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Musculoskeletal complaints & fibromyalgia (FM) in patients attending a respiratory sleep disorders clinic

  [ 55 votes ]   [ Discuss This Article ]
By Donald F, Esdaile JM, Kimoff JR, Fitzcharles MA • • September 9, 1996

OBJECTIVE: To determine the frequency of fibromyalgia (FM) syndrome
and reporting of pain in an unselected group of patients
attending a respiratory sleep disorders clinic, and to examine
the association of physical activity and levels of reported

METHODS: 108 consecutive patients attending a
respiratory sleep disorders clinic were interviewed and
examined, blind to sleep disorder status. Assessment of
musculoskeletal pain symptoms included patient history of
pain, painful sites marked on a mannequin, visual analog
scale (VAS) pain score, and tender point count. Daily
physical activity was recorded, and all patients underwent
nocturnal polysomnography, blind to clinical status.

FM was identified in 3 patients (2.7%). Pain reporting was
more strongly associated with reduced physical activity than
with a specific sleep disorder. Patients with reduced physical
activity were more likely to have pain symptoms than
physically active patients: tender point count > or = 6 (p =
0.002), > or = 3 sites marked on mannequin (p = 0.008), axial
pain (p = 0.003), and VAS pain score (p = 0.008).

FM by defined criteria was uncommon in patients with a
primary complaint of disturbed sleep, and in particular,
patients with sleep apnea. Reduced physical activity was
strongly associated with reported pain symptoms.

MCM: "FM was uncommon in pts with a primary complaint of
disturbed sleep and in particular patients with sleep apnea."

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