مجله دانشکده پزشکی اصفهان

مجله دانشکده پزشکی اصفهان

کنترل وضعیتی، ترس از افتادن و کینزیوفوبیا در زنان مبتلا به فیبرومیالژیا: یک مرور سیستماتیک

نوع مقاله : مقاله مروری

نویسندگان
فرهاد رضازاده 1
شیرین عالی 2
پریناز فهیمی 3
رعنا ندیمی 3
پارسا فرقانی 4
1 استادیار، گروه بیومکانیک ورزشی، دانشکدهی علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
2 استادیار، گروه آموزش تربیت بدنی، دانشگاه فرهنگیان، تهران، ایران
3 دانشجوی کارشناسی ارشد بیومکانیک ورزشی، گروه بیومکانیک ورزشی، دانشکدهی علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
4 دانشجوی رشته کینزیولوژی، دانشکدهی سلامت، دانشگاه یورک، تورنتو، انتاریو، کانادا
10.48305/jims.v44.i870.1272
چکیده
مقدمه: سندرم فیبرومیالژیا، یک اختلال مزمن اسکلتی- عضلانی با شیوع 80 تا 96 درصدی در زنان است. اختلال تعادل، ترس از افتادن و کینزیوفوبیا از پیامدهای مهم این بیماری محسوب می‌شوند، اما ناهمگونی در ابزارهای ارزیابی و عدم اجماع در مورد مکانیسم‌ها، سنتز سیستماتیک یافته‌ها را ضروری می‌سازد. لذا مطالعه‌ی حاضر با هدف بررسی کنترل وضعیتی، ترس از افتادن، و کینزیوفوبیا در زنان دارای فیبرومیالژیا صورت گرفت.
روش‌ها: جستجوی جامع در پایگاه‌های داده PubMed، Web of Science، Scopus، PEDro و موتور جستجوی Google Scholar برای جستجوی منابع خاکستری از ژانویه 2005 تا می 2025 انجام شد. مطالعات مقطعی‌ـ ‌مقایسه‌ای بررسی‌کننده تعادل، ترس از افتادن یا کینزیوفوبیا در زنان مبتلا به فیبرومیالژیا وارد شدند. کیفیت روش‌شناختی مطالعات با چک‌لیست JBI ارزیابی شد.
یافته‌ها: از 700 مقاله اولیه، 11 مطالعه با دامنه‌ی سنی 18 تا 89 سال وارد شدند. یافته‌ها نشان داد که زنان مبتلا به فیبرومیالژیا در مقایسه با زنان سالم، تعادل ضعیف‌تر، ترس از افتادن بالاتر و سطوح بیشتری از کینزیوفوبیا را دارا هستند. اختلال در یکپارچگی حسی (به‌ویژه وابستگی به ورودی‌های بینایی)، نقص حس عمقی گردنی و اندام تحتانی، و ارتباط مستقیم با شدت درد، خستگی و عوامل روان‌شناختی مشاهده شد.
نتیجه‌گیری: زنان مبتلا به فیبرومیالژیا دچار اختلال تعادل، ترس از افتادن و کینزیوفوبیا هستند. ارزیابی جامع این موارد در توان‌بخشی ضروری بوده و مداخلات ترکیبی (تعادلی، حس عمقی، شناختی- رفتاری) برای شکستن چرخه درد- ترس- کم‌تحرکی توصیه می‌شود. همچنین به کارگیری ابزارهای استانداردو طرح‌های طولی برای تأیید روابط علی و تبیین راهکارهای مؤثر در بهبود کیفیت زندگی این بیماران پیشنهاد می‌شود.
کلیدواژه‌ها
فیبرومیالژیا
کینزیوفوبیا
زنان
تعادل وضعیتی
موضوعات

عنوان مقاله English

Postural Control, Fear of Falling, and Kinesiophobia in Women with Fibromyalgia: A Systematic Review

نویسندگان English

Farhad Rezazadadeh 1
Shirin Aali 2
Parinaz Fahimi 3
Rana Nadimi 3
Parsa Forghani 4
1 Assistant Professor, Department of Sports Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
2 Assistant Professor, Department of Physical Education, Farhangian University, Tehran, Iran
3 MSc Student of Sports Biomechanics, Department of Sports Biomechanics, Faculty of Psychology and Educational Sciences, Mohaghegh Ardabili University, Ardabil, Iran
4 Kinesiology and Health Sciences Student, Faculty of Health, York University, Toronto, Ontario, Canada
چکیده English

Background: Fibromyalgia syndrome is a chronic musculoskeletal disorder with a prevalence of 80-96% in women. Balance impairment, fear of falling, and kinesiophobia are important consequences of this disease, but heterogeneity in assessment tools and lack of consensus on mechanisms necessitate a systematic synthesis of findings. Therefore, the present study aimed to investigate postural control, fear of falling, and kinesiophobia in women with fibromyalgia.
Methods: A comprehensive search of PubMed, Web of Science, Scopus, PEDro and Google Scholar databases was conducted to search for grey literature from January 2005 to May 2025. Cross-sectional, comparative studies investigating balance, fear of falling or kinesiophobia in women with fibromyalgia were included. The methodological quality of the studies was assessed using the JBI checklist.
Findings: Of the initial 700 articles, 11 studies were included, with an age range of 18 to 89 years. Findings showed that women with fibromyalgia had poorer balance, higher fear of falling, and higher levels of kinesiophobia compared to healthy women. Impaired sensory integration (especially dependence on visual input), cervical and lower extremity proprioception deficits, and direct associations with pain intensity, fatigue, and psychological factors were observed.
Conclusion: Women with fibromyalgia have balance disorders, fear of falling, and kinesiophobia. Comprehensive evaluation of these cases is necessary in rehabilitation, and combined interventions (balance, proprioceptive, cognitive-behavioral) are recommended to break the cycle of pain-fear-immobility. It is also suggested to use standardized tools and longitudinal designs to confirm the causal relationships and explain the effective solutions to improve the quality of life of these patients.

کلیدواژه‌ها English

Fibromyalgia
Kinesiophobia
Women
Postural Balance
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مجله دانشکده پزشکی اصفهان
دوره 44، شماره 870
هفته 2، شهریور
مرداد و شهریور 1405
صفحه 1272-1284

  • تاریخ دریافت 08 خرداد 1405
  • تاریخ پذیرش 24 خرداد 1405