Relationship between handgrip strength, disease impact, and quality of life in women with fibromyalgia

Authors

  • Márcio Bruning Universidade Cesumar, Maringá, PR, Brasil
  • Jonato Prestes Universidade Católica de Brasília, Brasília, DF, Brasil
  • Giovana Mioto de Moura Universidade Cesumar, Maringá, PR, Brasil
  • Leonardo Pestillo de Oliveira Universidade Cesumar, Maringá, PR, Brasil

DOI:

https://doi.org/10.11606/issn.1981-4690.2025e39227674

Keywords:

Physical activity, Functional capacity, Chronic pain, Muscle strength

Abstract

The aim of the study was to investigate the relationship between handgrip strength (HGS), disease impact, and quality of life in women with fibromyalgia (FM). The study is characterized as cross-sectional, and 91 women with FM, with a mean age of 49.37 ± 9.77 years, were assessed for disease impact (FIQR), quality of life (SF-12v2), demographic data, anthropometrics, and HGS. Handgrip strength (HGS) values below 23.1 kg were considered low, and the women were divided into two groups according to HGS: < 23.1 kg and ≥ 23.1 kg. The Student's t-test and Cohen's d were used to compare and estimate the effect size, respectively, between the variables of the groups. Pearson's correlation was used between the variables. Significant differences (p < 0.05) were found between the groups for total FIQR and its function and overall impact domains (d = 0.58, 0.74, and 0.47, respectively), and SF-12v2 physical (d = -0.62) and mental (d = -0.41) components, favoring the group with HGS ≥ 23.1 kg. Significant inverse correlations were found between HGS and total FIQR and domains (r = -0.21 to -0.31). Significant positive correlations were found between HGS and the physical (r = 0.35) and mental (r = 0.29) components of SF-12v2. Women with low levels of HGS exhibited greater FM impact and poorer quality of life, mainly related to the physical aspects of FIQR and SF-12v2. HGS can be used as an aid tool in screening and management, particularly for the physical condition of women with FM.

Downloads

References

Sarzi-Puttini P, Giorgi V, Marotto D, Atzeni F. Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol. 2020;16(11):645-660.

Souza JB, Perissinotti DMN. The prevalence of fibromyalgia in Brazil - a population-based study with secondary data of the study on chronic pain prevalence in Brazil. BrJP. 2018;1(4)345-348.

Kerr JI, Burri A. Genetic and epigenetic epidemiology of chronic widespread pain. J Pain Res. 2017;10:2021-2029.

Bair MJ, Krebs EE. Fibromyalgia. Ann Intern Med. 2020;172(5):ITC33-ITC48.

Häuser W, Hoffmann EM, Wolfe F, Worthing AB, Stahl N, Rothenberg R, et al. Self-reported childhood maltreatment, lifelong traumatic events and mental disorders in fibromyalgia syndrome: a comparison of US and German outpatients. Clin Exp Rheumatol. 2015;33(1 Suppl 88):S86-92.

Singh L, Kaur A, Bhatti MS, Bhatti R. Possible Molecular Mediators Involved and Mechanistic Insight into Fibromyalgia and Associated Co-morbidities. Neurochem Res. 2019;44(7):1517-1532.

Arnold LM, Bennett RM, Crofford LJ, Dean LE, Clauw DJ, Goldenberg DL, et al. AAPT Diagnostic criteria for Fibromyalgia. J Pain. 2019;20(6):611-628.

Macfarlane GJ, Kronisch C, Dean LE, Atzeni F, Häuser W, Fluß E, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis. 2017;76(2):318-328.

Joustra ML, Zijlema WL, Rosmalen JGM, Janssens KAM. Physical activity and sleep in Chronic Fatigue Syndrome and Fibromyalgia Syndrome: associations with symptom severity in the general population cohort lifelines. Pain Res Manag. 2018;5801510.

Tavares LF, Germano MD, Pereira BSTY, Brito VWH. Comparison of functional and isokinetic performance between healthy women and women with fibromyalgia. J Bodyw Mov Ther. 2020;24(1):248-252.

Henriksen M, Lund H, Christensen R, Jespersen A, Dreyer L, Bennett RM, et al. Relationships between the fibromyalgia impact questionnaire, tender point count, and muscle strength in female patients with fibromyalgia: a cohort study. Arthritis Rheum. 2009;61(6):732-9.

Harman H. The effects of hand grip strength and clinical findings to quality of life in Fibromyalgia Syndrome. Orthop Res Physiother. 2015;1(2):1-4.

Chen LK, Lee WJ, Peng LN, Liu LK, Arai H, Akishita M; Asian Working Group for Sarcopenia. Recent Advances in Sarcopenia research in Asia: 2016 Update From the Asian Working Group for Sarcopenia. J Am Med Dir Assoc. 2016;17(8):767.

Lee SY. Handgrip strength: an irreplaceable indicator of muscle function. Ann Rehabil Med. 2021;45(3):167-169.

Devrimsel G, Turkyilmaz AK, Beyazal MS, Karkucak M. Assessment of hand function and disability in fibromyalgia. Z Rheumatol. 2019;78(9):889-893.

Salaffi F, Farah S, Di Carlo M. Force-Time curve features of handgrip strength in fibromyalgia syndrome. Sci Rep. 2020;10(1):3372.

Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res. 2010;62(5):600-10.

Lupi JB, Carvalho de Abreu DC, Ferreira MC, Oliveira RDR, Chaves TC. Brazilian Portuguese version of the Revised Fibromyalgia Impact Questionnaire (FIQR-Br): cross-cultural validation, reliability, and construct and structural validation. Disabil Rehabil. 2017;39(16):1650-1663.

Salaffi F, Di Carlo M, Bazzichi L, Atzeni F, Govoni M, Biasi G, et al. Definition of fibromyalgia severity: findings from a cross-sectional survey of 2339 Italian patients. Rheumatology. 2021;60(2):728-736.

Damásio BF, Andrade TF, Pessoa-pb J, Koller SH. Psychometric Properties of the Brazilian 12-Item Short-Form Health Survey Version 2 ( SF-12v2 ). 2015;25(60):29-37.

Freitas Junior IF. Standardization of anthropometric measurements and assessment of body composition. São Paulo: CREF4/SP; 2018.

WHO. Obesity: preventing and managing the global epidemic: Report of a WHO Consultation. World Heal Organ Tech Rep Ser. 2000;894:1-253.

Trampisch US, Franke J, Jedamzik N, Hinrichs T, Platen P. Optimal Jamar dynamometer handle position to assess maximal isometric hand grip strength in epidemiological studies. J Hand Surg Am. 2012;37(11):2368-73.

Sousa-Santos AR, Amaral TF. Differences in handgrip strength protocols to identify sarcopenia and frailty - a systematic review. BMC Geriatr. 2017;17(1):238.

Aparicio VA, Ortega FB, Heredia JM, Carbonell-Baeza A, Sjöström M, Delgado-Fernandez M. Handgrip strength test as a complementary tool in the assessment of fibromyalgia severity in women. Arch Phys Med Rehabil. 2011;92(1):83-8.

Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Lawrence Erlbaum Associates; 1988.

Köklü K, Sarigül M, Özişler Z, Şirzai H, Özel S. Handgrip Strength in Fibromyalgia. Arch Rheumatol. 2015;31(2):158-161.

Larsson A, Palstam A, Bjersing J, Löfgren M, Ernberg M, Kosek E, et al. Controlled, cross-sectional, multi-center study of physical capacity and associated factors in women with fibromyalgia. BMC Musculoskelet. Disord. 2018;19(1):121.

Kapuczinski A, Soyfoo MS, De Breucker S, Margaux J. Assessment of sarcopenia in patients with fibromyalgia. Rheumatol Int. 2022;42(2):279-284.

Caporrino FA, Fallopa F, Santos JBG, Réssio C, Soares FH, Nakachima LR, et al. Estudo populacional da força de preensão palmar com dinamômetro Jamar®. Rev Bras Ortop. 1998;33(2):1-1.

Elvin A, Siösteen AK, Nilsson A, Kosek E. Decreased muscle blood flow in fibromyalgia patients during standardised muscle exercise: a contrast media enhanced colour Doppler study. Eur J Pain. 2006;10(2):137-44.

Larsson A, Palstam A, Löfgren M, Ernberg M, Bjersing JL, Bileviciute-Ljungar I, et al. Pain and fear avoidance partially mediate change in muscle strength during resistance exercise in women with fibromyalgia. J Rehabil Med. 2017;49(9):744-750.

Ruggiero L, Manganelli F, Santoro L. Muscle pain syndromes and fibromyalgia: the role of muscle biopsy. Curr Opin Support Palliat Care. 2018;12(3):382-387.

Mannerkorpi K, Svantesson U, Broberg C. Relationships between performance-based tests and patients' ratings of activity limitations, self-efficacy, and pain in fibromyalgia. Arch Phys Med Rehabil. 2006 ;87(2):259-64.

Cigarán-Méndez M, Úbeda-D'Ocasar E, Arias-Buría JL, Fernández-de-Las-Peñas C, Gallego-Sendarrubias GM, Valera-Calero JA. The hand grip force test as a measure of physical function in women with fibromyalgia. Sci Rep. 2022;12(1):3414.

Sempere-Rubio N, Aguilar-Rodríguez M, Inglés M, Izquierdo-Alventosa R, Serra-Añó P. Physical condition factors that predict a better quality of life in women with Fibromyalgia. Int J Environ Res Public Health. 2019;16(17):3173.

Galvez-Sánchez CM, Duschek S, Reyes Del Paso GA. Psychological impact of fibromyalgia: current perspectives. Psychol Res Behav Manag. 2019;12:117-127.

Álvarez-Gallardo IC, Soriano-Maldonado A, Segura-Jiménez V, Estévez-López F, Camiletti-Moirón D, Aparicio VA, et al. High Levels of physical fitness are associated with better health-related quality of life in women with Fibromyalgia: The al-Ándalus Project. Phys Ther. 2019;99(11):1481-1494.

Published

2025-01-21

Issue

Section

Articles

How to Cite

Bruning, M., Prestes, J., Moura, G. M. de, & Oliveira, L. P. de. (2025). Relationship between handgrip strength, disease impact, and quality of life in women with fibromyalgia. Brazilian Journal of Physical Education and Sport, 39, e39227674. https://doi.org/10.11606/issn.1981-4690.2025e39227674