Assessment of balance and functional capacity in fibromyalgia patients with and without migraine




Fibromyalgia, Migraine, Functional capacity, Balance


To evaluate the balance and functional capacity of fibromyalgia patients’ with and without migraine.
Observational study with 60 women, between 20 and 60 years old (47±9 years), who were allocated into the following groups: 1. fibromyalgia and migraine (n=49); 2. only fibromyalgia (n=11). The following were used: Migraine Disability Assessment Test (MIDAS) to analyze the impact of migraine on quality of life; Revised Fibromyalgia Impact Questionnaire (FIQ-R) to assess the impact of fibromyalgia; six-minute walk test (6MWT)
to assess functional capacity and Berg Balance Scale (BBE) for balance analysis.
There was no difference between groups 1 and 2 regarding functional capacity (TC6M: 308.7 m ±107.33 vs. 298.8 m ±153.54; p=0.55) and balance (BBE: 48± 14 vs. 47±16; p=0.68) as well as the impact on quality of life (FIQ: 78.8±14.77 vs. 74.4±13.99; p=0.28 and MIDAS: 31 ±24).
Our study showed that there was no difference in functional capacity, balance and quality of life in fibromyalgia patients compared to patients with fibromyalgia associated with migraine.


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Wolfe F. New American College of Rheumatology criteria for fibromyalgia: a twenty-year journey. Arthritis Care Res (Hoboken) 2010;62(5):583-584 Doi:10.1002/acr.20156 DOI:

Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018;38(1):1-211 Doi:10.1177/0333102417738202 DOI:

Vij B, Whipple MO, Tepper SJ, Mohabbat AB, Stillman M and Vincent A. Frequency of Migraine Headaches in Patients With Fibromyalgia. Headache 2015;55(6):860-865 Doi:10.1111/head.12590 DOI:

Küçükşen S, Genç E, Yılmaz H, Sallı A, Gezer İ A, Karahan AY, . . . Uğurlu H. The prevalence of fibromyalgia and its relation with headache characteristics in episodic migraine. Clin Rheumatol 2013;32(7):983-990 Doi:10.1007/s10067-013-2218-2 DOI:

Marcus DA and Bhowmick A. Fibromyalgia comorbidity in a community sample of adults with migraine. Clin Rheumatol 2013;32(10):1553-1556 Doi:10.1007/s10067-013-2310-7 DOI:

Valença MM, Medeiros FL, Martins HA, Massaud RM and Peres MF. Neuroendocrine dysfunction in fibromyalgia and migraine. Curr Pain Headache Rep 2009;13(5):358-364 Doi:10.1007/s11916-009-0058-1 DOI:

Dalkara T, Nozari A and Moskowitz MA. Migraine aura pathophysiology: the role of blood vessels and microembolisation. Lancet Neurol 2010;9(3):309- 317 Doi:10.1016/s1474-4422(09)70358-8 DOI:

Goes SM, Bento PCB, Stefanello JMF, El Tassa KOM, Homann D, Leite N and ALF R. Muscle and functional parameters of mid-age women with fibromyalgia and healthy elderly. JEPonline 2013;16(2):1-10

Braga PCV, Souza LAF, Evangelista RA and Pereira LV. The occurrence of headaches and their effect upon nursing undergraduate students. Rev Esc Enferm USP 2012;46(1):138-144 Doi:10.1590/S0080-62342012000100019 DOI:

Jones KD, Horak FB, Winters-Stone K, Irvine JM and Bennett RM. Fibromyalgia is associated with impaired balance and falls. J Clin Rheumatol 2009;15(1):16-21 Doi:10.1097/RHU.0b013e318190f991 DOI:

Carvalho GF, Chaves TC, Dach F, Pinheiro CF, Gonçalves MC, Florencio LL, . . . Bevilaqua-Grossi D. Influence of migraine and of migraine aura on balance and mobility--a controlled study. Headache 2013;53(7):1116-1122

Doi:10.1111/head.12135 DOI:

Tommaso M, Sardaro M, Serpino C, Costantini F, Vecchio E, Prudenzano MP, . . . Livrea P. Fibromyalgia comorbidity in primary headaches. Cephalalgia 2009;29(4):453-464 Doi:10.1111/j.1468-2982.2008.01754.x DOI:

Tommaso M, Federici A, Serpino C, Vecchio E, Franco G, Sardaro M, . . . Livrea P. Clinical features of headache patients with fibromyalgia comorbidity. J Headache Pain 2011;12(6):629-638 Doi:10.1007/s10194-011- 0377-6 DOI:

Cady R. Managing migraine: a healthcare professional's guide to collaborative migraine care. Hamilton: Baxter Publishing; 2008.

Paiva ES, Heymann RE, Rezende MC, Helfenstein M, Jr., Martinez JE, Provenza JR, . . . Bennett RM. A Brazilian Portuguese version of the Revised Fibromyalgia Impact Questionnaire (FIQR): a validation study. Clin Rheumatol 2013;32(8):1199-1206 Doi:10.1007/s10067-013-2259-6 DOI:

Britto RR and de Sousa LAP. Teste de caminhada de seis minutos uma normatização brasileira. Fis Movim 2017;19(4):1-6

Enright PL and Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med 1998;158(5 Pt 1):1384-1387 Doi:10.1164/ajrccm.158.5.9710086 DOI:

Miyamoto ST, Lombardi Junior I, Berg KO, Ramos LR and Natour J. Brazilian version of the Berg balance scale. Braz J Med Biol Res 2004;37(9):1411-1421 Doi:10.1590/s0100-879x2004000900017 DOI:

Santana RR, Barros MB, Barros AOF, Wanderley D, Tenório AdS, Costa Neto JJ, . . . Oliveira DA. Relationship between functionality and level of physical activity of women with fibromyalgia and migraine. Headache Med 2016;7(2):54-59 Doi:10.48208/HeadacheMed.2016.11 DOI:

Rocha-Filho PAS. Fibromyalgia and Headaches. Headache Med 2013;4(2):59-6 Doi:10.48208/HeadacheMed.2013.11 DOI:

Bennett RM, Jones J, Turk DC, Russell IJ and Matallana L. An internet survey of 2,596 people with fibromyalgia. BMC Musculoskelet Disord 2007;8:27 Doi:10.1186/1471-2474-8-27 DOI:

Vincent A, Benzo RP, Whipple MO, McAllister SJ, Erwin PJ and Saligan LN. Beyond pain in fibromyalgia: insights into the symptom of fatigue. Arthritis Res Ther 2013;15(6):221 Doi:10.1186/ar4395 DOI:

Zautra AJ, Fasman R, Parish BP and Davis MC. Daily fatigue in women with osteoarthritis, rheumatoid arthritis, and fibromyalgia. Pain 2007;128(1-2):128-135 Doi:10.1016/j.pain.2006.09.004 DOI:

Silva LC. Presença de fadiga, hiperalgesia corporal, distúrbios do humor e do sono em pacientes com migrânea, fibromialgia ou fibromigrânea Recife: Universidade Federal do Pernambuco; 2012.

Katz R ea. Fibromyalgia patients report many symptoms other than pain and fatigue. Arthritis Rheum 2007;56(9):1532-2007

Carvalho GF. Alterações no equilíbrio funcional em pacientes com migrânea crônica e episódica. Ribeirão Preto, São Paulo: Faculdade de Medicina de Ribeirão Preto; 2016.

Carvalho GF, Gonçalves MC, Florêncio LL, Dach F, Ferreira KS and Chaves TC ea. Avaliação do equilíbrio, agilidade e presença de tontura em pacientes com migrânea com e sem aura. Headache Med 2012;3(4):198-235 DOI:




How to Cite

Notaro LST, Barros MMMB, Vasconcelos TS, Menezes MCM de, Oliveira DA de, Wanderley D. Assessment of balance and functional capacity in fibromyalgia patients with and without migraine. Headache Med [Internet]. 2022 Jun. 30 [cited 2024 Apr. 15];13(2):124-32. Available from:




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