A comparison of clinical manifestations between posttraumatic and non-traumatic fibromyalgia patients / "Comparação das manifestações clínicas em pacientes portadores de fibromialgia traumática e não-traumática"
AUTOR(ES)
Marcelo Riberto
DATA DE PUBLICAÇÃO
2004
RESUMO
The aim of this work was to compare clinical aspects of fibromyalgia patients whose onset was related to traumatic events to idiopathic patients. One hundred and thirty fice consecutive patients were interviewed with a structured questionnaire about demographic aspects, work disability, pain characterization and the presence of symptoms not related to the locomotor system. Tender point count and dolorimetry were performed, as well as pain evaluation according to the visual analogue scale. The group of traumatic patients counted with 48 individuals, and presented with longer period of formal education (8,1 4,1 x 5,3 2,9 years; p <0,001), higher count of tender points (16,1 2,8 x 15,0 3,2; p = 0,047), shorter period since generalization of pain (5,6 6,9 x 4,1 2,6 years; p = 0,002), smaller prevalences of concentration difficulties (83,0% x 65,1%; p = 0,048) and abdominal cramps(45,8% x 26,4%; p = 0,036). There was an association between trauma and work disability. Any of remaining clinical aspects presented with statistically significant differences. We conclude that trauma imposes few clinical differences to fibromyalgia patients and does not explain the degree of work disability which is observed among them.
ASSUNTO(S)
pain measurement-methods fibromialgia-reabilitação lesões de tecidos moles-etiologia registros médicos medical records evolução clínica entrevistas estresse pós-traumático-etiologia fibromyalgia-rehabilitation interviews medição da dor-métodos posttraumtic stress-etiology avaliação da incapacidade clinical symptoms disability evaluation fibromyalgia-etiology clinical evolution fibromialgia-etiologia sintomas clínicos
