Abstract: Fibromyalgia and working ability–experience of a rheumatological appreciation center

Schweiz Rundsch Med Prax. 2004 Jul 28;93(31-32):1235-9. [Article in German] Van Linthoudt D. Service de rhumatologie, medecine physique et rehabilitation, Hopital communal, La Chaux-de-Fonds. Daniel.VanLinthoudt@ne.ch

Fibromyalgia is a painful syndrome frequently leading to a rheumatological expertise. Between January 1998 and August 2003, 260 medical appraisals were carried out in the department. Forty-three people matched the fibromyalgia classification criteria proposed by the American College of Rheumatology. This number represents a twofold increase compared to the period ranging from 1968 to 1997. One quarter were men. The group of people with fibromyalgia (Exp. FM+) was compared with a group of patients undergoing a similar evaluation without fibromyalgia (Exp. FM-), matched for age and sex. There were no differences concerning the demographic characteristics nor increase in obesity, heart rate or decreased blood pressure in the Exp. FM+ group.

In people mentioning back pain, Waddell tests for a non organic origin of the pain tended to be more present in this group. There were no more triggering events, heavy labor workers or a decreased education level in the Exp. FM+ group. Fatigue, sadness, irritability and evocation of suicide were more frequently noted in the fibromyalgia group. People with work disablement higher than 50% were no more numerous in the Exp. FM+ group. Similarly, the working ability level in the last job or in an appropriated job was not decreased in the Exp. FM+ group.

In this study, comparison between people with and without fibromyalgia yielded no great differences and working ability was regarded to be equivalent. PMID: 15453145 [PubMed – in process]

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