Seidel Anika, Brandl Andreas, Egner Christoph, Schleip Robert
Department of Medical Professions, Diploma Hochschule, 37242 Bad Sooden-Allendorf, Germany.
Department of Sports Medicine, Institute for Human Movement Science, Faculty for Psychology and Human Movement Science, University of Hamburg, 20148 Hamburg, Germany.
J Clin Med. 2023 Oct 3;12(19):6339. doi: 10.3390/jcm12196339.
(1) Background: Globally, neck pain is prevalent, affecting around thirty percent of the population annually. To better understand the influence of pain on the myofascial layers, the present study investigated these on the upper trapezius muscle in unilateral, more severe neck pain. (2) Methods: This study was a cross-sectional study. Forty patients (42.2 ± 14.7) with a confirmed diagnosis of unilateral neck pain were examined using durometry and indentometry. This study evaluated the stiffness, elasticity, and pressure pain threshold of both sides of the neck (symptomatic side: SS; healthy side: HS). Furthermore, the range of motion of the cervical spine (lateral flexion, rotation) was quantified using a digital goniometer. (3) Results: A significant lateral discrepancy was observed in stiffness between groups (durometry: SS-33.76 ± 7.78, HS-29.75 ± 7.45, < 0.001; indentometry: SS-59.73 ± 33.93, HS-4.18 ± 12.69, = 0.024). In contrast, no differences were found between the comparison sides of the upper trapezius for the parameter's elasticity (SS-0.101 ± 1.09, HS--0.006 ± 0.29, = 0.416), cervical spine mobility (lateral flexion: SS-37.08 ± 8.15, HS-37.73 ± 7.61, = 0.559; rotation: SS-73.55 ± 12.37, HS-72.85 ± 11.10, = 0.660), and algometry (SS-36.41 ± 17.53, HS-37.22 ± 17.00, = 0.657). (4) Conclusion: Overall, it can be concluded that more severe neck pain unilaterally shows differences in stiffness on the same side. Future research is needed to investigate the links.
(1) 背景：在全球范围内，颈部疼痛很普遍，每年影响约30%的人口。为了更好地理解疼痛对肌筋膜层的影响，本研究对单侧更严重颈部疼痛患者的斜方肌上部进行了调查。(2) 方法：本研究为横断面研究。对40例确诊为单侧颈部疼痛的患者（42.2±14.7）使用硬度计和压痕测量法进行检查。本研究评估了颈部两侧（患侧：SS；健侧：HS）的硬度、弹性和压痛阈值。此外，使用数字测角仪对颈椎的活动范围（侧屈、旋转）进行了量化。(3) 结果：两组之间在硬度方面观察到显著的侧方差异（硬度计测量：SS-33.76±7.78，HS-29.75±7.45，<0.001；压痕测量法：SS-59.73±33.93，HS-4.18±12.69，=0.024）。相比之下，斜方肌上部比较侧在弹性参数（SS-0.101±1.09，HS--0.006±0.29，=0.416）、颈椎活动度（侧屈：SS-37.08±8.15，HS-37.73±7.61，=0.559；旋转：SS-73.55±12.37，HS-72.85±11.10，=0.660）和痛觉测量（SS-36.41±17.53，HS-37.22±17.00，=0.657）方面未发现差异。(4) 结论：总体而言，可以得出结论，单侧更严重的颈部疼痛在患侧的硬度上存在差异。需要进一步的研究来调查其中的联系。
