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Joint Bone Spine
Volume 73, n° 5
pages 543-546 (octobre 2006)
Doi : 10.1016/j.jbspin.2005.10.020
Received : 16 February 2005 ;  accepted : 19 October 2005
Gait disorders in patients with fibromyalgia
 

Bernard Auvinet a, , Richard Bileckot a, Anne-Sophie Alix b, Denis Chaleil c, Eric Barrey d
a Rheumatology Department, Laval Hospital, 53015 Laval cedex, France 
b Pégase-Mayenne Association, Laval Hospital, 53015 Laval cedex, France 
c Clinical Pharmacy Department, School of Pharmacy, 49045 Angers, France 
d Exercise Physiology Research Laboratory, Evry University, 91025 Evry cedex, France 

Corresponding author. Service de rhumatologie et médecine du Sport, centre hospitalier, 53000 Laval, France. Tel.: +33 2 43 66 50 00x7591; fax: +33 2 43 66 55 36.
Abstract
Objectives

The objective of this study was to compare gait in patients with fibromyalgia and in matched controls.

Methods

Measurements must be obtained in patients with fibromyalgia, as the evaluation scales for this disorder are semi-quantitative. We used a patented gait analysis system (LocometrixTM Centaure Metrix, France) developed by the French National Institute for Agricultural Research. Relaxed walking was evaluated in 14 women (mean age 50±5 years; mean height 162±5 cm; and mean body weight 68±13 kg) meeting American College of Rheumatology criteria for fibromyalgia and in 14 controls matched on sex, age, height, and body weight.

Results

Gait during stable walking was severely altered in the patients. Walking speed was significantly diminished (P <0.001) as a result of reductions in stride length (P <0.001) and cycle frequency (P <0.001). The resulting bradykinesia (P <0.001) was the best factor for separating the two groups. Regularity was affected in the patients (P <0.01); this variable is interesting because it is independent of age and sex in healthy, active adults.

Conclusion

Measuring the variables that characterize relaxed walking provides useful quantitative data in patients with fibromyalgia.

The full text of this article is available in PDF format.

Keywords : Fibromyalgia, Accelerometry, Walking




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