Performance-based assessment of activities of daily living (ADL) ability among women with chronic widespread pain

Wæhrens, Eva Ejlersen; Amris, Kirstine; Fisher, Anne G.

doi:10.1016/j.pain.2010.06.008

Cited by 38 publications

(38 citation statements)

References 45 publications

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“…In the present study, the lowest correlation was found between the ADL-I measures and the AMPS ADL process ability measures. Similar patterns have been found in previous studies among other diagnostic groups (7,27,28). Waehrens et al (27) found a low correlation between self-reported ADL ability based on the Fibromyalgia Impact Questionnaire (FIQ) and the AMPS ADL motor ability measures and no correlation between the FIQ scores and the AMPS ADL process ability measures in a sample of women with fibromyalgia.…”

Section: Discussionsupporting

confidence: 82%

“…Similar patterns have been found in previous studies among other diagnostic groups (7,27,28). Waehrens et al (27) found a low correlation between self-reported ADL ability based on the Fibromyalgia Impact Questionnaire (FIQ) and the AMPS ADL motor ability measures and no correlation between the FIQ scores and the AMPS ADL process ability measures in a sample of women with fibromyalgia. In addition, Waehrens et al (7) also found very low correlations between measures of self-reported ADL ability based on the ADL-I and the ADL-Questionnaire (ADL-Q) and the AMPS ADL process ability measures, respectively, in women with rheumatoid arthritis, knee osteoarthritis, and fibromyalgia.…”

Section: Discussionsupporting

confidence: 82%

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Occupational therapy evaluation: use of self-report and/or observation?

Nielsen

Wæhrens

2014

Scandinavian Journal of Occupational Therapy

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 82%

Occupational therapy evaluation: use of self-report and/or observation?

Nielsen

Wæhrens

2014

Scandinavian Journal of Occupational Therapy

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“…Many modern clinical studies on pain and stiffness rely on tests performed in the clinic [26][27][28][29], which are necessarily infrequent, as many tests are invasive and require expensive clinic times. Moreover, in the case of morning stiffness, the clinic assessment cannot be A high correlation between 5×STS test duration and pain severity was demonstrated.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Observational Study of a Wearable Sensor and Smartphone Application Supporting Unsupervised Exercises to Assess Pain and Stiffness

et al. 2018

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Background: Evaluation of pain and stiffness in patients with arthritis is largely based on participants retrospectively reporting their self-perceived pain/stiffness. This is subjective and may not accurately reflect the true impact of therapeutic interventions. We now have access to sensor-based systems to continuously capture objective information regarding movement and activity. Objectives: We present an observational study aimed to collect sensor data from participants monitored while performing an unsupervised version of a standard motor task, known as the Five Times Sit to Stand (5×STS) test. The first objective was to explore whether the participants would perform the test regularly in their home environment, and do so in a correct and consistent manner. The second objective was to demonstrate that the measurements collected would enable us to derive an objective signal related to morning pain and stiffness. Methods: We recruited a total of 45 participants, of whom 30 participants fulfilled pre-defined criteria for osteoarthritis, rheumatoid arthritis, or psoriatic arthritis and 15 participants were healthy volunteers. All participants wore accelerometers on their wrists, day and night for about 4 weeks. The participants were asked to perform the 5×STS test in their own home environment at the same time in the morning 3 times per week. We investigated the relationship between pain/stiffness and measurements collected during the 5×STS test by comparing the 5×STS test duration with the patient-reported outcome (PRO) questionnaires, filled in via a smartphone. Results: During the study, we successfully captured accelerometer data from each participant for a period of 4 weeks. The participants performed 56% of the prescribed 5×STS tests. We observed that different tests made by the same participants were performed with subject-specific characteristics that remained consistent throughout the study. We showed that 5×STS test duration (the time taken to complete the 5×STS test) was significantly and robustly associated with the pain and stiffness intensity reported via the PROs, particularly the questions asked in the morning. Conclusions: This study demonstrates the feasibility and usefulness of regular, sensor-based, monitored, unsupervised physical tests to objectively assess the impact of disease on function in the home environment. This approach may permit remote disease monitoring in clinical trials and support the development of novel endpoints from passively collected actigraphy data.

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“…Two domains of ADL performance are evaluated: ADL motor skills (moving self and objects) and ADL process skills (organizing and adapting actions). Several studies support good test-retest and rater reliability as well as validity of the AMPS including in CWP populations [26]. AMPS evaluations were performed by trained and calibrated AMPS raters.…”

Section: Methodsmentioning

confidence: 99%

The Relationship between Mechanical Hyperalgesia Assessed by Manual Tender Point Examination and Disease Severity in Patients with Chronic Widespread Pain: A Cross-Sectional Study

Amris

Wæhrens

Jespersen

et al. 2014

International Journal of Rheumatology

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The clinical utility of tender point (TP) examination in patients reporting chronic widespread pain (CWP) is the subject of contemporary debate. The objective of this study was to assess the relationship between mechanical hyperalgesia assessed by manual TP examination and clinical disease severity. 271 women with CWP were recruited from a clinical setting. Data collection included patient-reported symptoms, health-related quality of life variables, and observation-based measures of functional ability, muscle strength, 6-minute walk, and pressure pain thresholds measured by cuff algometry. TP examination was conducted according to ACR-guidelines. Relationships between disease variables and TP count (TPC) were analyzed with logistic regression in a continuum model, allowing the TPC to depend on the included disease variables and two regression models carried out for a TPC threshold level, varying between 1 and 17. The threshold analyses indicated a TPC threshold at 8, above which a large number of disease variables became consistently significant explanatory factors, whereas none of the disease variables reached a significance level in the continuum model. These results support the premise that the presence of mechanical hyperalgesia influences symptomatology in CWP and that the severity of clinical expression is related to a threshold of TPs, rather than being part of a continuum.

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Performance-based assessment of activities of daily living (ADL) ability among women with chronic widespread pain

Cited by 38 publications

References 45 publications

Occupational therapy evaluation: use of self-report and/or observation?

Occupational therapy evaluation: use of self-report and/or observation?

Observational Study of a Wearable Sensor and Smartphone Application Supporting Unsupervised Exercises to Assess Pain and Stiffness

The Relationship between Mechanical Hyperalgesia Assessed by Manual Tender Point Examination and Disease Severity in Patients with Chronic Widespread Pain: A Cross-Sectional Study

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