The characteristics and correlative research of 'Jin Shang' associated with chronic neck pain in young adults based on ultrasound imaging
Autor: | Wang-Yang Du, Dong Zhang, Zongting Shi, Yu-Feng Ma, Yu-Ru Guo, Qingpu Wang, Yinze Qi, Li-Li Yang, Ming-Kang Xu, Wen Gan |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
030222 orthopedics
medicine.medical_specialty Neck pain business.industry Visual analogue scale Traditional Chinese medicine Isometric exercise lcsh:RZ409.7-999 03 medical and health sciences Chronic neck pain 0302 clinical medicine Complementary and alternative medicine Internal medicine Inclusion and exclusion criteria Ultrasound imaging Medicine medicine.symptom Young adult business lcsh:Miscellaneous systems and treatments 030217 neurology & neurosurgery |
Zdroj: | Journal of Traditional Chinese Medical Sciences, Vol 5, Iss 4, Pp 411-419 (2018) |
ISSN: | 2095-7548 |
Popis: | Objective: To investigate the characteristics of “Jin Shang”, a specialized term in traditional Chinese medicine (TCM) theory, in young adults with chronic neck pain (CNP) and investigated the correlation of “Jin Shang” with pain intensity and living disabilities using cross-section study. Methods: The thickness of the bilateral splenius capitis and semispinalis capitis were measured by ultrasound imaging (USI) as the objective performance of “Jin Shang”. The visual analogue scale (VAS) and Northwick Park Questionnaire (NPQ) were used to assess pain intensity and living disability. The Student's t test was used to investigate the difference in neck extensor muscle (NEM) thickness between CNP patients and healthy controls. Pearson's correlation and multiple linear regression were applied to investigate the relationship between NEM thickness, pain intensity and disability. Results: Fifty-nine young adult CNP patients and 16 healthy controls were recruited in this study, in accordance with specific inclusion and exclusion criteria. The student's t test showed that in CNP patients, the thickness of the semispinalis capitis during isometric contraction was significantly thinner than that of healthy controls (P = .04). Pearson's correlation analysis also revealed significant relationships between NEM thickness, VAS, and NPQ, while multiple linear regression showed that the thickness of the NEM in CNP patients was a significant predictor of pain intensity and disability. Conclusion: There was a significant difference in the thickness of the NEM in young adults with CNP when compared to healthy controls. Alterations in the NEM thickness in both rest and contraction are moderately related to neck pain and living disabilities. Our results investigated the characteristics of “Jin Shang” using USI and revealed a correlation between “Jin Shang” and CNP symptoms, which demonstrates that NEM plays an important role in CNP. Keywords: Chronic neck pain, Jin Shang, Neck extensor muscle, Ultrasound imaging |
Databáze: | OpenAIRE |
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