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Related Concept Videos

Disorders of the Skeletal Muscle01:28

Disorders of the Skeletal Muscle

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The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
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Equilibrium and Balance01:15

Equilibrium and Balance

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The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
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Myasthenia Gravis: Overview and Treatment01:20

Myasthenia Gravis: Overview and Treatment

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Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
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Skeletal Muscle Relaxants: Adverse Effects01:21

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Skeletal muscle relaxants are widely used for muscle paralysis and relieving pain following any muscle injury or stiffness. However, depending on the drug type, they can have adverse effects that range from mild to severe. Usually, nondepolarizing neuromuscular blockers have minimal side effects. For example, drugs like d-tubocurarine, cisatracurium, and rocuronium cause hypotension, whereas drugs like baclofen, when stopped abruptly, can lead to the recurrence of spastic conditions.
Unlike...
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Muscles that Move the Head01:19

Muscles that Move the Head

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The muscles that move the head are a dynamic and complex group of structures that work together to facilitate a wide range of head movements, including rotation, flexion, extension, and lateral bending.
The bilateral sternocleidomastoid, or SCM, and the suprahyoid and infrahyoid muscles are significant head flexors. The SCM muscles originate at the sternum and clavicle and attach to the mastoid process of the temporal bone. The SCM contracts bilaterally to bend the head forward, whereas...
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Skeletal Muscle Relaxants: Therapeutic Uses01:31

Skeletal Muscle Relaxants: Therapeutic Uses

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Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Musculoskeletal dysfunction in migraine patients.

Kerstin Luedtke1, Wiebke Starke1, Arne May1

  • 1Department of Systems Neuroscience, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

Cephalalgia : an International Journal of Headache
|June 24, 2017
PubMed
Summary

Migraine patients frequently exhibit musculoskeletal dysfunctions, particularly in the neck and upper back. These findings suggest a connection between the trigeminal nerve system and cervical spine issues in migraine.

Keywords:
Migrainecervicaljoint dysfunctionmusculoskeletaltrigger points

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Area of Science:

  • Neurology
  • Musculoskeletal Medicine
  • Pain Management

Background:

  • Musculoskeletal dysfunctions are common but their specific patterns in migraine patients require further investigation.
  • Validating diagnostic tools for musculoskeletal issues in headache disorders is crucial for accurate assessment.

Purpose of the Study:

  • To determine the prevalence and characteristics of musculoskeletal dysfunctions in individuals with migraine.
  • To validate a set of international consensus headache assessment tests for evaluating these dysfunctions.

Main Methods:

  • A blinded physiotherapist assessed 138 migraine patients (episodic and chronic) and 73 healthy controls.
  • Eleven standardized tests evaluated cervical and thoracic musculoskeletal dysfunctions, including trigger points and specific movement tests.
  • Data analysis compared dysfunction prevalence between migraineurs and controls.

Main Results:

  • Migraine patients showed significantly more musculoskeletal dysfunctions than healthy controls.
  • Ninety-three percent of migraine patients had at least three identified musculoskeletal dysfunctions.
  • Specific tests like the flexion-rotation test and cranio-cervical flexion test revealed significant group differences.

Conclusions:

  • A validated set of six physical examination tests confirms a high prevalence of musculoskeletal dysfunctions in migraine sufferers.
  • These findings support a bidirectional relationship between the trigeminal system and cervical structures as a characteristic of migraine.
  • Targeting musculoskeletal dysfunctions may offer a novel therapeutic avenue for migraine management.