Odzimek Martyna, Lipiński Hubert, Błaszczyk Małgorzata, Strózik Patrycja, Zegarek Julia, Dubiński Piotr, Michalska Agata, Klusek Justyna, Żak Marek, Brola Waldemar
Doctoral School, The Jan Kochanowski University, Żeromskiego 5, 25-369 Kielce, Poland.
Institute of Health Sciences, Collegium Medicum, The Jan Kochanowski University, al. IX Wieków Kielc 19A, 25-516 Kielce, Poland.
Medicina (Kaunas). 2024 Nov 22;60(12):1923. doi: 10.3390/medicina60121923.
: The main aim of this study was to evaluate the impact of cervical pain on the quality of life of patients with multiple sclerosis in comparison with a group of healthy people (without diseases of the Central Nervous System). : Data were collected at the Specialist Hospital St. Łukasz in Końskie (Poland) in the period from November 2023 to August 2024. The inclusion criteria for this study were as follows: age (20-50 years), women and men, healthy people (without diseases of the Central Nervous System) and people suffering from multiple sclerosis. People from the study group were diagnosed according to the McDonald criteria and tested with the EDSS. The mobility of the cervical spine was measured, and neck pain was assessed using the following: Visual Analogue Scale (VAS), Laitinen Scale and the Neck Disability Index (NDI). All participants self-assessed their quality of life using EuroQol 5D-5L (EQ-5D-5L). : 80 people took part in this study, the vast majority of whom were women (71.3%). The most common form of multiple sclerosis was relapsing-remitting (75.0%), and the average EDSS score was higher in the male group (1.6 ± 1.8). Cervical spine pain was reported by 27 people from the study group (67.5%) and 16 people from the control group (40.0%). In both groups, the cervical spine mobility was lower in people with neck pain. The level of cervical spine pain was statistically significantly ( < 0.05) higher in women, people living in small towns and in people with multiple sclerosis, depending on the type of disease and its duration. Cervical spine pain in people with multiple sclerosis was higher in all three scales (VAS mean = 5.7, ES = 0.79; Laitinen Scale mean = 10.1, ES = 0.60; and NDI Scale mean = 21.1, ES = 0.89). The study group obtained significantly higher scores on the EQ-5D scale (mean = 15.3; ES = 0.79) and EQ-VAS (mean = 53.2; ES = 0.94). : This study proved that cervical spine pain is more common among people with multiple sclerosis. In these people, this problem is rarely diagnosed and properly treated.
本研究的主要目的是评估与一组健康人群（无中枢神经系统疾病）相比，颈部疼痛对多发性硬化症患者生活质量的影响。
数据于2023年11月至2024年8月期间在波兰科ńskie的圣卢卡斯专科医院收集。本研究的纳入标准如下：年龄（20 - 50岁），男女不限，健康人群（无中枢神经系统疾病）以及患有多发性硬化症的人群。研究组中的人员根据麦克唐纳标准进行诊断，并使用扩展残疾状态量表（EDSS）进行测试。测量颈椎的活动度，并使用以下方法评估颈部疼痛：视觉模拟量表（VAS）、莱蒂宁量表和颈部残疾指数（NDI）。所有参与者使用欧洲五维度健康量表（EQ - 5D - 5L）对自己的生活质量进行自我评估。
80人参与了本研究，其中绝大多数是女性（71.3%）。多发性硬化症最常见的类型是复发缓解型（75.0%），男性组的平均EDSS评分更高（1.6±1.8）。研究组中有27人（67.5%）报告有颈椎疼痛，对照组中有16人（40.0%）报告有颈椎疼痛。在两组中，有颈部疼痛的人的颈椎活动度较低。根据疾病类型及其持续时间，女性、居住在小镇的人群以及患有多发性硬化症的人群的颈椎疼痛程度在统计学上显著更高（<0.05）。多发性硬化症患者在所有三个量表上的颈椎疼痛程度都更高（VAS平均值 = 5.7，效应量 = 0.79；莱蒂宁量表平均值 = 10.1，效应量 = 0.60；NDI量表平均值 = 21.1，效应量 = 0.89）。研究组在EQ - 5D量表（平均值 = 15.3；效应量 = 0.
