Article

OBJECTIVE: To investigate whether the Assessment of Motor and Process Skills
(AMPS), the physical function subscales of the Fibromyalgia Impact Questionnaire
(FIQ PF) and the 36-item Short Form (SF-36 PF) can identify subgroups of women
with fibromyalgia with clinically relevant differences in ability to perform
activities of daily living.
DESIGN: Cross-sectional study. SUBJECTS: A total of
257 women with fibromyalgia. METHODS: Participants were evaluated with the AMPS
(measuring activities of daily living motor and activities of daily living
process ability), FIQ and SF-36. AMPS independence cut-offs were used to divide
the participants into 4 subgroups. Clinically relevant differences between
subgroups were investigated based on the AMPS, FIQ PF and SF-36 PF. RESULT:
Participants in the 4 AMPS-derived subgroups demon-strated clinically relevant
differences in observed activities of daily living motor and process ability.
Neither the FIQ PF nor the SF-36 PF could differentiate between subgroups with
clinically relevant differences in AMPS activities of daily living process ability. CONCLUSION: Activities of daily living process skills reflect underlying
organizational and adaptive capacities of the individual and are relevant targets
for interventions aiming at improving activities of daily living ability. Since
self-report instruments do not capture differences in activities of daily living
process ability, clinicians should include observations-based assessment of
activities of daily living ability in order to individualize interventions offered.

Langue : ANGLAIS