A distinct pattern of myofascial findings in patients after whiplash injury
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 1194039
Author(s) Ettlin, Thierry; Schuster, Corina; Stoffel, Robert; Brüderlin, Andreas; Kischka, Udo
Author(s) at UniBasel Ettlin, Thierry-Marc
Year 2008
Title A distinct pattern of myofascial findings in patients after whiplash injury
Journal Archives of physical medicine and rehabilitation
Volume 89
Number 7
Pages / Article-Number 1290-3
Keywords myofascial pain syndromes, rehabilitation, trigger points, myofascial, whiplash injuries
Abstract OBJECTIVE: To identify objective clinical examinations for the diagnosis of whiplash syndrome, whereby we focused on trigger points. DESIGN: A cross-sectional study with 1 measurement point. SETTING: A quiet treatment room in a rehabilitation center. PARTICIPANTS: Patients (n=124) and healthy subjects (n=24) participated in this study. Among the patient group were patients with whiplash-associated disorders (n=47), fibromyalgia (n=21), nontraumatic chronic cervical syndrome (n=17), and endogenous depression (n=15). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Each patient and control subject had a manual examination for trigger points of the semispinalis capitis, trapezius pars descendens, levator scapulae, scalenus medius, sternocleidomastoideus, and masseter muscles bilaterally. RESULTS: Forty (85.1%) of the patients with whiplash had positive trigger points in the semispinalis capitis muscle. The patients with whiplash had a significantly higher prevalence of positive trigger points in the semispinalis capitis muscle than any of the control groups (P<.05). For the other examined muscles, the prevalence of trigger points in the patients with whiplash did not differ significantly from the patients with fibromyalgia or nontraumatic chronic cervical syndrome. It did differ from the patients with endogenous depression and the healthy controls. CONCLUSIONS: Patients with whiplash showed a distinct pattern of trigger point distribution that differed significantly from other patient groups and healthy subjects. The semispinalis capitis muscle was more frequently affected by trigger points in patients with whiplash, whereas other neck and shoulder muscles and the masseter muscle did not differentiate between patients with whiplash and patients with nontraumatic chronic cervical syndrome or fibromyalgia.
Publisher Saunders
ISSN/ISBN 0003-9993
edoc-URL http://edoc.unibas.ch/dok/A6004271
Full Text on edoc No
Digital Object Identifier DOI 10.1016/j.apmr.2007.11.041
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/18534552
ISI-Number WOS:000257447400011
Document type (ISI) Article

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