Abstract
Juvenile primary fibromyalgia syndrome (JPFS) is a chronic pain condition associated
with significant impairment in physical functioning, but no studies have used newer
technologies such as actigraphy to document objective physical activity levels in
JPFS. This is the first study to objectively describe physical activity in JPFS patients
and examine the relationship of pain, perceived functional impairment, and depressive
symptoms on physical activity. One hundred four clinically referred adolescents with
JPFS (ages 11 to 18 years) wore a hip-mounted actigraph for 1 week. Data on pain intensity,
functional disability, depressive symptoms, and psychiatric diagnoses were obtained
using self- and parent-report measures and a standardized psychiatric interview. Results
showed that younger patients were more active. Pain intensity was not significantly
associated with physical activity levels overall, but the most highly active group
of adolescents reported lower levels of pain and disability than the least active.
Parent report of adolescents' physical functioning and depressive symptoms were significantly
correlated with adolescents' physical activity levels. Actigraphy provides a unique
source of information about physical functioning which is distinct from adolescents'
self-report of physical functioning in JPFS. Preliminary findings suggest that further
study of factors that predict perceived and actual physical functioning in JPFS is
warranted.
Perspective
This study presents the results of physical activity monitoring in adolescents with
JPFS using actigraphy. Results indicate that actigraphy provides a unique source of
objective information that can advance our understanding of physical disability in
JPFS and the factors associated with physical impairment.
Key words
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Article info
Publication history
Published online: April 26, 2010
Accepted:
December 13,
2009
Received in revised form:
November 25,
2009
Received:
July 17,
2009
Footnotes
Supported by a grant from the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS Grant No. R01 AR050028).
Identification
Copyright
© 2010 American Pain Society. Published by Elsevier Inc. All rights reserved.
