title: Ineffective ADL skills in women with fibromyalgia: a cross-sectional study.
abstract: BACKGROUND
  Subgroups of women with fibromyalgia likely show different activity of daily living (ADL) skill deficits. Identifying ineffective ADL skills of significance in the 'typical' woman with fibromyalgia will promote the planning of targeted occupational therapy interventions aiming at improving ADL ability.
  
  
  OBJECTIVE
  To identify frequently reported ADL skill deficits of significance in subgroups of women with fibromyalgia who have decreased ADL motor ability in combination with decreased or competent ADL process ability.
  
  
  METHODS
  Women with fibromyalgia were evaluated with the Assessment of Motor and Process Skills (AMPS). If they demonstrated decreased ADL motor ability, the calibrated AMPS raters identified and reported ineffective ADL skills of significance. Descriptive comparisons were made between subgroups displaying either decreased or competent ADL process ability.
  
  
  RESULTS
  Moves, calibrates, bends, reaches, and paces were identified as the most frequently reported ineffective ADL skills of significance within the total sample (n = 188). The ADL process skills items organise and accommodate were identified as ineffective only in the subgroup with decreased ADL process ability (n = 105).
  
  
  CONCLUSIONS
  It is suggested that clinicians modify the individual's tasks and environments to compensate for identified ineffective ADL skills and to use the AMPS to differentiate interventions in women with fibromyalgia.
authors.affiliation: a The Parker Institute, Department of Rheumatology , Copenhagen University Hospital , Bispebjerg and Frederiksberg , Denmark .|b The Research Initiative for Activity Studies and Occupational Therapy, General Practice, Department of Public Health , University of Southern Denmark , Odense , Denmark , and.|c Metropolitan University College , Copenhagen , Denmark.
authors.forename: Cecilie
authors.initials: C
authors.lastname: Von Bülow
authors.affiliation: a The Parker Institute, Department of Rheumatology , Copenhagen University Hospital , Bispebjerg and Frederiksberg , Denmark .
authors.forename: Kirstine
authors.initials: K
authors.lastname: Amris
authors.affiliation: b The Research Initiative for Activity Studies and Occupational Therapy, General Practice, Department of Public Health , University of Southern Denmark , Odense , Denmark , and.
authors.forename: Karen
authors.initials: K
authors.lastname: La Cour
authors.affiliation: a The Parker Institute, Department of Rheumatology , Copenhagen University Hospital , Bispebjerg and Frederiksberg , Denmark .
authors.forename: Bente
authors.initials: B
authors.lastname: Danneskiold-Samsøe
authors.affiliation: a The Parker Institute, Department of Rheumatology , Copenhagen University Hospital , Bispebjerg and Frederiksberg , Denmark .|b The Research Initiative for Activity Studies and Occupational Therapy, General Practice, Department of Public Health , University of Southern Denmark , Odense , Denmark , and.
authors.forename: Eva Ejlersen
authors.initials: EE
authors.lastname: Wæhrens
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005356:Fibromyalgia / Q000150:complications / Q000503:physiopathology*; D006304:Health Status; D006801:Humans; D008606:Mental Processes; D008875:Middle Aged; D009048:Motor Skills; D009068:Movement; D011788:Quality of Life; D013647:Task Performance and Analysis
keywords: AMPS; Ability; activities of daily living; intervention; occupational therapy