Document Detail

Are fibromyalgia patients as inactive as they say they are?
MedLine Citation:
PMID:  19229584     Owner:  NLM     Status:  MEDLINE    
Both fibromyalgia and rheumatoid arthritis (RA) patients self-report similar disability. These diseases are viewed differently by the medical profession as one has ample evidence of tissue damage and inflammation and the other does not. We were interested to see if an objective measure produced similar results. Twelve patients with RA were matched with 12 fibromyalgia patients by sex, age, and Health Assessment Questionnaire (HAQ) score. The 24-h ambulatory activity of these patients was recorded using the Numact monitor. Statistical analysis was performed using independent group t test for the ambulatory activity data and Spearman's correlation coefficients for HAQ and total energy. There were no significant differences found between the two groups in terms of total activity. Other compared analyses for activity included the number of steps taken, vigor of steps, and time spent standing, which were not statistically different. The correlation coefficients of HAQ and total ambulatory activity for the fibromyalgia group were rho = -0.638 (p = 0.026). Patients with RA and fibromyalgia displaying similar levels of self-reported disability have objective evidence of similar levels of total ambulatory activity. There is a statistically significant correlation between self-reported and objective measurements of disability for the fibromyalgia patients. Either of these measures merits further study as outcome measures for fibromyalgia.
Graham Raftery; Matthew Bridges; Peta Heslop; David J Walker
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-02-20
Journal Detail:
Title:  Clinical rheumatology     Volume:  28     ISSN:  1434-9949     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-06     Completed Date:  2009-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  711-4     Citation Subset:  IM    
City Hospitals Sunderland NHS Foundation Trust, Kayll Road Sunderland Tyne and Wear, Sunderland, SR4 7TP, UK.
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MeSH Terms
Activities of Daily Living* / psychology
Arthritis, Rheumatoid / physiopathology*,  psychology
Disability Evaluation*
Energy Metabolism / physiology
Fibromyalgia / physiopathology*,  psychology
Health Surveys
Outcome Assessment (Health Care)
Reproducibility of Results
Self Disclosure
Walking / physiology,  psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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