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

1 Star2 Stars3 Stars4 Stars5 Stars (55 votes, average: 3.25 out of 5)
Loading...

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

pain.

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.

RESULTS:

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).

CONCLUSION:

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.”

1 Star2 Stars3 Stars4 Stars5 Stars (55 votes, average: 3.25 out of 5)
Loading...



Leave a Reply