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Volume: 33  Issue: 3  Year: 2020
  Demographics Features, Clinical Findings and Functional Status in a Group of Subjects with Cervical Myofascial Pain Syndrome [Ağrı]
Ağrı. 2008; 20(3): 14-19

Demographics Features, Clinical Findings and Functional Status in a Group of Subjects with Cervical Myofascial Pain Syndrome

Nilay Şahin1, Ömer Karataş2, Murat Özkaya2, Ayşegül Çakmak2, Ender Berker3
1Department Of Physical Medicine And Rehabilitation, Meram Faculty Of Medicine, Selcuk University, Turkey
2Department Of Physical Medicine And Rehabilitation, Istanbul Faculty Of Medicine, Istanbul University, Turkey
3Department Of Physical Medicine And Rehabilitation, American Hospital, Turkey

Subjects with myofascial pain of muscles of the neck region may present with various clinical symptoms. The aim of this study was to explore the demographics features, clinical findings and functional status in a group of patients presenting with myofascial pain of the cervical muscles. 94 cervical myofascial pain syndrome patients were recruited from the out-patient clinic. Evaluated of patient short form health survey (SF-36), pain, depression, patient demographics and physical examinations. Outcome measures; SF-36 Health Survey, visual analog scale, Beck Depression Inventory, history, physical examination. A total of 82 patients with a diagnosis of cervical myofascial syndrome were included in the study. All patients were in the young age group 37.4±9, and 87.8% were females. 53.1% had trigger points in the trapezius muscle with high percentage of autonomic phenomena like skin reddening, lacrimation, tinnitus and vertigo. 58.5% of the series had suffered from former cervical trauma and 40.2% also had Fibromyalgia syndrome and 18.5% had Benign Joint Hypermobility syndrome. Younger female patients presenting with autonomic phenomena and early onset cervical injury should be examined for cervical myofascial pain syndrome and also for Fibromyalgia syndrome since this study demonstrated a high percentage of Fibromyalgia syndrome in these patients.

Keywords: myofascial pain syndrome, depression, quality of life, trigger points, chronic pain, fibromyalgia


Servikal Miyofasyal Ağrı Sendromlu Hastalarda Demografik Özellikler, Klinik Bulgular ve Fonksiyonel Durum

Nilay Şahin1, Ömer Karataş2, Murat Özkaya2, Ayşegül Çakmak2, Ender Berker3
1Selçuk Üniversitesi, Meram Tıp Fakültesi, Fiziksel Tıp Ve Rehabilitasyon Ana Bilim Dalı, Konya
2İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp Ve Rehabilitasyon Ana Bilim Dalı, İstanbul
3Amerikan Hastanesi, Fiziksel Tıp Ve Rehabilitasyon Departmanı, İstanbul

Servikal bölgede miyofasyal ağrısı bulunan kişiler çeşitli klinik bulgularla karşımıza çıkabilirler. Bu çalışmanın amacı servikal miyofasyal ağrı sendromlu hastalarda demografik özellikler, klinik bulgular ve fonksiyonel durumu incelemektir. Kliniğimize başvuran 94 servikal miyofasyal ağrı sendromlu hasta değerlendirmeye alındı. Hastalarda kısa form-36 yaşam kalitesi (SF-36), ağrı, depresyon, demografik ve fiziksel özellikler değerlendirildi. Son durum ölçütleri; SF-36 yaşam kalitesi, görsel analog skala, Beck Depresyon İndeksi, anamnez ve fizik muayeneydi. Toplamda servikal miyofasyal sendrom tanısı almış 82 hasta çalışmaya dahil edildi. Hastaların hepsi genç olup yaş ortalamaları 37.4±9 ve %87.8’ I kadın idi. Hastaların %53.1’ i otonomik fenomen benzeri deri kızarıklığı, lakrimasyon ve vertigo ile birlikte trapezius kasında tetik noktaya sahipti. %58.5’ u önceden geçirilmiş servikal travmaya, %40.2’ si Fibromiyalji sendromuna ve %18.5’ u Benign eklem hipermobilite sendromuna sahipti. Otonomik fenomenler ve erken başlangıçlı servikal yaralanması bulunan genç, bayan hastalar servikal miyofasyal ağrı sendromu ve bu hastalarda da Fibromiyalji sendromu oranı yüksek olduğu için Fibromiyalji sendromu açısından değerlendirilmelidirler.

Anahtar Kelimeler: miyofasyal ağrı sendromu, depresyon, yaşam kalitesi, tetik nokta, kronik ağrı, fibromiyalji


Nilay Şahin, Ömer Karataş, Murat Özkaya, Ayşegül Çakmak, Ender Berker. Demographics Features, Clinical Findings and Functional Status in a Group of Subjects with Cervical Myofascial Pain Syndrome. Ağrı. 2008; 20(3): 14-19

Corresponding Author: Nilay Şahin, Türkiye


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