Tender point assessment in juvenile primary fibromyalgia syndrome.
Tender point assessment in juvenile primary fibromyalgia syndrome.
复制标题
青少年原发性纤维肌痛综合征的压痛点评估。
DOI：
10.1002/art.21442
复制
发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Prahalad,Sampath
中科院分区：
文献类型：
--
作者：
Swain,NicoleF;Kashikar-Zuck,Susmita;BrentGraham,T;Prahalad,Sampath
Juvenile primary fibromyalgia syndrome (JPFS) is a chronic pain disorder of unknown etiology. JPFS occurs primarily among females (similar to the adult syndrome) in the adolescent years and presents as widespread and diffuse musculoskeletal pain and numerous painful tender points upon palpation (1). Other symptoms, such as sleep disturbance, chronic anxiety or tension, fatigue, and abdominal pain, are also often present (2). Based upon studies of adult populations, the American College of Rheumatology (ACR) has published criteria for the classification of fibromyalgia (including widespread pain for at least 3 months and pain upon palpation of at least 11 of 18 tender points)(1). Buskila et al (3, 4) also used the ACR criteria for fibromyalgia in their study of a child and adolescent population and found that 21 (6.2%) of 338 healthy school children fulfilled the criteria. Some authors have argued that a separate set of diagnostic criteria may be necessary for younger populations with fibromyalgia because adolescents may have fewer painful tender points upon palpation. Specifically, it was suggested that a tender point criterion of at least 5 painful tender points should be used for juvenile fibromyalgia (2). Unfortunately, studies in juvenile fibromyalgia continue to be limited by inconsistent use of criteria and lack of published data on all 18 tender point sites using standardized dolorimetry. The primary objective of this study was to conduct a standardized assessment of tender point count and tender point threshold at all 18 tender point sites in a clinical sample of adolescents with symptoms of juvenile fibromyalgia.
