Article Text

SAT0393 The Effects of Coexisting Fibromyalgia on Disability of the Computer Users with Cumulative Trauma Disorders
  1. Ö. Bozkurt Tuncer1,
  2. H. Genc1,
  3. H. R. Erdem1,
  4. B. Nacir1
  1. 1Physical Medicine And Rehabilitation, Ministry Of Health, Ankara Training And Research Hospital, Ankara, Turkey


Background The effects of coexisting fibromyalgia syndrome (FS) on disability of computer users with cumulative trauma disorders (CTD) hasn’t been studied previously.

Objectives To evaluate the existence of FS in computer users with CTD and to investigate the effects of coexisting fibromyalgia on disability of computer users.

Methods 150 computer users are included in the study. Computer users were classified as complainant group (CDT+) who have complaints concerning to neck, back and upper extremity and non-complainant group (CTD-) who have no complaint. 50 age, sex and body mass index matched non-computer user, healthy hospital stuff were recruited as the control group. All participants were asked to fill our questionnaire form including detailed risk factor query and physical examination. Pain assessment was made by visual analog scale. ACR 2010 classification criteria were used to identify patients with FS. Tender point (TP), control point (CP) and pressure pain threshold (PPT) measurements of all participants were made using Fischer’s tissue compliancemeter and number of tender points (NTP), tender point score (TPS), control point score (CPS) and total myalgic score (TMS) were calculated. In order to measure the general disability levels of the participants, Quick DASH Score (QDS) was used, besides to measure their disability levels during work, Quick DASH Work Score (QDWS) was used.

Results 104 (69%) of the computer users had CTD. The mean ages of the 104 participants with CTD (72 females and 32 males) was 31,1±6,2 years, of the 46 with non-CTD (28 females and 18 males) was 30,5±6,6 years and of the 50 controls (32 females and 18 males) was 31,9±5,8 years. The presence of FS in complainant group (n:42) was higher than the non-complainant group (n:5) and control group (n:0) (p<0.05). The mean value of NTP was higher (p<0.001) and the mean values of TPS, CPS and TMS were lower (p<0.001) in the complainant group than non-complainant group and controls. The coexisting fibromyalgia increased the severity of pain, and levels of QDS and QDWS (p<0.05-p<0.001). Statistically significant correlations were found between increased NTP, decreased TPS, decreased tender point PPT, decreased TMS and high levels of both QDS and QDWS.

Conclusions We found that coexisting fibromyalgia increased the disability levels of computer users with CTD. We believe that treatment of coexisting fibromyalgia is of great importance as well as recovery in the workplace conditions, ergonomic circumstances, depression and negative aspects in social life.

Disclosure of Interest None Declared

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