Observation-based assessment of functional ability in patients with chronic widespread pain: A cross-sectional study
Evaluated with the Assessment of Motor and Process Skills (AMPS), functional disability in women with chronic widespread pain is substantial and places the individual at risk of need of support for community living. Knowledge about functional ability, including activities of daily living (ADL), in p...
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| Veröffentlicht in: | Pain (Amsterdam) 2011-11, Vol.152 (11), p.2470-2476 |
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| creator | Amris, Kirstine Wæhrens, Eva Ejlersen Jespersen, Anders Bliddal, Henning Danneskiold-Samsøe, Bente |
| description | Evaluated with the Assessment of Motor and Process Skills (AMPS), functional disability in women with chronic widespread pain is substantial and places the individual at risk of need of support for community living.
Knowledge about functional ability, including activities of daily living (ADL), in patients with chronic widespread pain (CWP) and fibromyalgia (FMS) is largely based on self-report. The purpose of this study was to assess functional ability by using standardised, observation-based assessment of ADL performance and to examine the relationship between self-reported and observation-based measures of disability. A total of 257 women with CWP, 199 (77%) fulfilling the American College of Rheumatology tender point criteria for FMS, were evaluated with the Assessment of Motor and Process Skills (AMPS), an observation-based assessment providing linear measures of ADL motor and ADL process skill ability (unit: logits). A cutoff for effortless and independent ADL task performance is set at 2.0 for the motor scale and 1.0 for the process scale. A total of 248 (96.5%) had ability measures below the 2.00 ADL motor cutoff and 107 (41.6%) below the 1.00 ADL process cutoff, indicating increased effort and/or inefficiency during task performance as well as a potential need of assistance for community living. Mean ADL motor ability measure was 1.07 and was significantly lower in patients diagnosed with FMS than plain CWP (1.02 vs 1.27 logits,
P
=
.001). Mean ADL process ability measure was 1.09 logits and was without difference between FMS and plain CWP (1.07 vs 1.16 logits,
P
=
.064). Only weak to moderate correlations between self-reported functional ability and observation-based AMPS ability measures were observed. The results of the study support the notion of considerable performance difficulties in women with CWP. The everyday life problems are substantial and place the individual at risk of need of support for community living. |
| doi_str_mv | 10.1016/j.pain.2011.05.027 |
| format | Article |
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Knowledge about functional ability, including activities of daily living (ADL), in patients with chronic widespread pain (CWP) and fibromyalgia (FMS) is largely based on self-report. The purpose of this study was to assess functional ability by using standardised, observation-based assessment of ADL performance and to examine the relationship between self-reported and observation-based measures of disability. A total of 257 women with CWP, 199 (77%) fulfilling the American College of Rheumatology tender point criteria for FMS, were evaluated with the Assessment of Motor and Process Skills (AMPS), an observation-based assessment providing linear measures of ADL motor and ADL process skill ability (unit: logits). A cutoff for effortless and independent ADL task performance is set at 2.0 for the motor scale and 1.0 for the process scale. A total of 248 (96.5%) had ability measures below the 2.00 ADL motor cutoff and 107 (41.6%) below the 1.00 ADL process cutoff, indicating increased effort and/or inefficiency during task performance as well as a potential need of assistance for community living. Mean ADL motor ability measure was 1.07 and was significantly lower in patients diagnosed with FMS than plain CWP (1.02 vs 1.27 logits,
P
=
.001). Mean ADL process ability measure was 1.09 logits and was without difference between FMS and plain CWP (1.07 vs 1.16 logits,
P
=
.064). Only weak to moderate correlations between self-reported functional ability and observation-based AMPS ability measures were observed. The results of the study support the notion of considerable performance difficulties in women with CWP. The everyday life problems are substantial and place the individual at risk of need of support for community living.</description><identifier>ISSN: 0304-3959</identifier><identifier>EISSN: 1872-6623</identifier><identifier>DOI: 10.1016/j.pain.2011.05.027</identifier><identifier>PMID: 21715094</identifier><identifier>CODEN: PAINDB</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier B.V</publisher><subject>Activities of Daily Living ; Adult ; Aged ; AMPS ; Anxiety - physiopathology ; Anxiety - psychology ; Biological and medical sciences ; Catastrophization - physiopathology ; Catastrophization - psychology ; Chronic Pain - physiopathology ; Chronic Pain - psychology ; Chronic widespread pain ; Cross-Sectional Studies ; Depression - physiopathology ; Depression - psychology ; Disability ; Diseases of striated muscles. Neuromuscular diseases ; Fatigue - physiopathology ; Fatigue - psychology ; Female ; Fibromyalgia ; Fibromyalgia - physiopathology ; Fibromyalgia - psychology ; Functional ability ; Fundamental and applied biological sciences. Psychology ; Health Status ; Humans ; Illness and personality ; Illness, stress and coping ; Medical sciences ; Middle Aged ; Neurology ; Observation-based assessment ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Self Report ; Young Adult</subject><ispartof>Pain (Amsterdam), 2011-11, Vol.152 (11), p.2470-2476</ispartof><rights>2011 International Association for the Study of Pain</rights><rights>Lippincott Williams & Wilkins, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4308-69c6a87ded2ff4cd4850975994c5f71edd765abd10ffd46679f9e46af5dc26aa3</citedby><cites>FETCH-LOGICAL-c4308-69c6a87ded2ff4cd4850975994c5f71edd765abd10ffd46679f9e46af5dc26aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27904,27905</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24694394$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21715094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amris, Kirstine</creatorcontrib><creatorcontrib>Wæhrens, Eva Ejlersen</creatorcontrib><creatorcontrib>Jespersen, Anders</creatorcontrib><creatorcontrib>Bliddal, Henning</creatorcontrib><creatorcontrib>Danneskiold-Samsøe, Bente</creatorcontrib><title>Observation-based assessment of functional ability in patients with chronic widespread pain: A cross-sectional study</title><title>Pain (Amsterdam)</title><addtitle>Pain</addtitle><description>Evaluated with the Assessment of Motor and Process Skills (AMPS), functional disability in women with chronic widespread pain is substantial and places the individual at risk of need of support for community living.
Knowledge about functional ability, including activities of daily living (ADL), in patients with chronic widespread pain (CWP) and fibromyalgia (FMS) is largely based on self-report. The purpose of this study was to assess functional ability by using standardised, observation-based assessment of ADL performance and to examine the relationship between self-reported and observation-based measures of disability. A total of 257 women with CWP, 199 (77%) fulfilling the American College of Rheumatology tender point criteria for FMS, were evaluated with the Assessment of Motor and Process Skills (AMPS), an observation-based assessment providing linear measures of ADL motor and ADL process skill ability (unit: logits). A cutoff for effortless and independent ADL task performance is set at 2.0 for the motor scale and 1.0 for the process scale. A total of 248 (96.5%) had ability measures below the 2.00 ADL motor cutoff and 107 (41.6%) below the 1.00 ADL process cutoff, indicating increased effort and/or inefficiency during task performance as well as a potential need of assistance for community living. Mean ADL motor ability measure was 1.07 and was significantly lower in patients diagnosed with FMS than plain CWP (1.02 vs 1.27 logits,
P
=
.001). Mean ADL process ability measure was 1.09 logits and was without difference between FMS and plain CWP (1.07 vs 1.16 logits,
P
=
.064). Only weak to moderate correlations between self-reported functional ability and observation-based AMPS ability measures were observed. The results of the study support the notion of considerable performance difficulties in women with CWP. The everyday life problems are substantial and place the individual at risk of need of support for community living.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>AMPS</subject><subject>Anxiety - physiopathology</subject><subject>Anxiety - psychology</subject><subject>Biological and medical sciences</subject><subject>Catastrophization - physiopathology</subject><subject>Catastrophization - psychology</subject><subject>Chronic Pain - physiopathology</subject><subject>Chronic Pain - psychology</subject><subject>Chronic widespread pain</subject><subject>Cross-Sectional Studies</subject><subject>Depression - physiopathology</subject><subject>Depression - psychology</subject><subject>Disability</subject><subject>Diseases of striated muscles. Neuromuscular diseases</subject><subject>Fatigue - physiopathology</subject><subject>Fatigue - psychology</subject><subject>Female</subject><subject>Fibromyalgia</subject><subject>Fibromyalgia - physiopathology</subject><subject>Fibromyalgia - psychology</subject><subject>Functional ability</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Health Status</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Observation-based assessment</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Self Report</subject><subject>Young Adult</subject><issn>0304-3959</issn><issn>1872-6623</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS0EokvhD3BAviBOCbbjODHiUlVQkCr1AmfLscdaL9kkeJKu9t_X6W7pjZM19vdmnt8Q8p6zkjOuPu_KycahFIzzktUlE80LsuFtIwqlRPWSbFjFZFHpWl-QN4g7xpgQQr8mF4I3vGZabsh81yGkezvHcSg6i-CpRQTEPQwzHQMNy-DWR9tT28U-zkcaBzplQQaQHuK8pW6bxiG6XHjAKYH1dHX2hV5Rl0bEAuGpB86LP74lr4LtEd6dz0vy-_u3X9c_itu7m5_XV7eFkxVrC6Wdsm3jwYsQpPOyzZ6bWmvp6tBw8L5Rte08ZyF4qVSjgwapbKi9E8ra6pJ8OvWd0vh3AZzNPqKDvrcDjAsazZiquNAsk-JEPvpNEMyU4t6mo-HMrGGbnVm_ZNawDatNDjuLPpzbL90e_D_JU7oZ-HgGLDrbh2QHF_GZkypDj5w8cYexnyHhn345QDJbsP28NXlt2aZWxTqb81wV61WbZV9PMsgZ3sesQJe34sDHlAM3foz_s_8AIWqviw</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Amris, Kirstine</creator><creator>Wæhrens, Eva Ejlersen</creator><creator>Jespersen, Anders</creator><creator>Bliddal, Henning</creator><creator>Danneskiold-Samsøe, Bente</creator><general>Elsevier B.V</general><general>Lippincott Williams & Wilkins, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20111101</creationdate><title>Observation-based assessment of functional ability in patients with chronic widespread pain: A cross-sectional study</title><author>Amris, Kirstine ; Wæhrens, Eva Ejlersen ; Jespersen, Anders ; Bliddal, Henning ; Danneskiold-Samsøe, Bente</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4308-69c6a87ded2ff4cd4850975994c5f71edd765abd10ffd46679f9e46af5dc26aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>AMPS</topic><topic>Anxiety - physiopathology</topic><topic>Anxiety - psychology</topic><topic>Biological and medical sciences</topic><topic>Catastrophization - physiopathology</topic><topic>Catastrophization - psychology</topic><topic>Chronic Pain - physiopathology</topic><topic>Chronic Pain - psychology</topic><topic>Chronic widespread pain</topic><topic>Cross-Sectional Studies</topic><topic>Depression - physiopathology</topic><topic>Depression - psychology</topic><topic>Disability</topic><topic>Diseases of striated muscles. Neuromuscular diseases</topic><topic>Fatigue - physiopathology</topic><topic>Fatigue - psychology</topic><topic>Female</topic><topic>Fibromyalgia</topic><topic>Fibromyalgia - physiopathology</topic><topic>Fibromyalgia - psychology</topic><topic>Functional ability</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Health Status</topic><topic>Humans</topic><topic>Illness and personality</topic><topic>Illness, stress and coping</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Observation-based assessment</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Self Report</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amris, Kirstine</creatorcontrib><creatorcontrib>Wæhrens, Eva Ejlersen</creatorcontrib><creatorcontrib>Jespersen, Anders</creatorcontrib><creatorcontrib>Bliddal, Henning</creatorcontrib><creatorcontrib>Danneskiold-Samsøe, Bente</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pain (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amris, Kirstine</au><au>Wæhrens, Eva Ejlersen</au><au>Jespersen, Anders</au><au>Bliddal, Henning</au><au>Danneskiold-Samsøe, Bente</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Observation-based assessment of functional ability in patients with chronic widespread pain: A cross-sectional study</atitle><jtitle>Pain (Amsterdam)</jtitle><addtitle>Pain</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>152</volume><issue>11</issue><spage>2470</spage><epage>2476</epage><pages>2470-2476</pages><issn>0304-3959</issn><eissn>1872-6623</eissn><coden>PAINDB</coden><abstract>Evaluated with the Assessment of Motor and Process Skills (AMPS), functional disability in women with chronic widespread pain is substantial and places the individual at risk of need of support for community living.
Knowledge about functional ability, including activities of daily living (ADL), in patients with chronic widespread pain (CWP) and fibromyalgia (FMS) is largely based on self-report. The purpose of this study was to assess functional ability by using standardised, observation-based assessment of ADL performance and to examine the relationship between self-reported and observation-based measures of disability. A total of 257 women with CWP, 199 (77%) fulfilling the American College of Rheumatology tender point criteria for FMS, were evaluated with the Assessment of Motor and Process Skills (AMPS), an observation-based assessment providing linear measures of ADL motor and ADL process skill ability (unit: logits). A cutoff for effortless and independent ADL task performance is set at 2.0 for the motor scale and 1.0 for the process scale. A total of 248 (96.5%) had ability measures below the 2.00 ADL motor cutoff and 107 (41.6%) below the 1.00 ADL process cutoff, indicating increased effort and/or inefficiency during task performance as well as a potential need of assistance for community living. Mean ADL motor ability measure was 1.07 and was significantly lower in patients diagnosed with FMS than plain CWP (1.02 vs 1.27 logits,
P
=
.001). Mean ADL process ability measure was 1.09 logits and was without difference between FMS and plain CWP (1.07 vs 1.16 logits,
P
=
.064). Only weak to moderate correlations between self-reported functional ability and observation-based AMPS ability measures were observed. The results of the study support the notion of considerable performance difficulties in women with CWP. The everyday life problems are substantial and place the individual at risk of need of support for community living.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier B.V</pub><pmid>21715094</pmid><doi>10.1016/j.pain.2011.05.027</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
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| subjects | Activities of Daily Living Adult Aged AMPS Anxiety - physiopathology Anxiety - psychology Biological and medical sciences Catastrophization - physiopathology Catastrophization - psychology Chronic Pain - physiopathology Chronic Pain - psychology Chronic widespread pain Cross-Sectional Studies Depression - physiopathology Depression - psychology Disability Diseases of striated muscles. Neuromuscular diseases Fatigue - physiopathology Fatigue - psychology Female Fibromyalgia Fibromyalgia - physiopathology Fibromyalgia - psychology Functional ability Fundamental and applied biological sciences. Psychology Health Status Humans Illness and personality Illness, stress and coping Medical sciences Middle Aged Neurology Observation-based assessment Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Self Report Young Adult |
| title | Observation-based assessment of functional ability in patients with chronic widespread pain: A cross-sectional study |
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