纤维肌痛与偏头痛的宫肌肉的形态和机械特性:一个病例控制研究
Mehtap Balaban1, Seyda Toprak Celenay2, Nida Lalecan3
1Ankara Yildirim Beyazit University, Faculty of Medicine, Department of Radiology, Ankara, Turkiye.
Musculoskeletal science & practice
|September 21, 2024
概括
患有偏头痛的纤维肌痛患者表现出长肌的大小减少和上梯形肌硬度增加. 这表明偏头痛可能会在纤维肌痛中恶化部肌肉变化.
科学领域:
- 神经学 神经学
- 肌肉骨医学 肌肉骨医学
- 疼痛管理 疼痛管理
背景情况:
- 纤维肌痛对宫肌肉特性的影响尚未完全理解.
- 调查纤维肌痛和偏头痛在部肌肉变化的相互作用对于全面的患者护理至关重要.
研究的目的:
- 为了比较纤维肌痛患者的部肌肉的形态和机械特征,并没有并发性偏头痛.
- 为了确定这两个患者群体之间的肌肉大小 (CSA) 和度的具体差异.
主要方法:
- 超声波成像用于评估宫肌肉特性 (厚度,CSA,度) 在两组纤维肌痛患者中.
- 一组患有并发性偏头痛 (n=18),另一组没有 (n=21).
- 疼痛和偏头痛的严重程度使用视觉模拟尺度 (VAS) 量化.
主要成果:
- 纤维肌痛 + 偏头痛组表现出明显较小的长肌肉横截面积 (CSA) (p=0.004).
- 纤维肌痛 + 偏头痛组表现出明显更大的上梯形肌硬度 (p=0.013).
- 两组之间在梯形肌或cleidomastoid 肌肉厚度或多肌CSA方面没有发现显著差异.
结论:
- 纤维肌痛患者患有偏头痛,出现明显的宫肌肉变化,包括减少长CSA和增加上梯硬度.
- 偏头痛并发症可能会加剧对纤维肌痛患者部肌肉形态和机制的负面影响.
- 这些发现强调了在评估纤维肌痛部肌肉问题时考虑偏头痛状态的重要性.
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