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논문 기본 정보

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학술저널
저자정보
Ito Sadayuki (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Sakai Yoshihito (Orthopedic Surgery National Center for Geriatrics and Gerontology Obu Japan) Harada Atsushi (Orthopedic Surgery National Center for Geriatrics and Gerontology Obu Japan) Ando Kei (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Kobayashi Kazuyoshi (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Nakashima Hiroaki (Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Machino Masaaki (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Kambara Shunsuke (Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Inoue Taro (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Hida Tetsuro (Nagoya Daini Red Cross Hospital) Ito Kenyu (Orthopedic Surgery Konan Kosei Hospital Konan) Ishiguro Naoki (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Imagama Shiro (Nagoya University Graduate School of Medicine)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.15 No.5
발행연도
2021.10
수록면
604 - 610 (7page)
DOI
10.31616/asj.2020.0186

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Study Design: Retrospective study. Purpose: We aimed to use motor evoked potentials (MEPs) to examine the association of electrophysiological assessment of the trapezius muscle with neck pain. Overview of Literature: Previous reports on the association of neck pain with the trapezius muscle have focused on surface electromyograms and muscle oxygenation; however, to our knowledge, none of these studies included detailed data on MEPs. Methods: The study included 100 patients with cervical myelopathy who underwent surgery at the National Center for Geriatrics and Gerontology in Obu, Japan from June 2010 to March 2013. Before the surgery, neck pain was evaluated using a Visual Analog Scale (a score ≥50 indicated neck pain and a score <50 indicated no neck pain). The preoperative cross-sectional areas of the trapezius muscles were measured with cervical magnetic resonance imaging sagittal T2-weighted images. Cranial stimulation under general anesthesia was used to derive the MEPs, enabling the measurement of latency and amplitude, using preoperative MEPs of the trapezius muscles. Results: The MEP of the trapezius muscle in patients with neck pain had significantly shorter latencies than those in patients who did not have neck pain. However, there was no significant difference in the amplitude between patients with and without neck pain. However, this tended to be greater in patients with neck pain as compared to that in those without neck pain. The cross-sectional area of the trapezius muscle in patients with neck pain was significantly smaller than that in those who did not have neck pain. Conclusions: MEPs revealed electrophysiological abnormalities of the trapezius muscles in patients with neck pain, supporting a relationship of neck pain with the trapezius muscles.
#Trapezius muscle #Neck pain #Cervical myelopathy #Motor evoked potentials #Cross-sectional areas

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참고문헌 (23)

참고문헌 신청
Herkowitz HN / 2006 / Rothman-Simeone, the spine / Saunders Elsevier google schola Panjabi MM / 1998 / Critical load of the human cervical spine : an in vitro experimental study / Clin Biomech(Bristol, Avon) 13:11~17 google schola Tornqvist EW / 2001 / The influence on seeking care because of neck and shoulder disorders from work-related exposures / Epidemiology 12:537~545 google schola Westgaard RH / 2013 / Trapezius activity of fibromyalgia patients is enhanced in stressful situations, but is similar to healthy controls in a quiet naturalistic setting : a case-control study / BMC Musculoskelet Disord 14:97 google schola Zhang P / 2011 / Preserving the C7 spinous process in laminectomy combined with lateral mass screw to prevent axial symptom / J Orthop Sci 16:492~497 google schola

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