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Related Experiment Videos

Fibromyalgia

H Raspe1, P Croft

  • 1Institute for Social Medicine, Medical University at Lubeck, Germany.

Bailliere'S Clinical Rheumatology
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

Fibromyalgia, once called fibrositis, is a poorly understood condition. Its definition and diagnostic criteria have evolved, impacting research and clinical understanding.

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Area of Science:

  • Rheumatology
  • Clinical Medicine
  • Medical History

Background:

  • Fibromyalgia, previously termed fibrositis, is a condition with an evolving understanding.
  • Its concept and diagnosis gained prominence in the 1970s following key publications.
  • The lack of early case reports contributes to a non-uniform clinical image.

Purpose of the Study:

  • To trace the historical development of the concept, definition, and assessment of fibromyalgia.
  • To analyze the evolution of diagnostic criteria and their impact on research.
  • To discuss the nosological differences and their implications for clinical and epidemiological studies.

Main Methods:

  • Historical review of seminal publications and diagnostic criteria.
  • Analysis of the evolution of fibromyalgia definitions and classification systems.

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  • Discussion of nosological differences and their impact on research.

    • Main Results:

    • Fibromyalgia's concept and diagnosis popularized in the 1970s, with evolving definitions.
    • Multiple classification criteria exist, including the widely used 1990 American College of Rheumatology criteria.
    • Nosological differences in definitions present challenges for research.
    • The 1990 criteria define fibromyalgia as a musculoskeletal disorder with widespread pain and tenderness.

    Conclusions:

    • Current definitions of fibromyalgia are considered arbitrary, highlighting the need for broader research elements.
    • Nosological differences pose challenges for consistent clinical and epidemiological research.
    • A uniform concept of fibromyalgia may be less important than a wide range of relevant research factors.