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[坐骨神经痛评估中的临床-电生理相关性]

[Clinico-electrophysiological correlations in the evaluation of sciatica].

作者信息

Bańka S

出版信息

Neurol Neurochir Pol. 1986 Jul-Aug;20(4):313-8.

PMID:3561668
Abstract

The electromyographic investigations of the mental and temporal muscles have been completed in 50 patients treated because of sciatic pain. The activity of these muscles is inseparably associated with the emotional response to pain. Than the parameters of the above mentioned investigations have been compared with the subjective evaluation of pain intensity and with the neurological examination results. In patients with sciatic pain, the bioelectric activity of the mental and temporal muscles growing clearly with the increase of pain, have bean kept as rest. This activity has been more intensive on the ill side of the muscles; also, it has been more distinct in patients with loss symptoms and with some changes in the radiological examination of the spine. The increase of the bioelectric activity of the mental muscles has correlated positively to the degree of pain intensity (measured by Domzał standards) and the number of radicular symptoms. The EMG investigation of the mental muscles has proved to be more useful for the assessment of sciatic pain than the same investigation of the temporal muscles.

摘要

对50例因坐骨神经痛接受治疗的患者进行了颏肌和颞肌的肌电图检查。这些肌肉的活动与对疼痛的情绪反应密切相关。然后将上述检查参数与疼痛强度的主观评估以及神经检查结果进行了比较。在坐骨神经痛患者中,颏肌和颞肌的生物电活动随着疼痛加剧而明显增强,且在休息时也持续存在。这种活动在患侧肌肉更为强烈;此外,在有失神经症状以及脊柱放射学检查有某些改变的患者中也更为明显。颏肌生物电活动的增强与疼痛强度(按照多姆扎尔标准测量)以及神经根症状的数量呈正相关。事实证明,对颏肌进行肌电图检查在评估坐骨神经痛方面比颞肌的相同检查更有用。

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