Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2020 , Vol 11, Issue 1
Evaluation of Fibromyalgia Syndrome Patients With International Classification of Functioning, Disability and Health (Icf): a Pilot Study
Bahar Dernek1
1İstanbul Fizik Tedavi Rehabilitasyon Eğitim ve Araştırma Hastanesi, Istanbul, Türkiye DOI : 10.31067/0.2020.255 Objectives: The objective of this study was the evaluation of the International Classification of Functioning, Disability and Health (ICF) core set which was developed for chronic widespread pain (CWP) in patients with fibromyalgia syndrome (FMS) in terms of activities and participation, and environmental factors.

Patients and Methods: This study was designed as a prospective, cross-sectional pilot study and conducted between June 2017 and March 2018. A brief ICF core set for CWP was applied to patients. A total of 24 categories of the brief ICF core were applied to 254 FMS patients. Categories of body functions and activities and participation were scored between 0 and 4.

Results: Among enrolled patients, 96.7% (n=248) were females and 2.4% (n=6) were males. Among body function evaluations, mild and severe disturbances were observed in energy, sleep, psychomotor function, emotional function, content of thought, pain, exercise tolerance, and muscle power categories. In activities and participation, mild and severe disturbances were determined in problem-solving, carrying out a daily routine, handling stress, lifting and carrying objects, doing housework, family relationships, intimate relationships, acquiring and keeping a job, recreation and leisure categories. Among environmental factors, individual attitudes of health professionals, family relationships, and social services, systems and policies were considered moderately facilitating factors.

Conclusion: FMS is a chronic disease that affects not only the patient but also the individuals or groups who are in contact with the patient. With the use of ICF, environmental effects caused directly or indirectly by the disease may be evaluated in chronic diseases such as FMS. Keywords : Fibromyalgia, chronic widespread pain, ICF, functioning, disability