An Observational Study Comparing Fibromyalgia and Chronic Low Back Pain in Somatosensory Sensitivity, Motor Function and Balance

Fibromyalgia (FM) and chronic low back pain (CLBP) have shared pathophysiology and have a considerable impact on patients’ daily activities and quality of life. The main objective of this study was to compare pain impact, somatosensory sensitivity, motor functionality, and balance among 60 patients...

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Autores principales: José Antonio Mingorance, Pedro Montoya, José García Vivas Miranda, Inmaculada Riquelme
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/f8e21b0245654561bf2293a6fe28a718
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spelling oai:doaj.org-article:f8e21b0245654561bf2293a6fe28a7182021-11-25T17:45:44ZAn Observational Study Comparing Fibromyalgia and Chronic Low Back Pain in Somatosensory Sensitivity, Motor Function and Balance10.3390/healthcare91115332227-9032https://doaj.org/article/f8e21b0245654561bf2293a6fe28a7182021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1533https://doaj.org/toc/2227-9032Fibromyalgia (FM) and chronic low back pain (CLBP) have shared pathophysiology and have a considerable impact on patients’ daily activities and quality of life. The main objective of this study was to compare pain impact, somatosensory sensitivity, motor functionality, and balance among 60 patients with FM, 60 patients with CLBP, and 60 pain-free controls aged between 30 and 65 years. It is essential to know the possible differences existing in symptomatology of two of the major chronic pain processes that most affect the population, such as FM and CLBP. The fact of establishing possible differences in sensory thresholds, motor function, and proprioceptive measures among patients with FM and CLBP could bring us closer to a greater knowledge of the chronic pain process. Through an observational study, a comparison was made between the three groups (FM, CLBP, and pain-free controls) evaluating functional performance, postural balance, kinematic gait parameters, strength, depression, fatigue, and sensitivity to pain and vibration. Patients with chronic pain showed worse somatosensory sensitivity (<i>p</i> < 0.001) and motor function (<i>p</i> < 0.001) than pain-free controls. Moreover, patients with FM showed greater pain impact (<i>p</i> < 0.001) and bigger somatosensory (<i>p</i> < 0.001) and motor deficiencies (<i>p</i> < 0.001) than patients with CLBP. Further research should explore the possible reasons for the greater deterioration in patients with FM in comparison with other chronic pain conditions. Our results, showing the multiple areas susceptible of deterioration, make it necessary to adopt interdisciplinary interventions focused both on physical and emotional dysfunction.José Antonio MingorancePedro MontoyaJosé García Vivas MirandaInmaculada RiquelmeMDPI AGarticlefibromyalgialow back painsensitivityproprioceptionbalancegaitMedicineRENHealthcare, Vol 9, Iss 1533, p 1533 (2021)
institution DOAJ
collection DOAJ
language EN
topic fibromyalgia
low back pain
sensitivity
proprioception
balance
gait
Medicine
R
spellingShingle fibromyalgia
low back pain
sensitivity
proprioception
balance
gait
Medicine
R
José Antonio Mingorance
Pedro Montoya
José García Vivas Miranda
Inmaculada Riquelme
An Observational Study Comparing Fibromyalgia and Chronic Low Back Pain in Somatosensory Sensitivity, Motor Function and Balance
description Fibromyalgia (FM) and chronic low back pain (CLBP) have shared pathophysiology and have a considerable impact on patients’ daily activities and quality of life. The main objective of this study was to compare pain impact, somatosensory sensitivity, motor functionality, and balance among 60 patients with FM, 60 patients with CLBP, and 60 pain-free controls aged between 30 and 65 years. It is essential to know the possible differences existing in symptomatology of two of the major chronic pain processes that most affect the population, such as FM and CLBP. The fact of establishing possible differences in sensory thresholds, motor function, and proprioceptive measures among patients with FM and CLBP could bring us closer to a greater knowledge of the chronic pain process. Through an observational study, a comparison was made between the three groups (FM, CLBP, and pain-free controls) evaluating functional performance, postural balance, kinematic gait parameters, strength, depression, fatigue, and sensitivity to pain and vibration. Patients with chronic pain showed worse somatosensory sensitivity (<i>p</i> < 0.001) and motor function (<i>p</i> < 0.001) than pain-free controls. Moreover, patients with FM showed greater pain impact (<i>p</i> < 0.001) and bigger somatosensory (<i>p</i> < 0.001) and motor deficiencies (<i>p</i> < 0.001) than patients with CLBP. Further research should explore the possible reasons for the greater deterioration in patients with FM in comparison with other chronic pain conditions. Our results, showing the multiple areas susceptible of deterioration, make it necessary to adopt interdisciplinary interventions focused both on physical and emotional dysfunction.
format article
author José Antonio Mingorance
Pedro Montoya
José García Vivas Miranda
Inmaculada Riquelme
author_facet José Antonio Mingorance
Pedro Montoya
José García Vivas Miranda
Inmaculada Riquelme
author_sort José Antonio Mingorance
title An Observational Study Comparing Fibromyalgia and Chronic Low Back Pain in Somatosensory Sensitivity, Motor Function and Balance
title_short An Observational Study Comparing Fibromyalgia and Chronic Low Back Pain in Somatosensory Sensitivity, Motor Function and Balance
title_full An Observational Study Comparing Fibromyalgia and Chronic Low Back Pain in Somatosensory Sensitivity, Motor Function and Balance
title_fullStr An Observational Study Comparing Fibromyalgia and Chronic Low Back Pain in Somatosensory Sensitivity, Motor Function and Balance
title_full_unstemmed An Observational Study Comparing Fibromyalgia and Chronic Low Back Pain in Somatosensory Sensitivity, Motor Function and Balance
title_sort observational study comparing fibromyalgia and chronic low back pain in somatosensory sensitivity, motor function and balance
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/f8e21b0245654561bf2293a6fe28a718
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