Lack of correlation between the mean tender point score and self‐reported pain in fibromyalgia

Jacobs, Johannes W. G.; Rasker, Johannes J.; Heide, Agnes van der; Boersma, J.; Blécourt, A. C. E. de; Griep, E.N.; Rijswijk, M.H. van; Bijlsma, J. W. J.

doi:10.1002/1529-0131(199604)9:2<105::aid-anr1790090206>3.0.co;2-#

Cited by 40 publications

(21 citation statements)

References 21 publications

(23 reference statements)

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“…McCain et al 17 and Wigers et al 16 found that aerobic physical exercise improves not only the cardiovascular fitness but also raises the pain threshold scores of trained patients with FM. In our strength training intervention no statistically significant changes were seen in the number of tender points during the 21 week follow up time, supporting the earlier suggestion that tender point counts are only weakly related to symptom severity 33. All the outcome variables of the FM T group improved, except for pain in the legs.…”

Section: Discussionsupporting

confidence: 84%

Strength training induced adaptations in neuromuscular function of premenopausal women with fibromyalgia: comparison with healthy women

Häkkinen

2001

Annals of the Rheumatic Diseases

168

122

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Results-Female FM T subjects increased their maximal and explosive strength and EMG activity to the same extent as the H T group. Moreover, the progressive strength training showed immediate benefits on subjectively perceived fatigue, depression, and neck pain of training patients with FM. Conclusions-The strength training data indicate comparable trainability of the neuromuscular system of women with FM and healthy women. Progressive strength training can safely be used in the treatment of FM to decrease the impact of the syndrome on the neuromuscular system, perceived symptoms, and functional capacity. These results confirm the opinion that FM syndrome has a central rather than a peripheral or muscular basis.

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Section: Discussionsupporting

confidence: 84%

Strength training induced adaptations in neuromuscular function of premenopausal women with fibromyalgia: comparison with healthy women

Häkkinen

2001

Annals of the Rheumatic Diseases

168

122

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“…This is in accordance with previous studies that also showed weak [10,16,17,21] or moderate [13,15,18,19] correlations between FIQ items and TPCs. It is also in line with findings by Jacobs et al [35], who found a weak correlation between TPCs and self-reported pain. They concluded that TPCs and self-reported pain represent different aspects of pain in FM.…”

Section: Discussionsupporting

confidence: 93%

Cross-cultural adaptation and validation of a Bengali version of the modified fibromyalgia impact questionnaire

Muquith

Islam

Haq

et al. 2012

BMC Musculoskelet Disord

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BackgroundCurrently, no validated instruments are available to measure the health status of Bangladeshi patients with fibromyalgia (FM). The aims of this study were to cross-culturally adapt the modified Fibromyalgia Impact Questionnaire (FIQ) into Bengali (B-FIQ) and to test its validity and reliability in Bangladeshi patients with FM.MethodsThe FIQ was translated following cross-cultural adaptation guidelines and pretested in 30 female patients with FM. Next, the adapted B-FIQ was physician-administered to 102 consecutive female FM patients together with the Health Assessment Questionnaire (HAQ), selected subscales of the SF-36, and visual analog scales for current clinical symptoms. A tender point count (TPC) was performed by an experienced rheumatologist. Forty randomly selected patients completed the B-FIQ again after 7 days. Two control groups of 50 healthy people and 50 rheumatoid arthritis (RA) patients also completed the B-FIQ.ResultsFor the final B-FIQ, five physical function sub-items were replaced with culturally appropriate equivalents. Internal consistency was adequate for both the 11-item physical function subscale (α = 0.73) and the total scale (α = 0.83). With exception of the physical function subscale, expected correlations were generally observed between the B-FIQ items and selected subscales of the SF-36, HAQ, clinical symptoms, and TPC. The B-FIQ was able to discriminate between FM patients and healthy controls and between FM patients and RA patients. Test-retest reliability was adequate for the physical function subscale (r = 0.86) and individual items (r = 0.73-0.86), except anxiety (r = 0.27) and morning tiredness (r = 0.64).ConclusionThis study supports the reliability and validity of the B-FIQ as a measure of functional disability and health status in Bangladeshi women with FM.

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“…Reliability is variable, ranging from good to poor [39, 40]. The association of pain report and tender point count is however poorly correlated, suggesting that these measurements represent different parameters of pain experience in FMS [41]. …”

Section: Methodsmentioning

confidence: 99%

The Clinical Concept of Fibromyalgia as a Changing Paradigm in the Past 20 Years

Fitzcharles

Yunus

2012

Pain Research and Treatment

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Fibromyalgia (FMS) is a valid clinical condition that affects 2%–4% of the population with a pivot symptom of widespread body pain. The cause and cure of FMS are as yet unknown. The concept of FMS has evolved over the past two decades to incorporate symptoms beyond pain as contributing to the global spectrum of suffering. FMS is now recognized to be grounded in the neurological domain with evidence of dysregulation of pain processing. Appreciation of the neurophysiologic mechanisms operative in FMS has contributed to rational treatment recommendations, although a “gold standard treatment” does not currently exist. Ideal treatments for FMS patients should be individualized with emphasis on active patient participation, good health practices, and multimodal intervention, incorporating nonpharmacologic and pharmacologic treatments. Predictors of outcome, which is favourable in over 50% of patients, are unknown, but those with better outcome do more physical activity and use fewer medications.

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Lack of correlation between the mean tender point score and self‐reported pain in fibromyalgia

Cited by 40 publications

References 21 publications

Strength training induced adaptations in neuromuscular function of premenopausal women with fibromyalgia: comparison with healthy women

Strength training induced adaptations in neuromuscular function of premenopausal women with fibromyalgia: comparison with healthy women

Cross-cultural adaptation and validation of a Bengali version of the modified fibromyalgia impact questionnaire

The Clinical Concept of Fibromyalgia as a Changing Paradigm in the Past 20 Years

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