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논문 기본 정보

자료유형
학술저널
저자정보
Mohamed N. Thabit (Sohag Faculty of Medicine Sohag University) Ahmad Eza (Sohag Faculty of Medicine Sohag University) Mohamed A. Ismael (Sohag Faculty of Medicine Sohag University) Saber Hadad (Sohag Faculty of Medicine Sohag University)
저널정보
대한신경과학회 Journal of Clinical Neurology Journal of Clinical Neurology 제17권 제1호
발행연도
2021.1
수록면
121 - 127 (7page)

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Background and Purpose Abnormal excitability of the central nervous system, both spinal and supraspinal, has previously been described as a pathophysiological plastic mechanism for chronic pain syndromes. Primary fibromyalgia (FM) as one extreme of this spectrum of diseases. This case-control study aimed to determine the changes in the spinal excitability by investigating the Hoffman reflex (H-reflex) in patients with FM. Methods Thirty-eight patients with FM and 30 healthy controls participated in this case-control study. We measured the H-reflex bilaterally in the upper limbs (flexor carpi radialis) and the lower limbs (gastrocnemius and soleus). Moreover, pain-related variables were measured, including pain severity (using a visual analogue scale), pain duration, Widespread Pain Index, and the score on the Symptom Severity Scale. Various psychiatric comorbidities and qualityof- life parameters were measured for each patient, including scores on the Hamilton Depression Rating Scale, Taylor’s Manifest Anxiety Scale, and the Revised Fibromyalgia Impact Questionnaire. Results A significant increase in the ratio of the maximum baseline-to-peak amplitudes of H and M waves (Hmax/Mmax) but not in the H-wave minimum latency was found in patients with FM compared with healthy controls. There were no significant correlations between this ratio in both muscles and the various pain-related measures, psychiatric comorbidity, and quality of life in patients with FM. Patients with FM suffered more depression and anxiety than did the controls. Conclusions We found increased spinal excitability in patients with FM, which was not confined to the site of maximum pain. This information may help in the diagnosis of FM and supports the hypothesis of central sensitization.

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