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CURRENT ISSUE

№4' 2020

NEUROLOGY

International Medical Journal, Vol. 26., Iss. 4, 2020, P. 60−62.


DOI (https://doi.org/10.37436/2308-5274-2020-4-11)

FEATURES OF MYOFASCIAL PAIN SYNDROME OF CERVICAL LOCALIZATION IN YOUNG PATIENTS WITH FORWARD HEAD POSTURE


Logvinenko G. V., Voloshyna M. I.

Kharkiv Medical Academy of Postgraduate Education, Ukraine

One of the most common variants of non−specific muscle pain is myofascial one. To establish the features of myofascial pain syndrome of cervical localization and its impact on daily life in young patients withforward head posture, 37 patients were examined. There were performed clinical−neurological, vertebro−neurological examination (visual diagnosis of static disorders, manual diagnosis, kinesthetic examination of muscles), photogrammetric measurement of craniovertebral angle, assessment of neck pain on a visual analog scale and its impact on patients. In all patients a visual diagnosis revealed a shift of regional center of gravity at the cervical level forward with the formation of the head forward posrture, which was confirmed by measuring the value of the craniovertebral angle − 48.3±1.56 °. There was a negative correlation between the value of craniovertebral angle and assessment of pain on a scale (r = −0.91, p < 0.05), as well as between the value of craniovertebral angle and index of vital disorders in neck pain (r = −0.93, p < 0.05), which indicates the effect of forward shifting the regional center of gravity on the severity of cervicalgia and the degree of its impact on the daily lives of young patients. Based on the results of the study, conclusions were drawn. Myofascial cervical pain syndrome in young patients with head forward posture is characterized with a bigger number of muscle groups involved into the pathological process with shortening of the head and neck extensor muscles as well as the formation of active trigger points, greater severity of neck pain and the negative impact of cervicalgia on daily life compared to the patients with a neutral head posture.

Key words: forward head posture, myofascial pain syndrome, trigger point, cervicalgia.


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