Cardoso Fábio de Souza, Curtolo Murilo, Natour Jamil, Lombardi Júnior Império
The Universidade Federal de São Paulo, Brazil.
Rev Bras Reumatol. 2011 Jul-Aug;51(4):338-43, 349-50.
To assess the quality of life, muscle strength and functional capacity in women with fibromyalgia (FM).
Cross-sectional study carried out with 31 female volunteers (age range, 35 to 60 years), paired in two groups (16 with FM, and 15 in the control group). Both groups underwent the following assessments: one-repetition maximum (1RM) of knee flexors and extensors; quality of life (application of the SF-36 questionnaire); 6-minute walk test (6MWT); pinch strengths (tripod, pulp-to-pulp, and key) and handgrip strength.
A significant difference between the groups was observed in the following variables: handgrip strength; pulp-to-pulp and tripod pinch strength of both hands; and the 1RM test of knee flexors and extensors in both limbs (P < 0.05). Only the key pinch showed no statistical difference between groups for both limbs (P > 0.05). The 6MWT also showed a statistical difference between the groups (P < 0.01). The SF-36 showed that women with FM have reduced functional capacity, increased bodily pain, and worsened general health status (P < 0.05).
The results revealed, in women with FM, a reduction in the following: muscle strength in the upper and lower limbs; the distance walked in the 6MWT; and quality of life.
评估纤维肌痛（FM）女性患者的生活质量、肌肉力量和功能能力。
对31名女性志愿者（年龄范围35至60岁）进行横断面研究，分为两组（16名FM患者，15名对照组）。两组均接受以下评估：膝部屈肌和伸肌的一次重复最大负荷（1RM）；生活质量（应用SF - 36问卷）；6分钟步行试验（6MWT）；捏力（三脚架式、指腹对指腹式和钥匙式）和握力。
在以下变量中观察到两组之间存在显著差异：握力；双手的指腹对指腹式和三脚架式捏力；以及双下肢膝部屈肌和伸肌的1RM测试（P < 0.05）。仅钥匙式捏力在两组双下肢之间无统计学差异（P > 0.05）。6MWT在两组之间也显示出统计学差异（P < 0.01）。SF - 36显示FM女性患者功能能力下降、身体疼痛增加且总体健康状况恶化（P < 0.05）。
结果显示，FM女性患者存在以下方面的降低：上下肢肌肉力量；6MWT中的步行距离；以及生活质量。
