Perceived function and physical performance are associated with pain and fatigue in women with fibromyalgia

Dana L Dailey; Laura A Frey Law; Carol G. T Vance; Barbara A Rakel; Ericka N Merriwether; Leon Darghosian; Meenakshi Golchha; Katharine M Geasland; Rebecca Spitz; Leslie J Crofford; Kathleen A Sluka

doi:10.1186/s13075-016-0954-9

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Perceived function and physical performance are associated with pain and fatigue in women with fibromyalgia

Journal article

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Perceived function and physical performance are associated with pain and fatigue in women with fibromyalgia

Dana L Dailey, Laura A Frey Law, Carol G. T Vance, Barbara A Rakel, Ericka N Merriwether, Leon Darghosian, Meenakshi Golchha, Katharine M Geasland, Rebecca Spitz, Leslie J Crofford, …

Arthritis research & therapy, Vol.18(1), pp.68-68

2016

DOI: 10.1186/s13075-016-0954-9

PMCID: PMC4793621

PMID: 26979999

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Abstract

Background: Fibromyalgia is a condition characterized by chronic widespread muscle pain and fatigue and associated with significant impairment in perceived function and reduced physical performance. The purpose of this study was to determine the degree to which pain and fatigue are associated with perceived function and physical performance in women with fibromyalgia. Methods: Hierarchical linear regression determined the contribution of pain and fatigue (Numeric Rating Scale (NRS) for resting, movement and combined) to perceived function (Fibromyalgia Impact Questionnaire Revised - Function Subscale, FIQR-Function), Multidimensional Assessment of Fatigue - Activities of Daily Living (MAF-ADL) and SF-36 Physical Function Subscale (SF-36-PF) and physical performance (6-Minute Walk Test, 6MWT and Five Time Sit To Stand, 5TSTS) while controlling for age, body mass index, pain catastrophizing, fear of movement, anxiety, and depression in women with fibromyalgia (N = 94). Results: For perceived function, movement pain and movement fatigue together better predicted FIQR-function (adjusted R(2) = 0.42, p ≤ 0.001); MAF-ADL (adjusted R(2) = 0.41, p ≤ 0.001); and SF-36-PF function (adjusted R(2) = 0.34, p ≤ 0.001). For physical performance measures, movement pain and fatigue together predicted 6MWT distance (adjusted R(2) = 0.42, p ≤ 0.001) and movement fatigue alone predicted performance time on the 5TSTS (adjusted R(2) = 0.20, p ≤ 0.001). Conclusions: Pain and fatigue are significantly associated with and explain more than one-third of the variance in perceived function and physical performance in women with fibromyalgia.

Details

Title: Subtitle: Perceived function and physical performance are associated with pain and fatigue in women with fibromyalgia
Creators: Dana L Dailey - Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, 1-252 MEB, 500 Newton Road, Iowa City, IA 52242 USA
Laura A Frey Law - Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, 1-252 MEB, 500 Newton Road, Iowa City, IA 52242 USA
Carol G. T Vance - Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, 1-252 MEB, 500 Newton Road, Iowa City, IA 52242 USA
Barbara A Rakel - Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, 1-252 MEB, 500 Newton Road, Iowa City, IA 52242 USA
Ericka N Merriwether - Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, 1-252 MEB, 500 Newton Road, Iowa City, IA 52242 USA
Leon Darghosian - Department of Medicine, Division of Rheumatology & Immunology, Vanderbilt University, 1161 21st Avenue South, Nashville, TN 37232 USA
Meenakshi Golchha - Department of Medicine, Division of Rheumatology & Immunology, Vanderbilt University, 1161 21st Avenue South, Nashville, TN 37232 USA
Katharine M Geasland - Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, 1-252 MEB, 500 Newton Road, Iowa City, IA 52242 USA
Rebecca Spitz - Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, 1-252 MEB, 500 Newton Road, Iowa City, IA 52242 USA
Leslie J Crofford - Department of Medicine, Division of Rheumatology & Immunology, Vanderbilt University, 1161 21st Avenue South, Nashville, TN 37232 USA
Kathleen A Sluka - Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, 1-252 MEB, 500 Newton Road, Iowa City, IA 52242 USA
Resource Type: Journal article
Publication Details: Arthritis research & therapy, Vol.18(1), pp.68-68
DOI: 10.1186/s13075-016-0954-9
PMID: 26979999
PMCID: PMC4793621
NLM abbreviation: Arthritis Res Ther
ISSN: 1478-6354
eISSN: 1478-6362
Publisher: BioMed Central; London
Grant note: UM1 AR06338; UM1 AR06338-S1 / ;
Language: English
Date published: 2016
Academic Unit: Clinical Research Unit; Iowa Neuroscience Institute; Nursing; Physical Therapy and Rehabilitation Science; Neuroscience and Pharmacology
Record Identifier: 9984047776502771

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