Abstract
Patients with fibromyalgia have an altered quality of life that is hard to quantitate using existing indices. The principal legal issues associated with the syndrome are: Does fibromyalgia exist? Can it be caused by or flared by stress or trauma? Does disability apply to fibromyalgia and if so, how? These issues are critically reviewed.
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References and Recommended Reading
Wolfe F, Smythe HA, Yunus MB, et al.: The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the multicenter criteria committee. Arthritis Rheum 1990, 33:160–172.
Wolfe FF, Ross K, Anderson J, et al.: The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum 1995, 38:19–28.
Aronoff GM, Markovitz A: AADEP position paper: fibromyalgia: impairment and disability issues. Disability 1999, 8:1–10. The first truly sincere “committee”effort by worker’s compensation experts and rheumatologists to come to terms with the disability issues raised by FM.
Wolfe F, Potter J: Fibromyalgia and work disability: is fibromyalgia a disabling disorder? Rheum Dis Clin North Am 1996, 22:369–391.
McHorney CA, Ware JE, Rogers W, et al.: The validity and relative precision of MOS short and long-form health status scales and Dartmouth COOD charts: results form the Medical Outcomes Study. Med Care 1992, 30:MS253-MS265.
Meenan RF, Gertman PM, Mason JH: Measuring health status in arthritis: the Arthritis Impact Measurement Scales. Arthritis Rheum 1980, 23:143–152.
Wolfe F, Kleinheksel SM, Cathey MA, et al.: The clinical value of the Stanford Health Assessment Questionnaire Functional Disability Index in patients with rheumatoid arthritis. J Rheumatol 1988, 15:1480–1488.
Burckhardt CS, Clark SR, Bennett RM: Fibromyalgia and quality of life: a comparative study. J Rheumatol 1993, 20:475–479.
Burckhardt CS, Archenholtz B, Mannerkorpi K, Bjelle A: Quality of life of Swedish women with fibromyalgia syndrome, rheumatoid arthritis and systemic lupus erythematosus. Clin Studies Myofascial Pain Fibromyalgia 1991, 1:199–207.
Da Costa D, Dobkin PL, Fitzcharles MA, et al.: Determinants of health status in fibromyalgia: a comparative study with systemic lupus erythematosus. J Rheumatol 2000, 27:2:365–372.
Walker EA, Keagan D, Caedner G, et al.: Psychosocial factors in fibromyalgia compared with rheumatoid arthritis. I. Psychiatric diagnosis and functional disability. Psychosom Med 1997, 59:565–571.
Kaplan RM, Schmidt SM, Cronan TA: Quality of well being in fibromyalgia. J Rheumatol 2000, 27:785–789.
Neumann L, Berzak A, Buskila D: Measuring health status in Israeli patients with fibromyalgia syndrome and widespread pain and healthy individuals: utility of the short form 36-item health survey (SF-36). Semin Arthritis Rheum 2000, 29:400–408.
Neumann L, Buskila D: Quality of life and physical functioning of relatives of fibromyalgia patients. Semin Arthritis Rheum 1997, 26:834–839.
Burckhardt CS, Clark SR, Bennett RM: The fibromyalgia impact questionnaire: development and validation. J Rheumatol 1991, 18:728–733.
Dunkl PR, Taylor AG, McConnell GG, et al.: Responsiveness of fibromyalgia clinical trial outcomes measures. J Rheuamtol 2000, 27:2683–2691.
Wallace DJ: What constitutes a fibromyalgia expert? Arthritis Care Res 1999, 12:82–84.
Gowers WR: A lecture on lumbago; its lessons and analogues. BMJ 1904, 1:1171–121.
Bennett RM: Fibromyalgia [editorial]. JAMA 1987, 257:2802–2803.
Csillag C: Fibromyalgia: the Copenhagen Declaration. Lancet 1992, 340:663–664.
Hadler NM: Fibromyalgia, chronic fatigue and other iatrogenic diagnostic algorithms. Postgrad Med 1997, 102:161–177.
Block S: On the nature of rheumatism. Arthritis Care Res 1999, 12:129–138.
Wallace DJ: Is fibromyalgia a legitimate diagnosis? J Musculoskeletal Med 1993, 10:13–14.
Bohr TW: Fibromyalgia syndrome and myofascial pain syndrome: do they exist? Neurol Clin 1995, 13:365–384.
Herrmann M, Scholmerich J, Straub RH: Stress and rheumatic diseases. Rheum Dis Clin North Am 2000, 26:737–764.
Nielsen WR, Merskey H: Psychosocial aspects of fibromyalgia. Curr Pain Headache Rep 2001, 5:330–337.
Hadler NM: Occupational Musculoskeletal Disorders. New York: Raven Press; 1993.
White KP, Carette S, Harth M, Teasell RW: Trauma and fibromyalgia: is there an association and what does it mean? Semin Arthritis Rheum 2000, 29:200–216. A compendium of suggestions as to why trauma might produce FM are considered in a sobering, serious, thought-provoking review.
Moldofsky H, Wong MTH, Lue FA: Litigation, sleep symptoms and disabilities and sleep in post-accident pain. J Rheumatol 1993, 20:1935–1940.
Littlejohn GO: Fibromyalgia syndrome and disability: the neurogenic model. Med J Aust 1998, 168:398–401.
Wolfe F: Post-traumatic fibromyalgia: a case report narrated by the patient. Arthritis Care Res 1994, 7:161–165.
White KP, Ostbye T, Harth M, et al.: Perspectives on posttraumatic fibromyalgia: a random survey of Canadian general practitioners, orthopedists, physiatrists and rheumatologists. J Rheumatol 2000, 27:790–796. Elegantly points out disparities between the musculoskeletal education and practice of rheumatologists, orthopedists, and physical medicine specialists and their implications.
Wolfe F: The clinical syndrome of fibrositis. Am J Med 1986, 81:7–14.
Greenfield S, Fitzcharles M-A, Esdaile JM: Reactive fibromyalgia syndrome. Arthritis Rheum 1992, 35:678–681.
Aaron LA, Bradley, Alarcon GS, et al.: Perceived physical and emotional trauma as precipitating events in fibromyalgia. Associations with health care seeking and disability status but not pain severity. Arthritis Rheum 1997, 40:453–460.
Schader H, Obelieniene D, Bovim G, et al.: Natural evolution of late whiplash syndrome outside the medicolegal context. Lancet 1996, 347:1207–1211.
Radanov BP, Sturznegger M, di Stefano G: Long-term outcome after whiplash injury: a 2-year follow up considering features of injury mechanism and somatic, radiologic and psychosocial findings. Medicine (Baltimore) 1995, 74:281–297.
Buskila D, Neumann L, Vaisberg G, et al.: Increased rates of fibromyalgia following cervical spine injury. A controlled study of 161 cases of traumatic injury. Arthritis Rheum 1997, 40:446–452.
Wallace DJ, Wallace JB: Making Sense of Fibromyalgia. London: Oxford University Press; 1999.
Wolfe F: The fibromyalgia syndrome: a consensus report on fibromyalgia and disability. J Rheumatol 1996, 23:534–538.
Henriksson C, Liedberg G: Factors of importance for work disability in women with fibromyalgia. J Rheumatol 2000, 27:1271–1276.
Hallberg LR, Carlsson SG: Anxiety and coping in patients with chronic work-related muscular pain and patients with fibromyalgia. Eur J Pain 1998, 2:309–319.
White KP, Speechley M, Harth M, Ostbye T: Comparing self-reported function and work disability in 100 community cases of fibromyalgia syndrome versus controls in London, Ontario. Arthritis Rheum 1999, 42:76–83.
Crook J, Moldofsky H, Shannon H: Determinants of disability after a work related musculoskeletal injury. J Rheumatol 1998, 25:1570–1577.
Wolfe F, Anderson J, Harkness D, et al.: Work and disability status in persons with fibromyalgia. J Rheumatol 1997, 24:1171–1178.
White KP, Harth M, Thorson K, et al.: The fibromyalgia problem [letters]. J Rheumatol 1998, 2:1022–1030.
Cathey MA, Wolfe F, Kleinheksel SM: Functional ability and work status in patients with fibromyalgia. Arthritis Care Res 1988, 1:85–98.
Waylonis GM, Ronan PG, Gordon C: A profile of fibromyalgia in occupational environments. Am J Phys Med Rehabil 1994, 73:112–115.
Helfenstein M, Feldman D: The pervasiveness of the illness suffered by workers seeking compensation for disabling arm pain. J Occup Environ Med 2000, 42:171–175.
Bennett RM: Disabling fibromyalgia: appearance versus reality. J Rheumatol 1993, 20:1821–1823.
White KP, Harth M, Teasell RW: Work disability evaluation and the fibromyalgia syndrome. Semin Arthritis Rheum 1995, 24:371–381.
Bennett RM: Fibromyalgia and the disability dilemma. Arthritis Rheum 1996, 39:1627–1634.
Demitrack MA: Chronic fatigue syndrome & fibromyalgia. Dilemmas in diagnosis and clinical management. Psychiatr Clin North Am 1998, 21:671–692.
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Wallace, D.J., Hallegua, D.S. Quality-of-life, legal-financial, and disability issues in fibromyalgia. Current Science Inc 5, 313–319 (2001). https://doi.org/10.1007/s11916-001-0020-3
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DOI: https://doi.org/10.1007/s11916-001-0020-3