sdü tıp fak derg

Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.1180661

Clinical Sciences

Klinik Tıp Bilimleri

EVALUATION OF TRAPEZIUS, MASSETER AND STERNOCLEIDOMASTOID MUSCLE THICKNESS, PAIN THRESHOLD AND DISABILITY IN PATIENTS WITH UNILATERAL CERVICAL PAIN AND RADICULOPATHY

TEK TARAFLI SERVİKAL AĞRI VE RADİKÜLOPATİSİ OLAN HASTALARDA TRAPEZİUS, MASSETER VE STERNOKLEİDOMASTOİD KAS KALINLIKLARININ, AĞRI EŞİĞİNİN VE ÖZÜRLÜLÜĞÜN DEĞERLENDİRİLMESİ

https://orcid.org/0000-0002-6921-8716

Kızıloğlu

Hüseyin Alper

Tokat GAziosmanpaşa Üniversitesi Tıp Fakültesi Radyoloji A.B.D.

https://orcid.org/0000-0003-0252-9023

Ayyıldız

Veysel Atilla

Süleyman Demirel Üniversitesi Tıp Fakültesi Radyoloji A.B.D.

https://orcid.org/0000-0002-0033-0144

Yakut

Hatice

SULEYMAN DEMIREL UNIVERSITY

https://orcid.org/0000-0002-2076-1152

Bekar

Zülal

SULEYMAN DEMIREL UNIVERSITY

12 27 2022

29 4 619 628 09 27 2022 11 24 2022

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

ObjectiveChronic cervical pain is one of the most commonmusculoskeletal symptoms observed worldwide. Inour study, we aimed to show the thickness changes, ifany, in the neck region and muscle groups adjacent tothe neck region in ultrasonography (USG) of patientswith unilateral chronic neck pain. We also aimed toshow the change in the pain threshold of the musclesin pressure algometry in a separate patient group.Material and MethodPatients with unilateral neck pain, disc herniationon cervical magnetic resonance imaging (MRI),radiculopathy findings proven on electromyography(EMG), and pain for 12 weeks or longer (fitting thedefinition of chronic neck pain) were included inthe study. The study was conducted prospectively.A total of 32 patients (25 women, 7 men) wereincluded. Visual analog scale (VAS) test, pressurealgometer measurement and neck disability test wereused to evaluate the pain of the patients. Masseter,sternocleidomastoid (SCM) and trapezius musclethicknesses of the patients were measured by US.In addition, pain thresholds of all three muscles weredetermined by pressure algometer.ResultsThe mean age of the patients was 49.71 ± 11.73 years.No statistically significant difference was observedfor the pain threshold levels of SCM, trapezius andmasseter muscles on the side with and without pain(p = 0.645; p = 0.386; p = 0.545, respectively). Nostatistically significant difference was observed forSCM, trapezius and masseter muscle thicknesses onthe pain and non-pain side (p = 0.76; p = 0.563; p =0.603, respectively).ConclusionThere was no statistically significant differencein pain thresholds for all 3 muscles (trapezius,sternocleidomastoid muscle, and masseter muscle)worked on the pain and non-pain side in the patientwith unilateral chronic neck pain. In the measurementof muscle thickness by US, no statistically significantdifference was found for the side with and withoutpain for all 3 muscles (trapezius, sternocleidomastoidmuscle and masseter muscle).

AmaçKronik servikal ağrı, dünya çapında gözlenen en yaygınkas iskelet sistemi semptomlarından biridir. Çalışmamızdatek taraflı kronik boyun ağrısı olan olgularınultrasonografide(USG) boyun bölgesinde ve boyunbölgesine komşu kas gruplarında varsa kalınlık değişimlerinigöstermeyi amaçladık. Ayrıca aynı hastagrubunun, basınç algometrede kasların ağrı eşiğindekideğişimi göstermeyi de amaçladık.Gereç ve YöntemTek taraflı boyun ağrısı olup, servikal manyetik rezonansgörüntülemede(MRG) disk herniasyonu olan,elektromyografide(EMG) radikülopati bulguları kanıtlananve 12 hafta veya üzeri ağrısı olan (kronik boyunağrısı tanımına uyan) hastalar çalışmaya dahiledilmiştir. Çalışma prospektif olarak yapılmıştır. Toplamda32 hasta (25 kadın, 7 erkek) dahil edilmiştir.Hastaların ağrılarını değerlendirmede vizüel analogskala(VAS) testi, basınç algometre ile ölçüm ve boyunözürlülük testi yapılmıştır. Hastaların masseter, sternokleidomastoid(SKM) ve trapezius kas kalınlıklarıUSG ile ölçülmüştür. Ayrıca her üç kasın ağrı eşikleribasınç algometre ile belirlenmiştir.BulgularHastaların yaşları 20-69 arasında değişmekte oluportalama yaşları 49,71 ± 11,73’dur. Ağrı olan ve olmayantarafta SKM, trapezius ve masseter kası ağrı eşikseviyeleri için istatistiksel anlamlı fark gözlenmemiştir(sırası ile p = 0,645; p = 0,386; p = 0,545). Ağrı olanve olmayan tarafta SKM, trapezius ve masseter kaskalınlığı için istatistiksel anlamlı fark gözlenmemiştir(sırası ile p = 0,76; p = 0,563; p = 0,603).SonuçTek taraflı kronik boyun ağrısı olan hastada, ağrı olantarafta ve olmayan tarafta çalışılan her 3 kas için (trapezius,sternokleidomastoid kas ve masseter kası)ağrı eşiklerinde istatistiksel anlamlı fark gözlenme-miştir. Kas kalınlıklarının USG ile ölçümünde de her 3kas için (trapezius, sternokleidomastoid kas ve masseterkası) ağrı olan ve olmayan taraf için istatistikselanlamlı fark gösterilememiştir.

Servikal ağrı USG Kas kalınlıkları

Cervical pain USG Muscle thicknesses

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