Características da marcha de mulheres com fibromialgia: um padrão prematuro de envelhecimento

Abstract

BackgroundFibromyalgia is a condition which involves chronic pain. Middle‐aged individuals with fibromyalgia seem to exhibit changes in gait pattern, which may prematurely expose them to a gait pattern which resembles that found in the elderly population. ObjectiveTo determine the 3D spatial (linear and angular) gait parameters of middle‐aged women with fibromyalgia and compare to elderly women without this condition. Methods25 women (10 in the fibromyalgia group and 15 in the elderly group) volunteered to participate in the study. Kinematics was performed using an optoelectronic system, and linear and angular kinematic variables were determined. ResultsThere was no difference in walking speed, stride length, cadence, hip, knee and ankle joints range of motion between groups, except the pelvic rotation, in which the fibromyalgia group showed greater rotation (P<0.05) compared to the elderly group. Also, there was a negative correlation with pelvic rotation and gluteus pain (r = –0.69; P<0.05), and between pelvic obliquity and greater trochanter pain (r = –0.69; P<0.05) in the fibromyalgia group. ConclusionMiddle‐aged women with fibromyalgia showed gait pattern resemblances to elderly, women, which is characterized by reduced lower limb ROM, stride length and walking speed.