Morphology and composition of the ventral neck muscles in individuals with chronic whiplash related disorders compared to matched healthy controls: a cross-sectional case–control study

BMC Musculoskeletal Disorders

Research

Anette Karlsson¹  Olof Dahlqvist Leinhard²  Hanna Borén³  Gunnel Peterson⁴  Peter Zsigmond⁵  Anneli Peolsson⁶  James M. Elliott⁷ 

[1] Center for Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden;Department of Health, Medicine & Caring Sciences, Linköping University, Linköping, Sweden;Department of Health, Medicine & Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden;Department of Health, Medicine & Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden;Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden;Department of Neurosurgery and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden;Occupational and Environmental Medicine Center, Department of Health, Medicine and Caring Sciences, Unit of Clinical Medicine, Linköping University, Linköping, Sweden;Department of Health, Medicine & Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden;Center for Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden;The University of Sydney and the Northern Sydney Local Health District, The Kolling Institute, St. Leonards, Sydney, NSW, Australia;

关键词: Spine;    Neck muscles;    Whiplash injury;    Magnetic resonance imaging;    Area;    Fat;   

DOI  :  10.1186/s12891-022-05811-x

 received in 2022-06-27, accepted in 2022-09-06,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundObjectiveStudies of cross-sectional area (CSA) (morphology) and muscle fat infiltration (MFI) (composition) in ventral neck muscles is scarce in patients with chronic whiplash associated disorders (WAD), especially for men and those with severe WAD compared with matched healthy controls. The aim was to compare CSA and MFI of sternocleidomastoid (SCM), longus capitis (LCA) and longus colli (LCO) in patients with chronic right-sided dominant moderate (Neck Disability Index: NDI < 40) or severe WAD (NDI ≥ 40), compared to age- and sex-matched healthy controls.MethodsCross-sectional case–control study with blinded investigators. Thirty-one patients with chronic WAD (17 women and 14 men, mean age 40 years) (SD 12.6, range 20–62)) and 31 age- and sex-matched healthy controls underwent magnetic resonance imaging of ventral neck muscles segmental level C4.ResultsUnique to the severe group was a larger magnitude of MFI in right SCM (p = 0.02) compared with healthy controls. There was no significant difference between the groups with regards to the other muscles and measures.ConclusionsIndividuals with severe right-sided dominant WAD have a higher MFI in the right SCM compared to healthy controls. No other differences were found between the groups. The present study indicates that there are changes in the composition of muscles on the side of greatest pain.

【 授权许可】

CC BY   
© The Author(s) 2022. corrected publication 2023

【 图 表 】

Fig. 5