Program designed to evaluate and develop the functional and work capacities of clients suffering from fibromyalgia

Article type: Research Article

Authors: Côté, Edith

Affiliations: Clinique médicale Physergo du Sud-Ouest, 5260, Verdun Street, Verdun, Quebec, Canada, H4H 1K1. Tel.: +1 514 766 1696; Fax: +1 514 766 3472

Abstract: This pilot study evaluated and developed the functional and work capacities of clients suffering from fibromyalgia using a program designed to reintegrate the fibromyalgic patient into the workplace. In addition to the functional status of the patient, the purpose of this study was specifically to improve vocational capacities. Individuals were recruited through advertisements in a local newspaper and had to be diagnosed as suffering from fibromyalgia, be available to receive treatment during the day, and be eligible for work at the end of the program. A 10-week pilot study, led by a multidisciplinary team, was conducted with three patients. The Fibromyalgia Impact Questionnaire (FIQ) and the Physical Work Performance Evaluation (PWPE) were used to measure the effects of the treatment. Post-intervention follow up was held 3 and 6 months after discharge. Primary results consisted of a reduction in pain intensity, a decrease in the number of tender points, an improvement in the level of functioning, and a return to the patient's previous employment. Patients were still employed 6 months after discharge. The results showed an improvement in work capacities and functional status following an intervention which combined a physical training program and a cognitive and behavioural approach.

Keywords: fibromyalgia, physical training, pain, patient education, fatigue

DOI: 10.3233/BMR-1999-12302

Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 12, no. 3, pp. 145-150, 1999