A STUDY OF COMPARISON OF ADLs RESTRICTION IN PATIENT OF FIBROMYALGIA AND MYOFASCIAL PAIN SYNDROME

Abstract

Background
Myofascial pain syndrome (MPS) and fibromyalgia (FM) are clinical entities involving the musculoskeletal system, causing significant pain and suffering.

Objective To assess the impact of fibromyalgia syndrome (FMS) and myofascial pain syndrome (MPS) on activities of daily living (ADLs) and identify the most affected functional domains.

Methods A cross-sectional observational study was conducted over six months with a sample size of 132 patients, selected through purposive non-probability sampling. Patients aged 18–65 years diagnosed with FMS (per ACR 2016 criteria) or MPS (based on clinical criteria and physical examination) were included, excluding those with other chronic pain conditions, major psychiatric disorders, recent surgery or trauma, and pregnancy. Data were collected using a health assessment questionnaire and analyzed with SPSS version 25, employing chi-square tests for statistical significance.

Results Among the participants, 29.5% (39 individuals) required assistance with gripping and opening things, 28.8% (38 individuals) needed help with errands and chores, 22.7% (30 individuals) required assistance with hygiene tasks, and 18.9% (25 individuals) needed help with reaching. The study highlights significant restrictions in performing activities of daily living (ADLs) among FM patients, with the most profound impact seen in tasks requiring mobility and fine motor skills, such as walking, gripping, and dressing.

Conclusion Since the p-value (0.374) is higher than 0.05, the null hypothesis is accepted. This indicates no statistically significant association between the observed factors and ADL restrictions.