Fibromyalgia Syndrome Case Study

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Abstract

Introduction: Fibromyalgia syndrome (FMS) can be defined as a chronic musculoskeletal disease with widespread pain and tender points on specific anatomical regions. FMS affects quality of life and causes severe chronic pain, depressed mood and possible muscle weakness. In this study we aimed to investigate the possible relationship between clinical findings, hand grip strength and quality of life in patients with FMS.

Material and methods: Fifty consecutive women who fulfilled the 1990 American College of Rheumatology criterial for FMS were included in this study and compared with 40 age and BMI matched female healthy controls. Pain assessment was performed visual pain scales (VPS) and functional pain scale (FPS). Saehan hydraulic hand grip dynamometer was used for assessing patient and control groups hand grip strength. Beck Depression Inventory was used for evaluating patient and control groups’ mental status. For patients’ functional assessment were used Fibromyalgia Impact Scale. Short form 36 (SF-36) were investigated for quality of life of patients and the control group. It has a high reliability and validity for FMS patients.

Results: In FMS patients, the mean number of tender points was 15.0±1.79 (range, 12-18), the mean
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Also many studies have shown that patients with FMS have impaired physical performance and mental health compared with other painful disease (19,20). We have found significantly less physical functioning and mental health SF-36 scores in FMS group. This reduction should be secondary to deterioration of physical condition or reduction to physical performance. Low maximum voluntary muscle strength in patients with FMS are not diagnostic. It can be seen together myofascial pain syndrome, rheumatoid arthritis and other rheumatic

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