Spinal accessory neuropathy in patients with chronic neck pain

• 作者: Mohamed A Hefny Mona S Ghaly Sahar M Greish Noha M Abogresha Ayman E Fahim
• 来源期刊: 世界风湿病学杂志
• 学科: 医学
• 关键词: ACCESSORY nerve ELECTROPHYSIOLOGY Chronic NECK pain NECK DISABILITY index QUESTIONNAIRE
• 年，卷（期）: 2012,（2）
• 页码范围: 21-26
• 页数: 6页
• 分类号: R

摘要

AIM:To assess the presence of spinal accessory neuropathy in patients with chronic neck pain.METHODS:Patients with pain either regional or focal in the neck or shoulders for at least 6 mo(chronic neck pain)were recruited randomly from the Rheumatology and Rehabilitation Outpatient Clinic at the Faculty of Medicine-Suez Canal University.Two groups were compared:30 patients with chronic neck pain with mean age(36.97±12.45 years)and 10 apparently healthy controls.Trapezius muscle examination including inspection and range of motion both active and passive was performed.A full clinical neurological examination was carried out to exclude peripheral neuropathy and motor neuron disease.According to the subject’s type of work,cases were categorized into labor-intensive and non-labor intensive tasks.A nerve conduction study(NCS)was performed on spinal accessory nerves at both sides for all patients and controls.Parameters including latencies and amplitudes of compound motor action potential(CMAP)were compared with the chronicity of neck pain using the neck disability score.This cross sectional study was carried in the Rheumatology and Rehabilitation Department,at Suez Canal University Hospital,Ismailia,Egypt.RESULTS:Physical examination revealed that 80%of cases had spinal trapezius muscle spasm.Restricted neck motion was present in 16.6%of cases.No one suffered from muscle wasting or weakness.Pain was bilateral in 18 patients(60%),localized to the right side in six patients(20%)and localized to the left side in six patients(20%).The causes of neck pain in the patients studied were nonspecific,due to physical stresses,cervical spondylosis and mild cervical disc herniation.Mean disease duration in patients with labor-intensive tasks was(3.9±2.1 years),which was longer than that in patients with non-labor intensive tasks(3.1±1.9 years);however,this difference was statistically insignificant.Spinal accessory NCSs were performed while subjects were in sitting positions and relaxed with naturally suspended arms to minimiz