Short-Term Change of Handgrip Strength After Trigger Point Injection in Women With Muscular Pain in the Upper Extremities
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Objective To determine overall handgrip strength (HGS), we assessed the short-term change of HGS after trigger point injection (TPI) in women with muscular pain in the upper extremities by comparison with established pain scales.Methods The study enrolled 50 female patients (FMS with MPS group: 29 patients with combined fibromyalgia [FMS] and myofascial pain syndrome [MPS]; MPS group: 21 patients with MPS) who presented with muscular pain in the upper extremities at Konyang University Hospital. In addition, a total of 9 healthy women (control group) were prospectively enrolled in the study. We surveyed the three groups using the following established pain scales: the Fibromyalgia Impact Questionnaire (FIQ), the 36-Item Short Form Health Survey (SF-36), and the Short Form McGill Pain Questionnaire (MPQ). HGS was measured in both hands of study participants using a handgrip dynamometer. We performed TPI (0.5% lidocaine, total 10 mL, injected at the pain site of upper extremities). After 20 minutes, we remeasured the patient’s HGS and MPQ score.Results ANOVA analysis was conducted among groups. Based on Tukey multiple comparison test, the majority of FIQ and SF-36 subscales, total FIQ and SF-36 scores, MPQ and HGS were significantly different between FMS with MPS and the other groups. There was no statistically significant difference between MPS and control groups. Higher HGS was positively associated with enhanced physical function, negatively associated with total FIQ and MPQ scores, and positively associated with the total SF-36 score calculated using Spearman correlation. Post-TPI MPQ decreased and HGS increased. In patient groups, a negative correlation was found between MPQ and HGS. Conclusion The HGS test might potentially be a complementary tool in assessing the short-term treatment effects of women with muscular pain in the upper extremities.
Abstract
Objective To determine overall handgrip strength (HGS), we assessed the short-term change of HGS after trigger point injection (TPI) in women with muscular pain in the upper extremities by comparison with established pain scales.Methods The study enrolled 50 female patients (FMS with MPS group: 29 patients with combined fibromyalgia [FMS] and myofascial pain syndrome [MPS]; MPS group: 21 patients with MPS) who presented with muscular pain in the upper extremities at Konyang University Hospital. In addition, a total of 9 healthy women (control group) were prospectively enrolled in the study. We surveyed the three groups using the following established pain scales: the Fibromyalgia Impact Questionnaire (FIQ), the 36-Item Short Form Health Survey (SF-36), and the Short Form McGill Pain Questionnaire (MPQ). HGS was measured in both hands of study participants using a handgrip dynamometer. We performed TPI (0.5% lidocaine, total 10 mL, injected at the pain site of upper extremities). After 20 minutes, we remeasured the patient’s HGS and MPQ score.Results ANOVA analysis was conducted among groups. Based on Tukey multiple comparison test, the majority of FIQ and SF-36 subscales, total FIQ and SF-36 scores, MPQ and HGS were significantly different between FMS with MPS and the other groups. There was no statistically significant difference between MPS and control groups. Higher HGS was positively associated with enhanced physical function, negatively associated with total FIQ and MPQ scores, and positively associated with the total SF-36 score calculated using Spearman correlation. Post-TPI MPQ decreased and HGS increased. In patient groups, a negative correlation was found between MPQ and HGS. Conclusion The HGS test might potentially be a complementary tool in assessing the short-term treatment effects of women with muscular pain in the upper extremities.
참고문헌 (28)
- Cantarero-Villanueva I, "The handgrip strength test as a measure of function in breast cancer survivors: relationship to cancer-related symptoms and physical and physiologic parameters", Am J Phys Med Rehabil, 91, pp.774~782 (2012)
- Markes M, "Exercise for women receiving adjuvant therapy for breast cancer", Cochrane Database Syst Rev, (4), pp.CD005001~ (2006)
- Mortimer JE, "Studying cancer-related fatigue: report of the NCCN scientific research committee", J Natl Compr Canc Netw, 8, pp.1331~1339 (2010)
- Bower JE, "Fatigue in breast cancer survivors:occurrence, correlates, and impact on quality of life", J Clin Oncol, 18, pp.743~753 (2000)
- Lee ES, "Health-related quality of life in survivors with breast cancer 1 year after diagnosis compared with the general population: a prospective cohort study", Ann Surg, 253, pp.101~108 (2011)
- al-Majid S, "Cancer-induced fatigue and skeletal muscle wasting: the role of exercise", Biol Res Nurs, 2, pp.186~197 (2001)
- Burden ST, "Nutritional status of preoperative colorectal cancer patients", J Hum Nutr Diet, 23, pp.402~407 (2010)
- Wolfe F, "The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity", Arthritis Care Res (Hoboken), 62, pp.600~610 (2010)
- Wolfe F, "The American College of Rheumatology 1990 Criteria for the classification of fibromyalgia: report of the multicenter criteria committee", Arthritis Rheum, 33, pp.160~172 (1990)
- Aparicio VA, "Handgrip strength test as a complementary tool in the assessment of fibromyalgia severity in women", Arch Phys Med Rehabil, 92, pp.83~88 (2011)
- Panton LB, "A comparison of physical functional performance and strength in women with fibromyalgia, age- and weight-matched controls, and older women who are healthy", Phys Ther, 86, pp.1479~1488 (2006)
- Soyupek F, "Androgen deprivation therapy for prostate cancer: effects on hand function", Urol Oncol, 26, pp.141~146 (2008)
- Kaya T, "Disability and health-related quality of life after breast cancer surgery: relation to impairments", South Med J, 103, pp.37~41 (2010)
- van Sloten TT, "Peripheral neuropathy, decreased muscle strength and obesity are strongly associated with walking in persons with type 2 diabetes without manifest mobility limitations", Diabetes Res Clin Pract, 91, pp.32~39 (2011)
- Wang AY, "Handgrip strength, but not other nutrition parameters, predicts circulatory congestion in peritoneal dialysis patients", Nephrol Dial Transplant, 25, pp.3372~3379 (2010)
- Ali NA, "Acquired weakness, handgrip strength, and mortality in critically ill patients", Am J Respir Crit Care Med, 178, pp.261~268 (2008)
- Nordenskiold UM, "Grip force in patients with rheumatoid arthritis and fibromyalgia and in healthy subjects: a study with the Grippit instrument", Scand J Rheumatol, 22, pp.14~19 (1993)
- Sahin G, "Handgrip strength, pulmonary function tests, and pulmonary muscle strength in fibromyalgia syndrome: is there any relationship?", South Med J, 97, pp.25~29 (2004)
- Maquet D, "Muscle performance in patients with fibromyalgia", Joint Bone Spine, 69, pp.293~299 (2002)
- Mengshoel AM, "Muscle strength and aerobic capacity in primary fibromyalgia", Clin Exp Rheumatol, 8, pp.475~479 (1990)
- Dombernowsky T, "Danneskiold-Samsoe B. Muscular strength in patients with fibromyalgia:a literature review", Ugeskr Laeger, 170, pp.217~224 (2008)
- Hong CZ, "Difference in pain relief after trigger point injections in myofascial pain patients with and without fibromyalgia", Arch Phys Med Rehabil, 77, pp.1161~1166 (1996)
- Chandola HC, "Fibromyalgia and myofascial pain syndrome: a dilemma", Indian J Anaesth, 53, pp.575~581 (2009)
- Burckhardt CS, "The fibromyalgia impact questionnaire: development and validation", J Rheumatol, 18, pp.728~733 (1991)
- Han CW, "Development of the Korean version of Short-Form 36-Item Health Survey: health related QOL of healthy elderly people and elderly patients in Korea", Tohoku J Exp Med, 203, pp.189~194 (2004)
- Colton T, "Statistics in medicine", Clin Chem, 21, pp.789~790 (1975)
- Ruiz-Ruiz J, "Hand size influences optimal grip span in women but not in men", J Hand Surg Am, 27, pp.897~901 (2002)
- The national physical fitness survey, "Ko BK", Korea Ministry of Culture, Sports and Tourism, ~ (2011)