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Miyofasiyal Tetik Noktaların Sıklığı Multipl Skleroz Hastalarında Farklılık Gösterir mi?

Year 2019, Volume: 29 Issue: 1, 29 - 33, 01.01.2019

Serkan Demir Emre Ata

Abstract

Amaç: Miyofasiyal ağrı sendromu MAS tüm iskelet kaslarında görülebilmekle bilikte sıklıkla servikal, paraskapular ve sırt bölgesinde daha sıklıkla görülen bir kas iskelet sistemi bozukluğudur. Bu çalışmada multiple skleroz MS hastaları ve sağlıklı kişiler arasında aktif ve latent tetik noktaların görülme sıklığını araştırmak amaçlanmıştır. Gereç ve Yöntem: Çalışmaya boyun ve sırt ağrısı şikayeti olan 54 klinik olarak MS tanısı almış gönüllü hasta ve aynı şikayetlere sahip 79 gönüllü kontrol hastası dahil edilmiştir. Tüm gönüllülerde aktif ve latent tetik noktalar palpasyon yöntemiyle muayene edilmiştir. Bulgular: MS hastaları ile kontrol grubu hastaları arasında aktif tetik nokta görülme yüzdeleri arasında istatistiksel olarak anlamlı fark saptanmıştır. p0,05 . Hem MS hem de kontrol grubu hastalarında aktif tetik noktalar en sık sağ üst trapezius, sol üst trapezius kasları olarak tespit edilmiştir. MS hastalarında latent tetik nokta en sık sağ levator scapula kasında iken kontrol grubu hastalarında ise sağ üst trapezius, sol levator scapula kaslarında görülmüştür. Sonuç: Aktif tetik noktalar istatistiksel olarak MS grubunda normal popülasyona göre daha sık olarak görülmektedir. Boyun ve sırt ağrısı şikayeti ile başvuran MS hastalarında bu durumun göz önünde bulundurulması önem arz etmektedir

Keywords

Miyofasiyal ağrı sendromu ağrı multiple skleroz

References

  • Simons DG, Travell JG, Simons LS. Myofascial Pain and Dysfunction: The Trigger Point Manual—Upper Half of Body. 2nd ed. Baltimore, MD: Williams & Wilkins; 1999.
  • Borg-Stein J, Simons DG. Focused review: myofascial pain. Arch Phys Med Rehabil 2002; 83: 40–7.
  • Han S.C. Harrison P.: Myofascial pain syndrome and trig- ger point management. Reg. Anest 1997;22: 89-101.
  • Simons D.G.: Myofascial pain syndromes: where are we? Where are we going? Arch Phys Med Rehabil 1998;67: 207- 12.
  • Kayhan Ö. Fibromiyalji. Ağrı Serisi, 1995; 5: 33-46.
  • Akarırmak Ü.: Miyofasiyal ağrı sendromları . Lokomotor 1997; 1: 12-18.
  • Aydın R, Şen N, Ellialtıoğlu A. Eklem dışı romatizmal has- talıklar. (Ed): Diniz F, Ketenci A. Fiziksel Tıp ve Rehabilitas- yon. Nobel Tıp Kitabevi. İstanbul 2000, 299-320.
  • Tüzün F. Yumuşak doku romatizmaları. (Ed): Tüzün F, Er- yavuz M, Akarırırmak M. Hareket Sistemi Hastalıkları. No- bel Tıp Kitabevleri. İstanbul 1997, 159-73.
  • Uyar M. Miyofasiyal ağrı sendromu ve diğer musküloskele- tal kökenli ağrılar. Ağrı. Erdine S (editör). İstanbul: Nobel Tıp Kitabevleri 2000: 387-96.
  • Rachlin ES, Rachlin IS. Myofascial pain and fibromyalgia. In: Trigger Point Management. 2nd ed. St Louis, MO: CV Mosby Co; 2002: 231–58.
  • Kadi F, Waling K, Ahlgren C, Sundelin G, Holmner S, But- ler-Browne GS, Thornel LE. Pathological mechanism imp- licated in localized female trapezius myalgia. Pain 1998; 78: 191-6.
  • Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Pract Res Clin Rheumatol 2011; 25:185.
  • Simons DG, Travell JG, Simons LS. General Overview. In: Johnson EP, eds. Myofascial Pain and Dysfunction: The Tri- gger Point Manual. Second ed. Baltimore: Williams & Wilkins, 1999: 11-89.
  • Daniel SR, Claudia FL, Peter AC. N Engl J Med 2018;378:169-80.
  • Solaro C, Trabucco E, Messmer Uccelli M. Pain and mul- tiple sclerosis: pathophysiology and treatment. Curr Neurol Neurosci Rep. 2013;13:320.
  • Solaro C, Uccelli MM. Management of pain in multip- le sclerosis: a pharmacological approach. Nat Rev Neurol 2011;7:519-27.
  • Polman CH, Reingold SC, Banwell B, et al. Diagnostic cri- teria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol 2011; 69:292.
  • Yucel A, Senocak M, Orhan EK, Cimen A, Ertas M. Re- sults of the Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale in Turkey: A Validation Study. J Pain; 5:427-32.
  • Bouhassira D1, Attal N, Alchaar H, et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic qu- estionnaire (DN4). Pain 2005;114:29-36.
  • Boureau F, Brochet B, Bruxelle J, et al. Pathophysiologic and electrophysologic mechanisms of myofascial trigger points. Arch Phys Med Rehabil 1998;79:863-72.
  • Clemenzi A, Pompa A, Casillo P, et al. Pace L. Chronic pain in multiple sclerosis: is there also fibromyalgia? An obser- vational study. Med Sci Monit 2014;20:758-66.
  • Pompa A, Clemenzi A, Troisi E, et al. Chronic Pain in Mul- tiple Sclerosis Patients: Utility of Sensory Quantitative Tes- ting in Patients with Fibromyalgia Comorbidity. Eur Neurol 2015;73:257-63.
  • Grasso MG, Clemenzi A, Tonini A, et al. Pain in multiple sclerosis: a clinical and instrumental approach. Mult Scler 2008;14:506-13.
  • Bal S, Çeliker R. Baş ve boyun (Miyofasyal Ağrı Sendromu). In: Gökçe-Kutsal Y, editors. Yumuşak doku romatizmaları. Ankara: Güneş Kitabevi; 2002: 1-12.
  • Uyar M. Miyofasiyal ağrı sendromu ve diğer musküloskele- tal kökenli ağrılar. In: Erdine S, editor. Ağrı. İstanbul: Nobel Tıp Kitabevleri; 2000: 387-96.
  • Alvarez DJ, Rockwell PG. Trigger points: diagnosis and ma- nagement. Am Fam Physician 2002;65:653-60.
  • Borg-Stein J, Simons DG. Myofascial pain. Arch Phys Med Rehabil 2002;83:40-7.
  • Cooper BC, Alleva M, Cooper DL, Lucente FE. Myofacial pain dysfunction: analysis of 476 patients. Laryngoscope 1986;96:1099-1106.
  • Graff-Radford SB, Reeves JL, Baker RL, Chiu D. Effects of transcutaneous electrical nerve stimulation on myofascial pain and trigger point sensitivity. Pain 1989;37:1-5.
  • Fricton JR, Auvinen MD, Dykstra D, Schiffman E. Myo- fascial pain syndrome: electromyographic changes asso- ciated with local twitch response. Arch Phys Med Rehabil 1985;66:314-7.
  • Hong CZ, Hsueh TC. Difference in pain relief after trigger point injections in myofascial pain patients with and wit- hout fibromyalgia. Arch Phys Med Rehabil 1996;77:1161-6.
  • Frohman TC, Castro W, Shah A, et al. Symptomatic therapy in multiple sclerosis. Ther Adv Neurol Disord 2011; 4:83.
  • Rae-Grant AD. Unusual symptoms and syndromes in mul- tiple sclerosis. Continuum (Minneap Minn) 2013; 19:992.

Year 2019, Volume: 29 Issue: 1, 29 - 33, 01.01.2019

Serkan Demir Emre Ata

Abstract

Objective: Myofascial pain syndrome MPS may be seen in all skeletal muscles and also it is a musculoskeletal disorder that is frequently seen in cervical, parascapular and dorsal parts.This study aims to research the prevalence of active and latent trigger points among Multiple Sclerosis patients and healthy people.Material and Methods: 54 Volunteer patients, who clinically got the diagnosis of MS, with complaints of neck and back pain and 79 volunteer control patients with the same complaints were involved in the study. Patients who clinically got the diagnosis of MS were involved in the study. In all of the volunteers, active and latent points were examined by means of the palpation method.Results: Statistically, a significant difference between the percentages of active trigger point prevalence among MS and control group patients was determined. p0,05 . Active triggers in both MS and control group patients were most commonly found as right upper trapezius, upper left trapezius muscles. The latent trigger point in MS patients was most commonly found in the right levator scapula, while it is seen in the right upper trapezius and left levator scapula muscles in the control group.Conclusion: In MS group, active trigger points are statistically more common compared to the normal population. It is important to consider this situation for MS patients with neck and back pain complaints

Keywords

Myofascial pain syndrome pain multiple sclerosis

References

  • Simons DG, Travell JG, Simons LS. Myofascial Pain and Dysfunction: The Trigger Point Manual—Upper Half of Body. 2nd ed. Baltimore, MD: Williams & Wilkins; 1999.
  • Borg-Stein J, Simons DG. Focused review: myofascial pain. Arch Phys Med Rehabil 2002; 83: 40–7.
  • Han S.C. Harrison P.: Myofascial pain syndrome and trig- ger point management. Reg. Anest 1997;22: 89-101.
  • Simons D.G.: Myofascial pain syndromes: where are we? Where are we going? Arch Phys Med Rehabil 1998;67: 207- 12.
  • Kayhan Ö. Fibromiyalji. Ağrı Serisi, 1995; 5: 33-46.
  • Akarırmak Ü.: Miyofasiyal ağrı sendromları . Lokomotor 1997; 1: 12-18.
  • Aydın R, Şen N, Ellialtıoğlu A. Eklem dışı romatizmal has- talıklar. (Ed): Diniz F, Ketenci A. Fiziksel Tıp ve Rehabilitas- yon. Nobel Tıp Kitabevi. İstanbul 2000, 299-320.
  • Tüzün F. Yumuşak doku romatizmaları. (Ed): Tüzün F, Er- yavuz M, Akarırırmak M. Hareket Sistemi Hastalıkları. No- bel Tıp Kitabevleri. İstanbul 1997, 159-73.
  • Uyar M. Miyofasiyal ağrı sendromu ve diğer musküloskele- tal kökenli ağrılar. Ağrı. Erdine S (editör). İstanbul: Nobel Tıp Kitabevleri 2000: 387-96.
  • Rachlin ES, Rachlin IS. Myofascial pain and fibromyalgia. In: Trigger Point Management. 2nd ed. St Louis, MO: CV Mosby Co; 2002: 231–58.
  • Kadi F, Waling K, Ahlgren C, Sundelin G, Holmner S, But- ler-Browne GS, Thornel LE. Pathological mechanism imp- licated in localized female trapezius myalgia. Pain 1998; 78: 191-6.
  • Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Pract Res Clin Rheumatol 2011; 25:185.
  • Simons DG, Travell JG, Simons LS. General Overview. In: Johnson EP, eds. Myofascial Pain and Dysfunction: The Tri- gger Point Manual. Second ed. Baltimore: Williams & Wilkins, 1999: 11-89.
  • Daniel SR, Claudia FL, Peter AC. N Engl J Med 2018;378:169-80.
  • Solaro C, Trabucco E, Messmer Uccelli M. Pain and mul- tiple sclerosis: pathophysiology and treatment. Curr Neurol Neurosci Rep. 2013;13:320.
  • Solaro C, Uccelli MM. Management of pain in multip- le sclerosis: a pharmacological approach. Nat Rev Neurol 2011;7:519-27.
  • Polman CH, Reingold SC, Banwell B, et al. Diagnostic cri- teria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol 2011; 69:292.
  • Yucel A, Senocak M, Orhan EK, Cimen A, Ertas M. Re- sults of the Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale in Turkey: A Validation Study. J Pain; 5:427-32.
  • Bouhassira D1, Attal N, Alchaar H, et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic qu- estionnaire (DN4). Pain 2005;114:29-36.
  • Boureau F, Brochet B, Bruxelle J, et al. Pathophysiologic and electrophysologic mechanisms of myofascial trigger points. Arch Phys Med Rehabil 1998;79:863-72.
  • Clemenzi A, Pompa A, Casillo P, et al. Pace L. Chronic pain in multiple sclerosis: is there also fibromyalgia? An obser- vational study. Med Sci Monit 2014;20:758-66.
  • Pompa A, Clemenzi A, Troisi E, et al. Chronic Pain in Mul- tiple Sclerosis Patients: Utility of Sensory Quantitative Tes- ting in Patients with Fibromyalgia Comorbidity. Eur Neurol 2015;73:257-63.
  • Grasso MG, Clemenzi A, Tonini A, et al. Pain in multiple sclerosis: a clinical and instrumental approach. Mult Scler 2008;14:506-13.
  • Bal S, Çeliker R. Baş ve boyun (Miyofasyal Ağrı Sendromu). In: Gökçe-Kutsal Y, editors. Yumuşak doku romatizmaları. Ankara: Güneş Kitabevi; 2002: 1-12.
  • Uyar M. Miyofasiyal ağrı sendromu ve diğer musküloskele- tal kökenli ağrılar. In: Erdine S, editor. Ağrı. İstanbul: Nobel Tıp Kitabevleri; 2000: 387-96.
  • Alvarez DJ, Rockwell PG. Trigger points: diagnosis and ma- nagement. Am Fam Physician 2002;65:653-60.
  • Borg-Stein J, Simons DG. Myofascial pain. Arch Phys Med Rehabil 2002;83:40-7.
  • Cooper BC, Alleva M, Cooper DL, Lucente FE. Myofacial pain dysfunction: analysis of 476 patients. Laryngoscope 1986;96:1099-1106.
  • Graff-Radford SB, Reeves JL, Baker RL, Chiu D. Effects of transcutaneous electrical nerve stimulation on myofascial pain and trigger point sensitivity. Pain 1989;37:1-5.
  • Fricton JR, Auvinen MD, Dykstra D, Schiffman E. Myo- fascial pain syndrome: electromyographic changes asso- ciated with local twitch response. Arch Phys Med Rehabil 1985;66:314-7.
  • Hong CZ, Hsueh TC. Difference in pain relief after trigger point injections in myofascial pain patients with and wit- hout fibromyalgia. Arch Phys Med Rehabil 1996;77:1161-6.
  • Frohman TC, Castro W, Shah A, et al. Symptomatic therapy in multiple sclerosis. Ther Adv Neurol Disord 2011; 4:83.
  • Rae-Grant AD. Unusual symptoms and syndromes in mul- tiple sclerosis. Continuum (Minneap Minn) 2013; 19:992.
There are 33 citations in total.

Details

Primary Language Turkish
Journal Section Original Article
Authors

Serkan Demir This is me

Emre Ata This is me

Publication Date January 1, 2019
Published in Issue Year 2019 Volume: 29 Issue: 1

Cite

Vancouver Demir S, Ata E. Miyofasiyal Tetik Noktaların Sıklığı Multipl Skleroz Hastalarında Farklılık Gösterir mi?. Genel Tıp Derg. 2019;29(1):29-33.

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