von Bülow Cecilie, Amris Kirstine, la Cour Karen, Danneskiold-Samsøe Bente, Ejlersen Eva Wæhrens
Department of Rheumatology, The Parker Institute, Frederiksberg Hospital, Nordre Fasanvej 57, DK-2000 Frederiksberg, Denmark.
J Rehabil Med. 2015 Nov;47(10):941-7. doi: 10.2340/16501977-2021.
To investigate whether the Assessment of Motor and Process Skills (AMPS), the physical function subscales of the Fibromyalgia Impact Questionnaire (FIQ PF) and the 36-item Short Form (SF-36 PF) can identify subgroups of women with fibromyalgia with clinically relevant differences in ability to perform activities of daily living.
Cross-sectional study.
A total of 257 women with fibromyalgia.
Participants were evaluated with the AMPS (measuring activities of daily living motor and activities of daily living process ability), FIQ and SF-36. AMPS independence cut-offs were used to divide the participants into 4 subgroups. Clinically relevant differences between subgroups were investigated based on the AMPS, FIQ PF and SF-36 PF.
Participants in the 4 AMPS-derived subgroups demon-strated clinically relevant differences in observed activities of daily living motor and process ability. Neither the FIQ PF nor the SF-36 PF could differentiate between subgroups with clinically relevant differences in AMPS activities of daily living process ability.
Activities of daily living process skills reflect underlying organizational and adaptive capacities of the individual and are relevant targets for interventions aiming at improving activities of daily living ability. Since self-report instruments do not capture differences in activities of daily living process ability, clinicians should include observations-based assessment of activities of daily living ability in order to individualize interventions offered.
探讨运动与过程技能评估（AMPS）、纤维肌痛影响问卷（FIQ PF）的身体功能分量表以及36项简明健康状况调查（SF-36 PF）能否识别出在日常生活活动能力方面存在临床相关差异的纤维肌痛女性亚组。
横断面研究。
共257名纤维肌痛女性。
采用AMPS（测量日常生活活动的运动能力和日常生活活动的过程能力）、FIQ和SF-36对参与者进行评估。使用AMPS独立性临界值将参与者分为4个亚组。基于AMPS、FIQ PF和SF-36 PF调查亚组之间的临床相关差异。
4个源自AMPS的亚组参与者在观察到的日常生活活动运动能力和过程能力方面表现出临床相关差异。FIQ PF和SF-36 PF均无法区分在AMPS日常生活活动过程能力方面存在临床相关差异的亚组。
日常生活活动过程技能反映了个体潜在的组织和适应能力，是旨在提高日常生活活动能力的干预措施的相关目标。由于自我报告工具无法捕捉日常生活活动过程能力的差异，临床医生应纳入基于观察的日常生活活动能力评估，以便使所提供的干预措施个性化。
