Sahin Nilay, Karataş Omer, Ozkaya Murat, Cakmak Ayşegül, Berker Ender
Department of Physical Medicine and Rehabilitation, Meram Faculty of Medicine, Selcuk University, Turkey.
Agri. 2008 Jul;20(3):14-9.
Subjects with myofascial pain of muscles of the neck region may present with various clinical symptoms. The aim of this study was to explore the demographics features, clinical findings and functional status in a group of patients presenting with myofascial pain of the cervical muscles. 94 cervical myofascial pain syndrome patients were recruited from the out-patient clinic. Evaluated of patient short form health survey (SF-36), pain, depression, patient demographics and physical examinations. Outcome measures; SF-36 Health Survey, visual analog scale, Beck Depression Inventory, history, physical examination. A total of 82 patients with a diagnosis of cervical myofascial syndrome were included in the study. All patients were in the young age group 37.4+/-9, and 87.8% were females. 53.1% had trigger points in the trapezius muscle with high percentage of autonomic phenomena like skin reddening, lacrimation, tinnitus and vertigo. 58.5% of the series had suffered from former cervical trauma and 40.2% also had fibromyalgia syndrome and 18.5% had benign Joint hypermobility syndrome. Younger female patients presenting with autonomic phenomena and early onset cervical injury should be examined for cervical myofascial pain syndrome and also for fibromyalgia syndrome since this study demonstrated a high percentage of fibromyalgia syndrome in these patients.
患有颈部肌肉肌筋膜疼痛的患者可能会出现各种临床症状。本研究的目的是探讨一组患有颈部肌肉肌筋膜疼痛的患者的人口统计学特征、临床发现和功能状态。从门诊招募了94例颈部肌筋膜疼痛综合征患者。对患者进行简短健康调查(SF-36)、疼痛、抑郁、患者人口统计学和体格检查评估。结果测量指标包括:SF-36健康调查、视觉模拟量表、贝克抑郁量表、病史、体格检查。共有82例诊断为颈部肌筋膜综合征的患者纳入研究。所有患者均为青年组,年龄37.4±9岁,87.8%为女性。53.1%的患者在斜方肌有触发点,伴有皮肤发红、流泪、耳鸣和眩晕等自主神经现象的比例较高。该系列患者中58.5%曾有过颈椎外伤史,40.2%还患有纤维肌痛综合征,18.5%患有良性关节过度活动综合征。鉴于本研究表明这些患者中纤维肌痛综合征的比例较高,对于出现自主神经现象和早期颈椎损伤的年轻女性患者,应检查是否患有颈部肌筋膜疼痛综合征以及纤维肌痛综合征。