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

Year 2022, Volume: 29 Issue: 4, 619 - 628, 27.12.2022

Hüseyin Alper Kızıloğlu , Veysel Atilla Ayyıldız , Hatice Yakut , Zülal Bekar

https://doi.org/10.17343/sdutfd.1180661

Abstract

Objective
Chronic cervical pain is one of the most common
musculoskeletal symptoms observed worldwide. In
our study, we aimed to show the thickness changes, if
any, in the neck region and muscle groups adjacent to
the neck region in ultrasonography (USG) of patients
with unilateral chronic neck pain. We also aimed to
show the change in the pain threshold of the muscles
in pressure algometry in a separate patient group.
Material and Method
Patients with unilateral neck pain, disc herniation
on cervical magnetic resonance imaging (MRI),
radiculopathy findings proven on electromyography
(EMG), and pain for 12 weeks or longer (fitting the
definition of chronic neck pain) were included in
the study. The study was conducted prospectively.
A total of 32 patients (25 women, 7 men) were
included. Visual analog scale (VAS) test, pressure
algometer measurement and neck disability test were
used to evaluate the pain of the patients. Masseter,
sternocleidomastoid (SCM) and trapezius muscle
thicknesses of the patients were measured by US.
In addition, pain thresholds of all three muscles were
determined by pressure algometer.
Results
The mean age of the patients was 49.71 ± 11.73 years.
No statistically significant difference was observed
for the pain threshold levels of SCM, trapezius and
masseter muscles on the side with and without pain
(p = 0.645; p = 0.386; p = 0.545, respectively). No
statistically significant difference was observed for
SCM, trapezius and masseter muscle thicknesses on
the pain and non-pain side (p = 0.76; p = 0.563; p =
0.603, respectively).
Conclusion
There was no statistically significant difference
in pain thresholds for all 3 muscles (trapezius,
sternocleidomastoid muscle, and masseter muscle)
worked on the pain and non-pain side in the patient
with unilateral chronic neck pain. In the measurement
of muscle thickness by US, no statistically significant
difference was found for the side with and without
pain for all 3 muscles (trapezius, sternocleidomastoid
muscle and masseter muscle).

Keywords

Cervical pain, USG, Muscle thicknesses

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

Abstract

Amaç
Kronik servikal ağrı, dünya çapında gözlenen en yaygın
kas iskelet sistemi semptomlarından biridir. Çalışmamızda
tek taraflı kronik boyun ağrısı olan olguların
ultrasonografide(USG) boyun bölgesinde ve boyun
bölgesine komşu kas gruplarında varsa kalınlık değişimlerini
göstermeyi amaçladık. Ayrıca aynı hasta
grubunun, basınç algometrede kasların ağrı eşiğindeki
değişimi göstermeyi de amaçladık.
Gereç ve Yöntem
Tek taraflı boyun ağrısı olup, servikal manyetik rezonans
görüntülemede(MRG) disk herniasyonu olan,
elektromyografide(EMG) radikülopati bulguları kanıtlanan
ve 12 hafta veya üzeri ağrısı olan (kronik boyun
ağrısı tanımına uyan) hastalar çalışmaya dahil
edilmiştir. Çalışma prospektif olarak yapılmıştır. Toplamda
32 hasta (25 kadın, 7 erkek) dahil edilmiştir.
Hastaların ağrılarını değerlendirmede vizüel analog
skala(VAS) testi, basınç algometre ile ölçüm ve boyun
özürlülük testi yapılmıştır. Hastaların masseter, sternokleidomastoid
(SKM) ve trapezius kas kalınlıkları
USG ile ölçülmüştür. Ayrıca her üç kasın ağrı eşikleri
basınç algometre ile belirlenmiştir.
Bulgular
Hastaların yaşları 20-69 arasında değişmekte olup
ortalama yaşları 49,71 ± 11,73’dur. Ağrı olan ve olmayan
tarafta SKM, trapezius ve masseter kası ağrı eşik
seviyeleri için istatistiksel anlamlı fark gözlenmemiştir
(sırası ile p = 0,645; p = 0,386; p = 0,545). Ağrı olan
ve olmayan tarafta SKM, trapezius ve masseter kas
kalınlığı için istatistiksel anlamlı fark gözlenmemiştir
(sırası ile p = 0,76; p = 0,563; p = 0,603).
Sonuç
Tek taraflı kronik boyun ağrısı olan hastada, ağrı olan
tarafta 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 3
kas için (trapezius, sternokleidomastoid kas ve masseter
kası) ağrı olan ve olmayan taraf için istatistiksel
anlamlı fark gösterilememiştir.

Keywords

Servikal ağrı, USG, Kas kalınlıkları

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