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The relationship between serum trace elements, vitamin B12, folic acid and clinical parameters in patients with myofascial pain syndrome       
Yazarlar
Müyesser Aras
Ankara Yıldırım Beyazıt Üniversitesi, Türkiye
 Figen TUNCAY Figen TUNCAY
Kırşehir Ahi Evran Üniversitesi, Türkiye
Rezan Yorgancıoglu
Özet
Background: Myofascial pain syndrome (MPS) is characterized by myofascial trigger points in a palpable taut band of skeletal muscle.
Objective: We aimed to investigate serum trace elements, vitamin B 12, folic acid levels and their correlations with clinical findings and functional status in patients with MPS.
Methods: Thirty eight patients with at least one trigger point located on shoulder muscles, and at least 6 months duration, were included in this study.
The demographic data, disease duration of patients were noted. Serum copper, zinc, magnesium and iron levels, vitamin B 12 and folic acid levels were measured. Visual analogue scale (VAS) was implemented to estimate daily severity of pain. Pain pressure threshold of subjects and control groups were assessed by using Fischer's tissue compliancemeter. The Turkish version of the Beck Depression Inventory (BDI) was administered for the presence of any depressive disorder.
Results: The mean age of patients in MPS group and control group were 33.1 and 37.8 years respectively. Serum levels of zinc (p < 0.006) were significantly decreased in patients with MPS. VAS, total myalgic and BDI scores of patients were significantly higher than the control group (Respectively p < 0.000, p < 0.012, p < 0.000). Association between TMS and magnesium, vitamin B 12 levels was found statistically significant. BDI score correlated significantly with the serum zinc level (r:-0.548, p < 0.001) and VAS in patients with MPS (r: 0.641, p < 0.000).
Conclusion: According to the results of this study, it was asserted that trace elements, vitamins may play an important role in the pathophysiology of MPS and psychological factors may also have additional effect.
Anahtar Kelimeler
Myofascial pain syndrome, trace element, pain threshold
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Journal of Back and Musculoskeletal Rehabilitation
Dergi ISSN 1053-8127
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili Türkçe
Basım Tarihi 01-2010
Cilt No 23
Sayı 4
Sayfalar 187 / 191
Doi Numarası 10.3233/BMR-2010-0264
Makale Linki http://dx.doi.org/10.3233/bmr-2010-0264