{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:10:08Z","timestamp":1777518608506,"version":"3.51.4"},"reference-count":37,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,6,15]]},"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Our aims were (1) to compare the sensory organisation of balance control and balance strategies between women with fibromyalgia (FM) and healthy women; (2) to investigate which sensory component, that is, vestibular, visual or somato-sensory, is the most affected in FM and (3) to determine the associations between the functional independence measure (FIM) and balance responses in FM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Urban regional hospital and university (Universidad Rey Juan Carlos, Madrid, Spain).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Twenty women with FM and 20 matched healthy women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary\/secondary outcome measures<\/jats:title>\n                    <jats:p>The sensory organisation test (SOT) was used to determine postural sway and balance during six different conditions with subjects in a standing position. The FIM was used to determine the level of functional independence in daily life activities (ADL). Between-group differences were analysed with analysis of covariance, and the Spearman's test was used for correlations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant differences between-groups and between-conditions were found for all SOT conditions (all, p&lt;0.001): women with FM showed lower scores being the vestibular score the most affected. Different correlations between SOT conditions and some specific ADL were observed in the FM group: bathing activity and balance condition 6 (r\n                      <jats:sub>s<\/jats:sub>\n                      =0.541; p&lt;0.001), bed transfers activity and conditions 2 (r\n                      <jats:sub>s<\/jats:sub>\n                      =0.491; p&lt;0.001) and 3 (r\n                      <jats:sub>s<\/jats:sub>\n                      =0.510; p&lt;0.001), positioning strategy six and dressing the upper (r\n                      <jats:sub>s<\/jats:sub>\n                      =0.530; p&lt;0.001) or lower (r\n                      <jats:sub>s<\/jats:sub>\n                      =0.562; p&lt;0.001) body, and toileting (r\n                      <jats:sub>s<\/jats:sub>\n                      =0.521; p&lt;0.001): the greater the loss of balance, the greater the interference on some daily life activities.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women with FM exhibited balance deficiencies and used different strategies for maintaining their balance in standing, which was associated with a negative impact on functional independence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-016239","type":"journal-article","created":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T20:10:56Z","timestamp":1501618256000},"page":"e016239","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Balance deficiencies in women with fibromyalgia assessed using computerised dynamic posturography: a cross-sectional study in Spain"],"prefix":"10.1136","volume":"7","author":[{"given":"Marta","family":"P\u00e9rez-de-Heredia-Torres","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, 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