纤维肌痛女性日常生活活动能力低下：一项横断面研究。
Ineffective ADL skills in women with fibromyalgia: a cross-sectional study.
作者信息
Von Bülow Cecilie, Amris Kirstine, La Cour Karen, Danneskiold-Samsøe Bente, Wæhrens Eva Ejlersen
机构信息
a The Parker Institute, Department of Rheumatology , Copenhagen University Hospital , Bispebjerg and Frederiksberg , Denmark .
b The Research Initiative for Activity Studies and Occupational Therapy, General Practice, Department of Public Health , University of Southern Denmark , Odense , Denmark , and.
出版信息
Scand J Occup Ther. 2016 Sep;23(5):391-7. doi: 10.3109/11038128.2015.1095237. Epub 2015 Oct 15.
BACKGROUND
Subgroups of women with fibromyalgia likely show different activity of daily living (ADL) skill deficits. Identifying ineffective ADL skills of significance in the 'typical' woman with fibromyalgia will promote the planning of targeted occupational therapy interventions aiming at improving ADL ability.
OBJECTIVE
To identify frequently reported ADL skill deficits of significance in subgroups of women with fibromyalgia who have decreased ADL motor ability in combination with decreased or competent ADL process ability.
METHOD
Women with fibromyalgia were evaluated with the Assessment of Motor and Process Skills (AMPS). If they demonstrated decreased ADL motor ability, the calibrated AMPS raters identified and reported ineffective ADL skills of significance. Descriptive comparisons were made between subgroups displaying either decreased or competent ADL process ability.
RESULTS
Moves, calibrates, bends, reaches, and paces were identified as the most frequently reported ineffective ADL skills of significance within the total sample (n = 188). The ADL process skills items organise and accommodate were identified as ineffective only in the subgroup with decreased ADL process ability (n = 105).
CONCLUSION
It is suggested that clinicians modify the individual's tasks and environments to compensate for identified ineffective ADL skills and to use the AMPS to differentiate interventions in women with fibromyalgia.
背景
纤维肌痛女性亚组可能表现出不同的日常生活活动（ADL）技能缺陷。识别“典型”纤维肌痛女性中具有重要意义的无效ADL技能，将有助于规划旨在提高ADL能力的针对性职业治疗干预措施。
目的
识别在ADL运动能力下降且ADL过程能力下降或正常的纤维肌痛女性亚组中经常报告的具有重要意义的ADL技能缺陷。
方法
使用运动和过程技能评估（AMPS）对纤维肌痛女性进行评估。如果她们表现出ADL运动能力下降，经过校准的AMPS评估者会识别并报告具有重要意义的无效ADL技能。对ADL过程能力下降或正常的亚组进行描述性比较。
结果
在总样本（n = 188）中，移动、校准、弯曲、够取和踱步被确定为最常报告的具有重要意义的无效ADL技能。ADL过程技能项目“组织”和“适应”仅在ADL过程能力下降的亚组（n = 105）中被确定为无效。
结论
建议临床医生修改个体的任务和环境，以弥补已识别的无效ADL技能，并使用AMPS来区分针对纤维肌痛女性的干预措施。
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