and kinesiophobia were measured at baseline, post-treatment and at the three-month follow-up and analyzed using an intention-to-treat approach. Results: Forty-eight subjects were randomly assigned, of whom thirty-five completed the planned VR (n = 19) or CPE (n = 16) program. At the three-month follow-up, there were differences in physical health status measured with the SF-12 (mean = −4.36, SE = 1.88, <i>p</i> = 0.027), balance during walking (mean = 1.90, SE = 0.57, <i>p</i> = 0.002), the perception of verticality in degrees (mean = 3.61, SE = 1.51, <i>p</i> = 0.024) and the anteroposterior position of the center of pressure (mean = −7.88, SE = 2.80, <i>p</i> = 0.009), as well as a decrease in the number of falls (mean = 0.98, SE = 0.44, <i>p</i> = 0.033), favoring the VR group. Conclusions: Vestibular Rehabilitation can be as beneficial as conventional exercise in improving the state of health in patients with Fibromyalgia Syndrome, providing additional improvements in physical health status, body balance, the perception of verticality and the number of falls. |
| first_indexed | 2024-03-11T03:55:21Z |
| format | Article |
| id | doaj.art-090a4faa93dd4e99885a4ffe13ffddd9 |
| institution | Directory Open Access Journal |
| issn | 2227-9059 |
| language | English |
| last_indexed | 2024-03-11T03:55:21Z |
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| series | Biomedicines |
| spelling | doaj.art-090a4faa93dd4e99885a4ffe13ffddd92023-11-18T00:34:57ZengMDPI AGBiomedicines2227-90592023-04-01115129710.3390/biomedicines11051297Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled TrialAna Belén Peinado-Rubia0María Catalina Osuna-Pérez1Irene Cortés-Pérez2Alicia Rojas-Navarrete3María del Rocío Ibancos-Losada4Rafael Lomas-Vega5AFIXA Fibromyalgia Association, 23008 Jaén, SpainDepartment of Health Sciences, University of Jaén, Campus Las Lagunillas s/n., 23071 Jaén, SpainDepartment of Health Sciences, University of Jaén, Campus Las Lagunillas s/n., 23071 Jaén, SpainFisioCenter-Úbeda Physiotherapy Clinic, 23400 Úbeda, SpainDepartment of Health Sciences, University of Jaén, Campus Las Lagunillas s/n., 23071 Jaén, SpainDepartment of Health Sciences, University of Jaén, Campus Las Lagunillas s/n., 23071 Jaén, SpainBackground: Fibromyalgia Syndrome (FMS) is a highly prevalent health problem whose main symptom is widespread pain, although it presents as other manifestations, such as loss of balance, that seem to mainly affect visuo-vestibular information. Objective: to compare the effects of a Vestibular Rehabilitation (VR) program versus those of a Conventional Physical Exercise (CPE) program on the health status of patients with FMS. Methods: A single-blind randomized controlled trial was performed. Patients with FMS were randomly assigned to VR or CPE programs. The protocols were performed in 40 min group sessions, twice weekly, for 16 sessions. Perceived health status, static and dynamic balance, verticality perception, confidence in balance, sensitization and kinesiophobia were measured at baseline, post-treatment and at the three-month follow-up and analyzed using an intention-to-treat approach. Results: Forty-eight subjects were randomly assigned, of whom thirty-five completed the planned VR (n = 19) or CPE (n = 16) program. At the three-month follow-up, there were differences in physical health status measured with the SF-12 (mean = −4.36, SE = 1.88, <i>p</i> = 0.027), balance during walking (mean = 1.90, SE = 0.57, <i>p</i> = 0.002), the perception of verticality in degrees (mean = 3.61, SE = 1.51, <i>p</i> = 0.024) and the anteroposterior position of the center of pressure (mean = −7.88, SE = 2.80, <i>p</i> = 0.009), as well as a decrease in the number of falls (mean = 0.98, SE = 0.44, <i>p</i> = 0.033), favoring the VR group. Conclusions: Vestibular Rehabilitation can be as beneficial as conventional exercise in improving the state of health in patients with Fibromyalgia Syndrome, providing additional improvements in physical health status, body balance, the perception of verticality and the number of falls.https://www.mdpi.com/2227-9059/11/5/1297fibromyalgiabalancehealth statusvestibular rehabilitationexercise therapy |
| spellingShingle | Ana Belén Peinado-Rubia María Catalina Osuna-Pérez Irene Cortés-Pérez Alicia Rojas-Navarrete María del Rocío Ibancos-Losada Rafael Lomas-Vega Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial Biomedicines fibromyalgia balance health status vestibular rehabilitation exercise therapy |
| title | Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial |
| title_full | Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial |
| title_fullStr | Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial |
| title_full_unstemmed | Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial |
| title_short | Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial |
| title_sort | effectiveness of vestibular rehabilitation in improving health status and balance in patients with fibromyalgia syndrome a single blind randomized controlled trial |
| topic | fibromyalgia balance health status vestibular rehabilitation exercise therapy |
| url | https://www.mdpi.com/2227-9059/11/5/1297 |
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