Elasticity of neck muscles in cervicogenic headache

Autor: Jan Herman, Tomáš Fürst, Miroslav Herman, Zuzana Sedlackova, Tomas Dornak, Martin Vita
Rok vydání: 2021
Předmět:
Zdroj: Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia. 166(3)
ISSN: 1804-7521
Popis: Aim To compare the elasticity of the sternocleidomastoid and trapezius muscles in patients with cervicogenic headache and in healthy volunteers. Methods The medical history of 23 patients with cervicogenic headache was taken with a focus on pain characteristics. Elasticity of the sternocleidomastoid and trapezius muscles was measured by using shear wave elastography. Results were then compared with 23 healthy volunteers. Results The sternocleidomastoid muscle was significantly stiffer in patients with cervicogenic headache compared to healthy volunteers. The stiffness increased gradually from the parasternal area, where it was negligible, to the area near the mastoid process where it reached over 20 kPa. There was no difference in the stiffness of the trapezius muscle. The stiffness of the sternocleidomastoid muscle does show a significant dependence on headache characteristics (e.g., laterality, severity, or frequency). Conclusion The results of this pilot study show that patients with cervicogenic headache have a higher stiffness of the sternocleidomastoid muscle than healthy volunteers. These findings suggest that elastography could be used as a diagnostic tool in cervicogenic headache.
Databáze: OpenAIRE