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
Abstract Background Objective Studies 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...
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BMC
2022-09-01
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Series: | BMC Musculoskeletal Disorders |
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Online Access: | https://doi.org/10.1186/s12891-022-05811-x |
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author | Anneli Peolsson Anette Karlsson Gunnel Peterson Hanna Borén Peter Zsigmond James M. Elliott Olof Dahlqvist Leinhard |
author_facet | Anneli Peolsson Anette Karlsson Gunnel Peterson Hanna Borén Peter Zsigmond James M. Elliott Olof Dahlqvist Leinhard |
author_sort | Anneli Peolsson |
collection | DOAJ |
description | Abstract Background Objective Studies 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. Methods Cross-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. Results Unique 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. Conclusions Individuals 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. |
first_indexed | 2024-04-12T21:07:01Z |
format | Article |
id | doaj.art-478ef06bf87f48b4a1211302b1c0f7e8 |
institution | Directory Open Access Journal |
issn | 1471-2474 |
language | English |
last_indexed | 2024-04-12T21:07:01Z |
publishDate | 2022-09-01 |
publisher | BMC |
record_format | Article |
series | BMC Musculoskeletal Disorders |
spelling | doaj.art-478ef06bf87f48b4a1211302b1c0f7e82022-12-22T03:16:41ZengBMCBMC Musculoskeletal Disorders1471-24742022-09-012311810.1186/s12891-022-05811-xMorphology and composition of the ventral neck muscles in individuals with chronic whiplash related disorders compared to matched healthy controls: a cross-sectional case–control studyAnneli Peolsson0Anette Karlsson1Gunnel Peterson2Hanna Borén3Peter Zsigmond4James M. Elliott5Olof Dahlqvist Leinhard6Occupational and Environmental Medicine Center, Department of Health, Medicine and Caring Sciences, Unit of Clinical Medicine, Linköping UniversityCenter for Medical Image Science and Visualization (CMIV), Linköping UniversityDepartment of Health, Medicine & Caring Sciences, Unit of Physiotherapy, Linköping UniversityDepartment of Health, Medicine & Caring Sciences, Unit of Physiotherapy, Linköping UniversityDepartment of Neurosurgery and Department of Biomedical and Clinical Sciences, Linköping UniversityThe University of Sydney and the Northern Sydney Local Health District, The Kolling InstituteDepartment of Health, Medicine & Caring Sciences, Linköping UniversityAbstract Background Objective Studies 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. Methods Cross-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. Results Unique 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. Conclusions Individuals 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.https://doi.org/10.1186/s12891-022-05811-xSpineNeck musclesWhiplash injuryMagnetic resonance imagingAreaFat |
spellingShingle | Anneli Peolsson Anette Karlsson Gunnel Peterson Hanna Borén Peter Zsigmond James M. Elliott Olof Dahlqvist Leinhard 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 Spine Neck muscles Whiplash injury Magnetic resonance imaging Area Fat |
title | 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 |
title_full | 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 |
title_fullStr | 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 |
title_full_unstemmed | 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 |
title_short | 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 |
title_sort | 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 |
topic | Spine Neck muscles Whiplash injury Magnetic resonance imaging Area Fat |
url | https://doi.org/10.1186/s12891-022-05811-x |
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