Including a Range of Outcome Targets Offers a Broader View of Fibromyalgia Treatment Outcome: Results from a Retrospective Review of Multidisciplinary Treatment

BackgroundFibromyalgia is associated with substantial functional disability. Current drug and non‐drug treatments result in statistically significant but numerically small improvements in typical numeric measures of pain severity and fibromyalgia impact. ObjectiveThe aim of the present study was to...

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Bibliographic Details
Published in:Musculoskeletal care 2014-06, Vol.12 (2), p.74-81
Main Authors: Marcus, Dawn A., Bernstein, Cheryl D., Haq, Adeel, Breuer, Paula
Format: Article
Language:English
Subjects:
Activities of daily living
Adult
Aged
Aged, 80 and over
clinically meaningful
Cognitive Therapy
Combined Modality Therapy
Exercise Therapy
Female
Fibromyalgia
Fibromyalgia - physiopathology
Fibromyalgia - rehabilitation
Fibromyalgia - therapy
Humans
Male
Medical research
Middle Aged
Pain
pain drawing
Pain Measurement
Patient Education as Topic
Range of Motion, Articular
repetitions
Retrospective Studies
Spine - physiopathology
Treatment Outcome
walking
Young Adult
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Summary:BackgroundFibromyalgia is associated with substantial functional disability. Current drug and non‐drug treatments result in statistically significant but numerically small improvements in typical numeric measures of pain severity and fibromyalgia impact. ObjectiveThe aim of the present study was to evaluate additional measures of pain severity and functional outcome that might be affected by fibromyalgia treatment. MethodsThis retrospective review evaluated outcomes from 274 adults with fibromyalgia who participated in a six‐week, multidisciplinary treatment programme. Pain and function were evaluated on the first and final treatment visit. Pain was evaluated using an 11‐point numerical scale to determine clinically meaningful pain reduction (decrease ≥ 2 points) and from a pain drawing. Function was evaluated by measuring active range of motion (ROM), walking distance and speed, upper extremity exercise repetitions, and self‐reports of daily activities. ResultsNumerical rating scores for pain decreased by 10–13% (p 
ISSN:1478-2189
1557-0681
DOI:10.1002/msc.1056