Comparação clínica e funcional de pacientes com fibromialgia e dor miofascial

Abstract

The objective of this paper is to determine the similarities and differences between women with fibromyalgia and women with miofascial syndrome. A total of 26 women were studied who fulfill the American College of Rheumatology for the Classification of Fibromyalgia and 18 female patients with regional miofascial pain associated with localized tender or trigger point in the affected region. METHODOLOGY: lt was used the Pain and Fatigue Analogic Scales (PAS and FAS); Health Assessment Questionnaire (HAQ); Fibromyalgia Impact Questionnaire (FIQ); Post-sleep Inventory (PSI); Beck Depression Inventory (BDI), tender point count and classical clinical observation. RESULTS: The fibromyalgia group presented the following mean results: PAS – 7.7 (5–10); FAS - 6.8 (0 – 10); HAQ – 1.26 (0.12 – 2.37); PSI – 81.2 (29 –110) and FIQ – 58.4 (33.0 - 80.71). The miofascial pain syndrome presented the following results: PAS – 7.1 (2 – 10); FAS – 5.1 (0 – 10); HAQ – 0.68 (0 – 1.62); PSI – 64.62 (35 – 110); BDI – 18.5 (11 – 26) and FIQ – 43.55 (25.4 – 60.0). There were significant differences at the following parameters: HAQ, PSI, BDI and FIQ. CONCLUSION: The observed similarities between fibromyalgia and miofascial pain syndrome patients are: demographic characteristics and pain and fatigue intensity. The observed differences were the quality of life parameters.