Skip to main content
Top
Published in: Rheumatology International 1/2012

01-01-2012 | Original Article

The relationship between tender point count and disease severity in patients with primary fibromyalgia

Authors: Ali Salli, Halim Yilmaz, Hatice Ugurlu

Published in: Rheumatology International | Issue 1/2012

Login to get access

Abstract

Objective of this study is to asses the relationship between tender point count (TPC) and the severity of disease in patients with primary fibromyalgia (FM). One hundred and seven female patients with FM diagnosis according to ACR criteria were included to the study. Main outcome measures were fibromyalgia impact questionnaire (FIQ), Beck depression inventory (BDI), visual analog scale (VAS) and tender point assessment. Mean TPC was 14.66 ± 2.50 and mean VAS was 6.6 ± 1.2 cm. Mean total FIQ score and BDI was 62.75 ± 15.57 and 16.17 ± 7.12, respectively. TPC was correlated positively with FIQ and VAS scores. There was no correlation between TPC and age and duration of symptoms. In conclusion, TPC is a simple and noninvasive examination finding that can supply information about the disease severity and the depression in FM.
Literature
1.
go back to reference McBeth J, Macfarlane GJ, Benjamin S, Morris S, Silman AJ (1999) The association between tender points, physicological distress and adverse childhood experiences. Arthritis Rheum 42(7):1397–1404PubMedCrossRef McBeth J, Macfarlane GJ, Benjamin S, Morris S, Silman AJ (1999) The association between tender points, physicological distress and adverse childhood experiences. Arthritis Rheum 42(7):1397–1404PubMedCrossRef
2.
go back to reference Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL et al (1990) The American college of rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis Rheum 33:160–172PubMedCrossRef Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL et al (1990) The American college of rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis Rheum 33:160–172PubMedCrossRef
3.
go back to reference Tastekin N, Birtane M, Uzunca K (2007) Which of the three different tender points assessment methods is more useful for predicting the severity of fibromyalgia syndrome? Rheumatol Int 27:447–451PubMedCrossRef Tastekin N, Birtane M, Uzunca K (2007) Which of the three different tender points assessment methods is more useful for predicting the severity of fibromyalgia syndrome? Rheumatol Int 27:447–451PubMedCrossRef
4.
go back to reference Hisli N (1998) Beck depresyon envaterinin geçerliliği üzerine bir çalışma. Psikoloji dergisi 6:118–122 Hisli N (1998) Beck depresyon envaterinin geçerliliği üzerine bir çalışma. Psikoloji dergisi 6:118–122
5.
go back to reference Burckhardt CS, Clark SR, Bennett RM (1991) The fibromyalgia impact questionnaire:development and validation. J Rheumatol 18:728–733PubMed Burckhardt CS, Clark SR, Bennett RM (1991) The fibromyalgia impact questionnaire:development and validation. J Rheumatol 18:728–733PubMed
6.
go back to reference Dunkl PR, Taylor AG, McConnel GG, Alfano AP, Conaway MR (2000) Responsiveness of fibromyalgia clinical trial outcome measures. J Rheumatol 27:2683–2691PubMed Dunkl PR, Taylor AG, McConnel GG, Alfano AP, Conaway MR (2000) Responsiveness of fibromyalgia clinical trial outcome measures. J Rheumatol 27:2683–2691PubMed
7.
go back to reference Sarmer S, Ergin S, Yavuzer G (2000) The validity and reliability of the Turkish version of fibromyalgia impact questionnaire. Rheumatol Int 20(1):9–12PubMedCrossRef Sarmer S, Ergin S, Yavuzer G (2000) The validity and reliability of the Turkish version of fibromyalgia impact questionnaire. Rheumatol Int 20(1):9–12PubMedCrossRef
8.
go back to reference McVeigh JG, Finch MB, Hurley DA, Basford JR, Sim J, Baxter GD (2007) Tender point count and total myalgic score in fibromyalgia changes over a 28-day period. Rheumatol Int 27:1011–1018PubMedCrossRef McVeigh JG, Finch MB, Hurley DA, Basford JR, Sim J, Baxter GD (2007) Tender point count and total myalgic score in fibromyalgia changes over a 28-day period. Rheumatol Int 27:1011–1018PubMedCrossRef
9.
go back to reference Gupta A, McBeth J, Macfarlane GJ, Morris R, Dickens C, Ray D, Chiu YH, Silman AJ (2007) Pressure pain thresholds and tender pain counts as predictors of new chronic widespread pain in somatising subjects. Ann Rheum Dis 66:517–521PubMedCrossRef Gupta A, McBeth J, Macfarlane GJ, Morris R, Dickens C, Ray D, Chiu YH, Silman AJ (2007) Pressure pain thresholds and tender pain counts as predictors of new chronic widespread pain in somatising subjects. Ann Rheum Dis 66:517–521PubMedCrossRef
10.
go back to reference Croft P, Schollum J, Silman A (1994) Population study of tender point counts and pain as evidence of fibromyalgia. BMJ 309:696–699PubMedCrossRef Croft P, Schollum J, Silman A (1994) Population study of tender point counts and pain as evidence of fibromyalgia. BMJ 309:696–699PubMedCrossRef
11.
go back to reference Wolfe F (1997) The relation between tender points and fibromyalgia symptom variables: evidence that fibromyalgia is not a discrete disorder in the clinic. Ann Rheum Dis 56:268–271PubMedCrossRef Wolfe F (1997) The relation between tender points and fibromyalgia symptom variables: evidence that fibromyalgia is not a discrete disorder in the clinic. Ann Rheum Dis 56:268–271PubMedCrossRef
12.
go back to reference McCarberg B, Barkin RL, Wright JA, Cronan TA, Groessl E, Schmidt SM (2003) Tender points as predictors of distress and the pharmacologic management of fibromyalgia syndrome. Am J Ther 10:176–192PubMedCrossRef McCarberg B, Barkin RL, Wright JA, Cronan TA, Groessl E, Schmidt SM (2003) Tender points as predictors of distress and the pharmacologic management of fibromyalgia syndrome. Am J Ther 10:176–192PubMedCrossRef
13.
go back to reference Schotat T, Raspe H (2003) Elements of fibromyalgia in an open population. Rheumatology Oxford 42:829–835CrossRef Schotat T, Raspe H (2003) Elements of fibromyalgia in an open population. Rheumatology Oxford 42:829–835CrossRef
14.
15.
go back to reference Bellamy N, Sothern RB, Campbell J (2004) Aspects of diurnal rhytmicity in pain, stiffness, and fatigue in patients with fibromyalgia. J Rheumatol 31:379–389PubMed Bellamy N, Sothern RB, Campbell J (2004) Aspects of diurnal rhytmicity in pain, stiffness, and fatigue in patients with fibromyalgia. J Rheumatol 31:379–389PubMed
16.
go back to reference Fietta P, Fietta P, Manganelli P (2007) Fibromyalgia and psychiatric disorders. Acta Biomed 78:88–95PubMed Fietta P, Fietta P, Manganelli P (2007) Fibromyalgia and psychiatric disorders. Acta Biomed 78:88–95PubMed
Metadata
Title
The relationship between tender point count and disease severity in patients with primary fibromyalgia
Authors
Ali Salli
Halim Yilmaz
Hatice Ugurlu
Publication date
01-01-2012
Publisher
Springer-Verlag
Published in
Rheumatology International / Issue 1/2012
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-010-1580-5

Other articles of this Issue 1/2012

Rheumatology International 1/2012 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.