Volume 39, Issue 4 p. 319-324

Predicting High Physical Function in People With Fibromyalgia

Dana N. Rutledge

Dana N. Rutledge

Dana N. Rutledge , RN, PhD, Upsilon Beta , Associate Professor of Nursing, California State University, Fullerton; Kim Jones , RN, PhD, FNP, Zeta Alpha & Beta Psi , Assistant Professor, Schools of Nursing and Medicine, Oregon Health & Science University, Portland; C. Jessie Jones , PhD, Professor of Health Science, California State University, Fullerton. This study was supported in part by an unrestricted financial grant from Pfizer Inc. Results were presented at the 17th International Nursing Research Congress Focusing on Evidence-Based Practice in Montreal, July 2006. Correspondence to Dr. Rutledge, 9 Gardenia, Irvine, CA 92620–1984. E-mail: [email protected]

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Kim Jones

Kim Jones

Dana N. Rutledge , RN, PhD, Upsilon Beta , Associate Professor of Nursing, California State University, Fullerton; Kim Jones , RN, PhD, FNP, Zeta Alpha & Beta Psi , Assistant Professor, Schools of Nursing and Medicine, Oregon Health & Science University, Portland; C. Jessie Jones , PhD, Professor of Health Science, California State University, Fullerton. This study was supported in part by an unrestricted financial grant from Pfizer Inc. Results were presented at the 17th International Nursing Research Congress Focusing on Evidence-Based Practice in Montreal, July 2006. Correspondence to Dr. Rutledge, 9 Gardenia, Irvine, CA 92620–1984. E-mail: [email protected]

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C. Jessie Jones

C. Jessie Jones

Dana N. Rutledge , RN, PhD, Upsilon Beta , Associate Professor of Nursing, California State University, Fullerton; Kim Jones , RN, PhD, FNP, Zeta Alpha & Beta Psi , Assistant Professor, Schools of Nursing and Medicine, Oregon Health & Science University, Portland; C. Jessie Jones , PhD, Professor of Health Science, California State University, Fullerton. This study was supported in part by an unrestricted financial grant from Pfizer Inc. Results were presented at the 17th International Nursing Research Congress Focusing on Evidence-Based Practice in Montreal, July 2006. Correspondence to Dr. Rutledge, 9 Gardenia, Irvine, CA 92620–1984. E-mail: [email protected]

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First published: 14 November 2007
Citations: 36

Abstract

Purpose: The purpose of this study was to investigate predictors of high physical function in people with fibromyalgia (FM).

Design: Cross-sectional descriptive, correlational study of 2,580 persons with FM who responded to an online survey during fall 2005.

Methods: The survey indicated self-reported physical activity levels, functional abilities, symptoms, health care costs, employment status, work productivity, self management strategies. It had adequate validity and reliability. A significant binary logistic regression model of predictors of physical function (individual factors, symptoms, self management strategies) was validated using backwards logistic regression.

Findings: Significant explanatory variables of high physical function were: men, greater education, younger age, lower intensity fatigue, spasticity, and balance problems, not using prescription pain medications, using aerobic or strength training exercise, and not using relaxation methods.

Conclusions: People with FM suffer from multiple symptoms and use many modalities to control symptoms to remain functional. Given knowledge of predictors of physical function in FM, health care providers might be able to develop strategies to promote better functioning. Prospective trials are needed to track the natural course of study variables, measuring their effect on function, and to test effects of interventions to maximize function.