Cervical muscle volume in individuals with idiopathic neck pain compared to asymptomatic controls: A cross-sectional magnetic resonance imaging study.
Muscle strength
Muscular atrophy
Journal
Musculoskeletal science & practice
ISSN: 2468-7812
Titre abrégé: Musculoskelet Sci Pract
Pays: Netherlands
ID NLM: 101692753
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
20
03
2019
revised:
02
08
2019
accepted:
13
08
2019
pubmed:
28
8
2019
medline:
23
6
2020
entrez:
28
8
2019
Statut:
ppublish
Résumé
Neck muscle compositional changes may represent potential biomarkers contributing towards chronic neck-related pain and disability. To determine differences in muscle volume in the cervical muscles of individuals with chronic idiopathic neck pain compared with age- and sex-matched asymptomatic individuals, and to determine if these muscle variables relate to spinal level, side (left or right), age, sex, body mass index (BMI) or muscle strength. Cross-sectional magnetic resonance imaging (MRI) study. Muscle volume of five muscle (groups) from cervical levels C3-T1 in 20 pain and 17 asymptomatic participants were quantified using MRI: levator scapulae, multifidus including semispinalis cervicis, semispinalis, splenius capitus including splenius cervicis, and sternocleidomastoid. Isometric extensor and flexor muscle strength were assessed with a dynamometer. Linear mixed modelling determined differences between groups in muscle volume accounting for participant characteristics. Individuals with pain had greater muscle volume (adjusted mean difference 71.2 mm Between-group differences in cervical flexor muscle volume, and volume differences across spinal levels and muscles suggest the contribution of cervical muscles to chronic idiopathic neck pain is multifaceted and complex.
Sections du résumé
BACKGROUND
Neck muscle compositional changes may represent potential biomarkers contributing towards chronic neck-related pain and disability.
OBJECTIVES
To determine differences in muscle volume in the cervical muscles of individuals with chronic idiopathic neck pain compared with age- and sex-matched asymptomatic individuals, and to determine if these muscle variables relate to spinal level, side (left or right), age, sex, body mass index (BMI) or muscle strength.
STUDY DESIGN
Cross-sectional magnetic resonance imaging (MRI) study.
METHODS
Muscle volume of five muscle (groups) from cervical levels C3-T1 in 20 pain and 17 asymptomatic participants were quantified using MRI: levator scapulae, multifidus including semispinalis cervicis, semispinalis, splenius capitus including splenius cervicis, and sternocleidomastoid. Isometric extensor and flexor muscle strength were assessed with a dynamometer. Linear mixed modelling determined differences between groups in muscle volume accounting for participant characteristics.
RESULTS
Individuals with pain had greater muscle volume (adjusted mean difference 71.2 mm
CONCLUSION
Between-group differences in cervical flexor muscle volume, and volume differences across spinal levels and muscles suggest the contribution of cervical muscles to chronic idiopathic neck pain is multifaceted and complex.
Identifiants
pubmed: 31451399
pii: S2468-7812(19)30130-4
doi: 10.1016/j.msksp.2019.102050
pii:
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
102050Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.