Morphological and mechanical properties of cervical muscles in fibromyalgia with migraine: A case-control study.

Autor: Balaban M; Ankara Yildirim Beyazit University, Faculty of Medicine, Department of Radiology, Ankara, Turkiye. Electronic address: mehtapbalaban40@yahoo.com., Toprak Celenay S; Ankara Yildirim Beyazit University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkiye. Electronic address: sydtoprak@hotmail.com., Lalecan N; Ankara Yildirim Beyazit University, Institute of Health Sciences, Physiotherapy and Rehabilitation Graduate Program, Ankara, Turkiye. Electronic address: nida_lalecan4@hotmail.com., Akan S; Ankara Bilkent City Hospital, Department of Internal Medicine, Ankara, Turkiye. Electronic address: dr_selcukakan@hotmail.com., Ozer Kaya D; Izmir Katip Celebi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Izmir, Turkiye. Electronic address: deryaozer2000@yahoo.com.
Jazyk: angličtina
Zdroj: Musculoskeletal science & practice [Musculoskelet Sci Pract] 2024 Nov; Vol. 74, pp. 103185. Date of Electronic Publication: 2024 Sep 14.
DOI: 10.1016/j.msksp.2024.103185
Abstrakt: Background: The precise manner in which morphological and mechanical properties of cervical muscles in patients with fibromyalgia and migraine are affected remains unclear.
Objectives: The objective of this study was to compare the morphological and mechanical properties of cervical muscles in individuals diagnosed with fibromyalgia who also experience migraine headaches with those who do not.
Methods: The study included two groups of fibromyalgia patients: one with migraine (n = 18, age = 44.7 ± 7.5 years, body mass index = 28.7 ± 6.9 kg/m 2 ) and one without migraine (n = 21, age = 42.6 ± 9.5 years, body mass index = 25.1 ± 4.4 kg/m 2 ). Body pain intensity related to fibromyalgia and migraine attack severity were evaluated with a Visual Analog Scale (VAS). The cervical muscle morphological and mechanical properties, including thickness, cross-sectional area (CSA), and stiffness, were measured using ultrasound imaging.
Results: It was found that there was a greater decrease in longus colli muscle CSA scores (p = 0.004) and a greater increase in upper trapezius muscle stiffness scores (p = 0.013) in the fibromyalgia + migraine group compared to the fibromyalgia group. No statistically significant differences were observed in trapezius muscle thickness (p = 0.261), sternocleidomastoid muscle thickness (p = 0.874), multifidus CSA (p = 0.963), or sternocleidomastoid muscle stiffness (p = 0.642) between the two groups.
Conclusion: Patients with fibromyalgia and migraine exhibited diminished longus colli muscle CSA and heightened upper trapezius muscle stiffness compared to those with fibromyalgia but no migraine. It should be considered that migraine comorbidity in fibromyalgia may negatively affect cervical muscle morphological and mechanical properties.
Competing Interests: Declaration of competing interest Author Toprak Celenay, author Balaban, author Lalecan, author Akan, and author Ozer Kaya declare that they have no conflict of interest.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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