Karayol Kudret Cem, Karayol Sunay Sibel
Department of Physical Theraphy and Rehabilitation, Harran University School of Medicine: 63300 Sanliurfa, Turkey.
Department of Radiology, Harran University School of Medicine, Turkey.
J Phys Ther Sci. 2021 Jan;33(1):40-44. doi: 10.1589/jpts.33.40. Epub 2021 Jan 5.
[Purpose] The aim of this study was to compare Visual Analog Scale (VAS) values with the Shear Wave Elastography (SWE) values of rhomboid major muscles in fibromyalgia (FM) patients with those of a normal healthy population. [Participants and Methods] Evaluation was made of 53 female patients diagnosed with FM according to the American Collage of Rheumatology criteria, and a control group of 47 healthy volunteers with a VAS score of 0. All the patients were applied with ultrasonography. The severity of pain was measured using a VAS. [Results] Mean age was calculated as 39 years (range, 23-60 years) in the patient group and 37 years (range, 21-58 years) in the control group. The mean SWE value of the rhomboid major muscle of the patients was 4.74 m/sn and 70.21 kPa on the right side and 4.46 m/sn and 58.78 kPa on the left side. In the control group, these values were 4.18m/sn and 55.03 kPa on the right side and 3.78 m/sn and 44.21 kPa on the left side. The mean VAS score of the patients was 7.3. [Conclusion] The use of SWE values could be more objective than the subjective parameter of the VAS score in the evaluation of the severity of pain in fibromyalgia.
[目的]本研究旨在比较纤维肌痛（FM）患者菱形肌的视觉模拟评分（VAS）值和剪切波弹性成像（SWE）值与正常健康人群的相应值。[参与者与方法]根据美国风湿病学会标准对53例诊断为FM的女性患者进行评估，并以VAS评分为0的47名健康志愿者作为对照组。所有患者均接受超声检查。使用VAS测量疼痛的严重程度。[结果]患者组的平均年龄计算为39岁（范围23 - 60岁），对照组为37岁（范围21 - 58岁）。患者菱形肌右侧的平均SWE值为4.74m/sn和70.21kPa，左侧为4.46m/sn和58.78kPa。在对照组中，右侧这些值为4.18m/sn和55.03kPa，左侧为3.78m/sn和44.21kPa。患者的平均VAS评分为7.3。[结论]在评估纤维肌痛疼痛严重程度时，使用SWE值可能比VAS评分的主观参数更客观。
