Background: 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, and is associated to high prevalence of emotional disturbances including depression.
Objective: The aim of study was 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 VPS score was 7.70 ± 1.75 cm, the mean FPS score was 6.64 ± 1.42 cm. The most common application complaints were body pain, back pain and headache. In our study, particularly morning stiffness, nonrestorative sleep, paresthesia complaints were found statistically significant effects on quality of life and depressive mood (p<0.05). In patients with FMS, hand grip strength was inversely correlated with SF 36 total scores and SF-36 subgroup scores (p<0.05).
Conclusion: Decreasing hand grip strength was influenced by neither the intensity of pain nor the motivation of patients. Muscle weakness in FMS patients can be responsible for physical inactivity due to the pain and physical decondition of muscles. We suggested that hand grip strength can be used for as a marker of quality of life not for diagnostic evaluation.
Group 1(No psychiatric condition)
Group 2(pain related depression)
Group 3(Depression with concomittant FMS)
|Group 4 (somatization)||p value across categories|
|Hand grip strength (kg/force)||47.89 ± 10.31||47.66 ± 6.77||47.5 ± 8.42||41.67 ± 13.86||0.078|
|FIQ total scores||69.90 ± 13.30||73.66 ± 12.85||73.17 ± 15.21||75.21 ± 5.23||0.094|
|BDI total scores||13.21 ± 7.90||22.86 ± 11.65||28.28 ± 15.21||27.01 ± 10.23||0.006|
|SF 36 physical health||57.83 ± 7.20||47.63 ± 8.94||43.26 ± 8.54||57.54 ± 15.69||0.034|
|SF 36 mental health||63.07 ± 6.14||47.54 ± 5.21||42.82 ± 6.41||56.12 ± 5.42||0.001|
|SF 36 total scores||61.41 ± 4.81||49.63 ± 9.23||44.05 ± 5.68||60.38 ± 15.69||0.002|
Citation: Harman H, Öne? K, Ayna AB (2015) The Effects of Hand Grip Strength and Clinical Findings to Quality of Life in Fibromyalgia Syndrome. J Orthop Res Physiother 1: 019.
Copyright: © 2015 Halil Harman, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.