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Rehabilitation Practice and Science

Translated Title

肩頸肌肉疼痛患者之磁振造影表象的探討

Abstract

In the rehabilitation clinic, neck and shoulder pain are mainly attributed to muscle and fascia pain. Neck and shoulder pain resulting from cervical radiculopathy, such as herniated intervertebral disk, spondylolisthesis, and neuroforamen narrowing, can be detected with nerve conduction study, electromyography, and imaging. However, no objective test is available for the diagnosis of muscle and fascia pain.Although magnetic resonance imaging (MRI) is promising for evaluation of tendon and connective tissue structure, there are no researches for application to neck and shoulder muscle pain. We administered pain questionnaires to 27 patients with soreness of the neck, shoulder, or upper back and recorded their kyphotic posture, crepitus of the scapulothoracic joint, pain duration and pain tolerance. Then, MRI of the neck and shoulder area was performed. The purpose of our study was to apply MRI to detect any abnormal MRI findings in patients with neck and shoulder pain and to investigate the relationship between abnormal imaging findings and clinical factors. T2-weighted images showed abnormal hyperintensity around the soft tissue of the medial scapular border. The signal intensity change might have resulted from increased nitric oxide content in the acupoits within the interstitial connective tissue plane. MRI-positive findings were significantly related to scapulothoracic crepitus, as well as kyphotic posture, which might have been attributed to effusion involving the scapulothoracic bursa. Because of these interesting findings and the lack of reports published in this field, MRI examination of myofascial pain warrants further exploration.

Language

Traditional Chinese

First Page

87

Last Page

96

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