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Arthritis Research & Therapy
Published in: Arthritis Research & Therapy 1/2016

Open Access 01-12-2016 | Research article

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

Authors: 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

Published in: Arthritis Research & Therapy | Issue 1/2016

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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 R2 = 0.42, p ≤ 0.001); MAF-ADL (adjusted R2 = 0.41, p ≤ 0.001); and SF-36-PF function (adjusted R2 = 0.34, p ≤ 0.001). For physical performance measures, movement pain and fatigue together predicted 6MWT distance (adjusted R2 = 0.42, p ≤ 0.001) and movement fatigue alone predicted performance time on the 5TSTS (adjusted R2 = 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.

Trial registration

NIH Clinicaltrials.gov Registration: NCT01888640. Registered 13 June 2013.
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Metadata
Title
Perceived function and physical performance are associated with pain and fatigue in women with fibromyalgia
Authors
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
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Arthritis Research & Therapy / Issue 1/2016
Electronic ISSN: 1478-6362
DOI
https://doi.org/10.1186/s13075-016-0954-9

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