Myofascial pain, widespread pressure hypersensitivity, and hyperalgesia in the face, neck, and shoulder regions, in survivors of head and neck cancer
| Autor: | Manuel Arroyo-Morales, Carolina Fernández-Lao, Eduardo Castro-Martín, Mario Lozano-Lozano, Lucía Ortiz-Comino, Irene Cantarero-Villanueva, Lydia Martín-Martín |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Pain Threshold Shoulder animal structures Paraneoplastic Syndromes medicine.medical_treatment Pain medicine Inflammation 03 medical and health sciences 0302 clinical medicine Cancer Survivors Facial Pain Shoulder Pain medicine Humans 030212 general & internal medicine Myofascial Pain Syndromes Aged Neck Pain Medical treatment business.industry Myofascial pain Head and neck cancer Trigger Points Neck dissection Middle Aged medicine.disease Peripheral Oncology Head and Neck Neoplasms Hyperalgesia Case-Control Studies Face 030220 oncology & carcinogenesis Anesthesia Female medicine.symptom business |
| Zdroj: | Supportive Care in Cancer. 28:2891-2898 |
| ISSN: | 1433-7339 0941-4355 |
| Popis: | Medical treatment for head and neck cancer may induce the presence of inflammation, pain, and dysfunction. The purpose of the current study was to assess the presence of myofascial trigger points (TrPs) and their relationship with widespread pressure hypersensitivity and hyperalgesia in survivors of head and neck cancer (sHNC). TrPs and pressure-pain thresholds (PPTs) were quantified in different muscles/joints in the head and neck of 30 sHNC (59.45 ± 13.13 years) and 28 age- and sex-matched controls (58.11 ± 12.67 years). The sHNC had more TrPs in all muscles on the affected side (p < 0.05) than did the healthy controls, and in the temporalis, masseter, and suboccipitalis muscles on the unaffected side (p < 0.05). They also had lower PPTs in all places (p < 0.05) except for the temporalis muscle (p = 0.114) and C5-C6 joint (p = 0.977). The intensity of cervical pain correlated positively with the presence of upper trapezius TrPs. sHNC suffering cervical and/or temporomandibular joint pain have multiple active TrPs and experience widespread pressure hypersensitivity and hyperalgesia, suggestive of peripheral and central sensitization. |
| Databáze: | OpenAIRE |
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