Does muscle morphology change in chronic neck pain patients? – A systematic review

2016 ◽  
Vol 22 ◽  
pp. 42-49 ◽  
Author(s):  
R. De Pauw ◽  
I. Coppieters ◽  
J. Kregel ◽  
K. De Meulemeester ◽  
L. Danneels ◽  
...  
Keyword(s):  
Systematic Review ◽  
Neck Pain ◽  
Chronic Neck Pain ◽  
Muscle Morphology ◽  
Morphology Change ◽  
Pain Patients

scholarly journals Changes in Muscle Morphology in Female Chronic Neck Pain Patients Using Magnetic Resonance Imaging

Spine ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Van Looveren Eveline ◽  
Barbara Cagnie ◽  
Iris Coppieters ◽  
Mira Meeus ◽  
Robby De Pauw
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Neck Pain ◽  
Chronic Neck Pain ◽  
Resonance Imaging ◽  
Muscle Morphology ◽  
Pain Patients

scholarly journals Is Traumatic and Non-Traumatic Neck Pain Associated with Brain Alterations? – A Systematic Review

2017 ◽  
Vol 4 (20;4) ◽  
pp. 245-260 ◽  
Author(s):  
Robby De Pauw
Keyword(s):  
Systematic Review ◽  
Neck Pain ◽  
Photon Emission ◽  
Chronic Neck Pain ◽  
Blood Oxygenation ◽  
Brain Morphology ◽  
Future Research ◽  
Emission Computed Tomography ◽  
Functional Brain ◽  
Pain Patients

Background: Chronic neck pain affects 50% – 85% of people who have experienced an acute episode. This transition and the persistence of chronic complaints are believed to be mediated by brain alterations among different central mechanisms. Objectives: This study aimed to systematically review and critically appraise the current existing evidence regarding structural and functional brain alterations in patients with whiplash associated disorders (WAD) and idiopathic neck pain (INP). Additionally, associations between brain alterations and clinical symptoms reported in neck pain patients were evaluated. Study Design: Systematic review. Methods: The present systematic review was performed according to the PRISMA guidelines. PubMed, Web of Science, and Cochrane databases were searched. First, the obtained articles were screened based on title and abstract. Secondly, the screening was based on the full text. Risk of bias in included studies was investigated. Results: Twelve studies met the inclusion criteria. Alterations in brain morphology and function, including perfusion, neurotransmission, and blood oxygenation level dependent-signal, were demonstrated in chronic neck pain patients. There is some to moderate evidence for both structural and functional brain alterations in patients with chronic neck pain. In contrast, no evidence for structural brain alterations in acute neck pain patients was found. Limitations: Only 12 articles were included, which allows only cautious conclusions to be drawn. Conclusion: Brain alterations were observed in both patients with chronic WAD and chronic INP. Furthermore, more evidence exists for brain alterations in chronic WAD, and different underlying mechanisms might be present in both pathologies. In addition, pain and disability were correlated with the observed brain alterations. Accordingly, morphological and functional brain alterations should be further investigated in patients with chronic WAD and chronic INP with newer and more sensitive techniques, and associative clinical measurements seem indispensable in future research. Key words: Traumatic neck pain, idiopathic non-traumatic neck pain, brain alterations, magnetic resonance imaging, single photon emission computed tomography, photon emission tomography, chronic neck pain

scholarly journals https://painphysicianjournal.com/current

2020 ◽  
Vol 4;23 (7;4) ◽  
pp. 335-348
Author(s):  
Nicholas Van Halm-Lutterodt
Keyword(s):  
Systematic Review ◽  
Pain Relief ◽  
Neck Pain ◽  
Functional Status ◽  
Spinal Stenosis ◽  
Local Anesthetic ◽  
Meta Analysis ◽  
Chronic Neck Pain ◽  
Epidural Injections ◽  
Significant Difference

Background: Chronic neck pain is reportedly considered the fourth leading cause of disability. Cervical interlaminar epidural injections are among the commonly administered nonsurgical interventions for managing chronic neck pain, secondary to disc herniation and radiculitis, spinal stenosis, or chronic neck pain of discogenic origin. Objectives: To systematically review the differences in the effectiveness of cervical epidural injections with local anesthetics with or without steroids for the management of chronic neck pain. Study Design: Systematic review and meta-analysis. Methods: A comprehensive search of the literature of randomized controlled trials (RCTs) that compared epidural injections with local anesthetic with or without steroids was performed, including a search of PubMed, EMBASE, and Cochrane databases for all years up to May 2019. Meta-analysis was done for pain relief based on the Numeric Rating Scale, functional status based on the Neck Disability Index, and opioid intake dosage. Results: Four studies met the inclusion criteria. A total of 370 patients were divided into 2 groups: the experimental group received cervical epidural injection with steroid and local anesthetic, and the control group received injection with local anesthetic only. Regrading pain relief, no significant difference was observed between both groups (weighted mean difference [WMD], –0.006; 95% confidence interval (CI), –0.275 to 0.263; P = 0.963; I2 = 0.0% at 12 months). There was also no significant difference in the improvement of the functional status (WMD, 0.159; 95% CI, –1.231 to 1.549; P = 0.823; I2 = 9.8% at 12 months). Similarly, there was no significant difference in opioid dosage (WMD, –0.093; 95% CI, –5.952 to 5.766; P = 0.975; I2 = 0.0% at 12 months). Limitations: Only a few studies on this premise were found in the literature. There was also a lack of heterogeneity of the included RCT studies. Conclusions: The addition of steroids to anesthetic injectates was not associated with better pain and functional score outcomes compared with anesthetic injectate alone in patients with chronic neck pain. Key words: Chronic neck pain, cervical radiculopathy, cervical disc disease, spinal stenosis, facet joint pathology, cervical epidural injections, steroid injections, local anesthetic injections, systematic review, meta-analysis, randomized control trial

Examination of Regional Interdependence Theory in Chronic Neck Pain: Interpretations from Correlation of Strength Measures in Cervical and Pain-Free Regions

Pain Medicine ◽  
2019 ◽  
Author(s):  
Leila Ghamkhar ◽  
Amir Massoud Arab ◽  
Mohammad Reza Nourbakhsh ◽  
Amir Hossein Kahlaee ◽  
Reyhaneh Zolfaghari
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Neck Disability Index ◽  
Chronic Neck Pain ◽  
Pain Intensity Score ◽  
Painful Condition ◽  
Asymptomatic Volunteers ◽  
Interdependence Theory ◽  
Regional Interdependence ◽  
Pain Patients

Abstract Objective Impairments present in chronic pain conditions have been reported not to be limited to the painful region. Pain-free regions have also been proposed to be adversely affected as a cause or consequence of the painful condition. The aim of this study was to investigate the association between muscle strength in painful and pain-free regions and chronic neck pain. Design A cross-sectional study. Setting Rehabilitation hospital laboratory. Subjects One hundred twenty-two patients with chronic neck pain (87 female) and 98 asymptomatic volunteers (52 female) were included in the study. Methods Maximal isometric strength measures of the neck, scapulothoracic, shoulder, trunk, and hip muscles were assessed using a hand-held dynamometer in all participants. Pain intensity and pain-related disability were also assessed in patients through visual analog scale and Neck Disability Index scores, respectively. Results Principal component analysis revealed one component for each of the studied regions. Multivariate analysis of variance found neck (d = 0.46), scapulothoracic (d = 0.46), shoulder (d = 0.60), trunk flexor (d = 0.38), extensor (d = 0.36), and hip (d = 0.51) strength components to be lower in the neck pain patients compared with asymptomatic participants (P < 0.01). Logistic and linear regression analyses found the shoulder strength component both to be a significant predictor for neck pain occurrence (β = 0.53, P < 0.01) and to have a considerable effect on pain intensity score (β=–0.20, P = 0.02), respectively. Conclusions The results found that some pain-free regions in addition to the cervical spine to exhibit lower levels of muscular strength in neck pain patients. These findings support the regional interdependence theory, which proposes that impairments are not limited to the painful area and are possibly mediated by central mechanisms.

scholarly journals Individuals With Chronic Neck Pain Have Lower Neck Strength Than Healthy Controls: A Systematic Review With Meta-Analysis

2019 ◽  
Vol 42 (8) ◽  
pp. 608-622
Author(s):  
Iã Ferreira Miranda ◽  
Edgar Santiago Wagner Neto ◽  
William Dhein ◽  
Guilherme A. Brodt ◽  
Jefferson F. Loss
Keyword(s):  
Systematic Review ◽  
Neck Pain ◽  
Meta Analysis ◽  
Chronic Neck Pain ◽  
Healthy Controls ◽  
Neck Strength ◽  
Lower Neck

Altered grey matter morphology of pain processing regions in traumatic and non-traumatic chronic neck pain patients: Relations with clinical pain measures?

2016 ◽  
Vol 25 ◽  
pp. e33-e34
Author(s):  
I. Coppieters ◽  
M. Meeus ◽  
R. De Pauw ◽  
K. Caeyenberghs ◽  
L. Danneels ◽  
...  
Keyword(s):  
Neck Pain ◽  
Grey Matter ◽  
Chronic Neck Pain ◽  
Pain Processing ◽  
Clinical Pain ◽  
Pain Patients
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