Mannerkorpi K, Ekdahl C
Department of Physical Therapy, Sahlgren University Hospital, Göteborg, Sweden.
Scand J Rheumatol. 1997;26(1):4-13. doi: 10.3109/03009749709065657.
Fibromyalgia syndrome (FMS) is characterized by diffuse widespread musculoskeletal pain. The aims of this literature study were to review measures and instruments used to assess functional limitations and disability in patients with FMS. A 10-year search was done on Medline, CATS, and CINAHL. Of the 73 articles found, only standardized instruments and tests permitting quantification were included. Reviews, trials of medication therapy, epidemiological studies, and measures of the psychological and impairment level were excluded. The articles were divided into cross-sectional and longitudinal studies. No studies evaluating the reliability, validity or sensitivity of the functional tests applied to the FMS were found. Of the disability instruments reviewed, only the Arthritis Impact Measurement Scales and Fibromyalgia Impact Questionnaire were evaluated for reliability and validity for the FMS population. The Arthritis Self-Efficacy Scales and Quality of Life Scale proved their sensitivity, detecting change in a controlled longitudinal study.
纤维肌痛综合征（FMS）的特征是广泛的肌肉骨骼疼痛。本文献研究的目的是回顾用于评估FMS患者功能受限和残疾情况的测量方法和工具。对Medline、CATS和CINAHL进行了为期10年的检索。在找到的73篇文章中，仅纳入了允许进行量化的标准化工具和测试。综述、药物治疗试验、流行病学研究以及心理和损伤水平的测量均被排除。这些文章分为横断面研究和纵向研究。未发现评估应用于FMS的功能测试的可靠性、有效性或敏感性的研究。在所回顾的残疾评估工具中，仅对关节炎影响测量量表和纤维肌痛影响问卷针对FMS人群的可靠性和有效性进行了评估。关节炎自我效能量表和生活质量量表在一项对照纵向研究中证明了其敏感性，能够检测出变化。
