< Topic >On the basis of the consciousness condition of the patient, the tissue myalgic symptom evaluation vote whose diagnosis and evaluation of the tissue myalgic symptom which combines resutoresuretsugusu syndrome are possible is offered.SolutionsTissue myalgic symptom evaluation vote FAS31 (100) and the resutoresuretsugusu syndrome evaluation vote RLS40 which were created on the basis of ACR2010 new diagnostic standard, tissue myalgic symptom question sheet JFIQ, the tissue myalgic symptom transitive sheet, and the tissue myalgic symptom evaluation vote which includes the tissue myalgic symptom transitive graph are offered. Especially, by the fact that resutoresuretsugusu syndrome evaluation vote RLS40 is included regarding tissue myalgic symptom evaluation vote FAS31 (100), the tissue myalgic symptom and it is achieved to grasp the degree of serious illness of resuretsugusu syndrome precisely.< Choice figure >Drawing 1【課題】患者の自覚症状に基づいて、レストレスレッグス症候群を合併している線維筋痛症の診断及び評価が可能な線維筋痛症評価票を提供する。【解決手段】ACR2010新診断基準に基づいて作成された線維筋痛症評価票FAS-31(100)、レストレスレッグス症候群評価票RLS-40、線維筋痛症質問シートJFIQ、線維筋痛症推移シート、及び線維筋痛症推移グラフを含む線維筋痛症評価票を提供する。特に、線維筋痛症評価票FAS-31(100)においては、レストレスレッグス症候群評価票RLS-40を含むことで、線維筋痛症及びレスレッグス症候群の重症度を的確に把握することができる。【選択図】図1
