Pain and functional capacity in female fibromyalgia patients

Pain Med. 2011 Nov;12(11):1667-75. doi: 10.1111/j.1526-4637.2011.01239.x. Epub 2011 Sep 21.

Abstract

Objective: To examine the association between pain and functional capacity levels.

Design: [corrected] Cross-sectional study.

Setting: University of Granada.

Subjects: One hundred twenty-three women with fibromyalgia (51.7 ± 7.2 years).

Outcome measures: We measured weight and height, and body mass index (BMI) was calculated. We assessed tender points by pressure pain and functional capacity by means of the 30-second chair stand, handgrip strength, chair sit and reach, back scratch, blind flamingo, 8-ft up and go and 6-minute walk tests.

Results: We observed an association of tender points count with the chair stand and 6-minute walk tests (r = -0.273, P = 0.004 and r = -0.183, P = 0.046, respectively). These associations became nonsignificant once the analyses were adjusted by weight or BMI. We observed an association of algometer score with the back scratch, chair stand, and 6-minute walk tests (r = 0.238, P = 0.009; r = 0.363, P < 0.001; and r = 0.186, P = 0.043, respectively), which remained after adjusting for weight or BMI, except the association between algometer score and the 6-minute walk test that became nonsignificant once the analyses were adjusted by weight. Prevalence of overweight and obesity was 39.2 and 33.3%, respectively.

Conclusions: There is an inverse association of tender points count with the chair stand and distance walked in the 6-minute walk tests, and a positive association of algometer score with the chair stand, distance walked in the 6-minute walk and back scratch tests, yet, weight status seems to play a role in these associations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Aged, 80 and over
  • Body Composition
  • Body Mass Index
  • Cross-Sectional Studies
  • Exercise Test
  • Female
  • Fibromyalgia / physiopathology*
  • Humans
  • Male
  • Middle Aged
  • Musculoskeletal Pain / physiopathology*
  • Physical Endurance / physiology*
  • Quality of Life
  • Spain