肌筋膜触发点与偏头痛患者相关残疾、焦虑和抑郁的关系。

Relationship of myofascial trigger points with related disability, anxiety, and depression in patients with migraine headaches.

机构信息

School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Head Face Med. 2024 Sep 5;20(1):47. doi: 10.1186/s13005-024-00454-w.

DOI:10.1186/s13005-024-00454-w

PMID:39238006

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11378560/

Abstract

BACKGROUND

Migraine affects one in ten individuals worldwide and is the second leading cause of disability. Studies have shown an association between migraine and the musculoskeletal system, and myofascial trigger points (MTrPs) play an essential role. Additionally, those with myofascial pain have been proven to experience higher levels of depression and anxiety. Understanding the association between MTrPs and migraine is crucial for developing targeted treatment strategies. Additionally, recognizing the link between MTrPs and migraine-related depression and anxiety underscores the importance of a holistic approach to migraine management. By addressing both musculoskeletal and neurological factors, healthcare providers can provide more effective and personalized care for migraine patients. This study aims to determine the association between MTrPs with migraine-related disability, anxiety, depression, and migraine characteristics.

METHODS

This cross-sectional study included 68 migraine patients from an outpatient neurology clinic. The number of MTrPs was determined through examination by an experienced neurologist during a migraine-free period using the recommended international criteria. We evaluated anxiety and depression with the Hospital Anxiety and Depression Scale (HADS) and disability with the Migraine Disability Assessment Scale (MIDAS).

RESULTS

We enrolled 68 patients (22 males) with a mean age of 36.23 ± 9.63 years. The mean number of MTrPs was 2.75 ± 2.934. MTrPs were positively correlated with severity (CC: 0.576, P-value < 0.001). There was no association between MTrPs and HADS-D or MIDAS, but migraine patients with abnormal HADS-A scores had more MTrPs than patients with normal HADS-A scores (0.6 ± 0.84 vs 3.56 ± 3.11, P-value:0.013).

CONCLUSIONS

The number of MTrPs is associated with higher anxiety levels and headache intensity. Further research could investigate the impact of MTrP-based therapies on anxiety among individuals suffering from migraines.

摘要

背景

偏头痛影响全球十分之一的人群，是第二大致残原因。研究表明偏头痛与肌肉骨骼系统之间存在关联，肌筋膜触发点（MTrP）起着至关重要的作用。此外，患有肌筋膜疼痛的人被证明会经历更高水平的抑郁和焦虑。了解 MTrP 与偏头痛之间的关联对于制定针对性的治疗策略至关重要。此外，认识到 MTrP 与偏头痛相关的抑郁和焦虑之间的联系突出了偏头痛管理整体方法的重要性。通过解决肌肉骨骼和神经因素，医疗保健提供者可以为偏头痛患者提供更有效和个性化的护理。本研究旨在确定 MTrP 与偏头痛相关残疾、焦虑、抑郁和偏头痛特征之间的关联。

方法

这是一项横断面研究，纳入了来自神经内科门诊的 68 名偏头痛患者。在偏头痛无发作期间，由一位经验丰富的神经科医生根据推荐的国际标准通过检查确定 MTrP 的数量。我们使用医院焦虑和抑郁量表（HADS）评估焦虑和抑郁，使用偏头痛残疾评估量表（MIDAS）评估残疾。

结果

我们纳入了 68 名患者（22 名男性），平均年龄为 36.23±9.63 岁。平均 MTrP 数量为 2.75±2.934。MTrP 与严重程度呈正相关（CC：0.576，P 值<0.001）。MTrP 与 HADS-D 或 MIDAS 之间没有关联，但 HADS-A 评分异常的偏头痛患者的 MTrP 比 HADS-A 评分正常的患者多（0.6±0.84 与 3.56±3.11，P 值：0.013）。