The influence of balance, physical disability, strength, mechanosensitivity and spinal mobility on physical activity at home, work and leisure time in women with fibromyalgia.
BACKGROUND
Fibromyalgia syndrome is a chronic disease consisting of widespread pain, fatigue, sleep disturbances, and cognitive impairments, among other symptoms, which affect daily physical activity. However, the influence of functional status on physical activity involved in leisure, household and work activities has not been researched previously. The main objective was to evaluate balance, strength, spinal mobility, mechanosensitivity and function levels as related factors of physical activity in female with fibromyalgia.


METHODS
Thirty-four patients with Fibromyalgia and 22 matched controls were included in a cross-sectional study. Dynamic and static balance, general and daily activities disability, lumbosacral mechanosensitivity, spinal range of motion, lower limb strength, physical activity in leisure, household and work activities were registered. We tested for differences between groups by using independent sample t-tests. The influence of demographics, symptoms and physical outcomes on physical activity was statistically analyzed using bivariate and multivariate regression analyses.


FINDINGS
There was a significant association between leisure-time physical activity scores and age (r = 0.564), spinal flexion (r = 0.512), spinal extension (r = 0.421) and the total range of spinal inclination (r = 0.533). Fifty-eight percent of the variance of leisure-time physical activity was explained by age and range of spinal flexion-extension. Similarly, functional mobility was associated with physical activity at home and work scores (r = 0.459), explaining 21% of its variance.


INTERPRETATION
A higher time spent in leisure, household and work activities was related to higher age, spinal range of motion and lower functional mobility in women with Fibromyalgia. Rehabilitation intervention programs should promote physical activity at home, work and leisure time.
['Cerón-Lorente|Laura|L|', 'Valenza|Marie Carmen|MC|', 'Pérez-Mármol|José Manuel|JM|', 'García-Ríos|María Del Carmen|MDC|', 'Castro-Sánchez|Adelaida María|AM|', 'Aguilar-Ferrándiz|María Encarnación|ME|']
D000328:Adult D000368:Aged D002908:Chronic Disease D003430:Cross-Sectional Studies D006233:Disabled Persons D015444:Exercise D005221:Fatigue D005260:Female D005356:Fibromyalgia D006801:Humans D007899:Leisure Activities D035002:Lower Extremity D008875:Middle Aged D009043:Motor Activity D009048:Motor Skills D053580:Muscle Strength D010146:Pain D004856:Postural Balance D016059:Range of Motion, Articular D013131:Spine
Functional health Functional performance Motor behavior Physical activity assessment Physical function