Muscle activity and acute stress in fibromyalgia

Zetterman, Teemu; Markkula, Ritva; Partanen, Juhani; Miettinen, Teemu P.; Estlander, Ann-Mari; Kalso, Eija

doi:10.1186/s12891-021-04013-1

Cited by 17 publications

(27 citation statements)

References 25 publications

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“…Stress is linked to neurological disorders tension headaches and migraine [4][5][6]. It is generally accepted that mental stress causes increase muscular tension in different parts of the body [7,8], but the research data are so far inconclusive [9,10]. The American Psychological Association notes that muscle tension is a reflex response to stress and protects body from injury or pain [11].…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Stress and Masticatory Muscle Activity in Female Students

Zieliński

Ginszt

Zawadka

et al. 2021

JCM

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The aim of the study was to analyze the relationship between stress measured by the perceived stress scale (PSS-10) questionnaire and masticatory muscle activity. Experimental design assumed the study of healthy young women without temporomandibular disorders, dividing them into three groups depending on the result of the stress level and then comparing these groups in terms of bioelectrical activity of the masticatory muscles. After the exclusion criteria were applied, 63 female students (mean age: 22.3 ± 2.4 years) from Medical University of Lublin were included in the study. The subjects were then divided into 3 groups: with low (n = 18), medium (n = 18) and high stress level (n = 27), according to PSS-10 results. Resting and functional activity of temporalis anterior (TA) and masseter (MM) muscles were measured by electromyograph BioEMG III. There were statistically significant effects of group on the absolute value of asymmetry index (AsI) of TA and MM during maximum voluntary clenching on dental cotton rollers (both p = 0.02). Post hoc analysis shows that there were statistically significant differences between medium and high stress groups in AsI TA (p = 0.01) and between low and high stress groups in AsI MM (p = 0.02). Perceived stress measured by PSS-10 questionnaire seems to be associated with changes in muscular asymmetry in functional clenching activity.

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Section: Introductionmentioning

confidence: 99%

The Relationship between Stress and Masticatory Muscle Activity in Female Students

Zieliński

Ginszt

Zawadka

et al. 2021

JCM

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“…The subjects had participated in a cognitive stress test with surface electromyography and electrocardiography between November 2015 and June 2018 [ 24 ]. During these sessions we collected medical histories and background, lifestyle and questionnaire data.…”

Section: Methodsmentioning

confidence: 99%

Elevated highly sensitive C-reactive protein in fibromyalgia associates with symptom severity

Zetterman

Markkula

Kalso

2022

Rheumatology Advances in Practice

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OBJECTIVES Fibromyalgia, a common pain syndrome, is thought to be a non-inflammatory, nociplastic condition but evidence implicating neuroinflammation has been increasing. Systemic inflammation may be associated with more severe symptoms in some fibromyalgia patients. We studied healthy controls and fibromyalgia patients with and without systemic inflammation detectable using high-sensitivity C-reactive protein (hsCRP) measurement. METHODS We measured hsCRP levels, and gathered clinical and questionnaire data (including Fibromyalgia Impact Questionnaire (FIQ)), from 40 female fibromyalgia patients and 30 age-matched healthy women: hsCRP > 3 mg/l was considered elevated. RESULTS Fibromyalgia patients had significantly higher mean hsCRP levels than controls, explained by overweight and lower leisure-time physical activity. Eight fibromyalgia patients had elevated, and 29 normal, hsCRP. Levels of hsCRP were significantly correlated with FIQ scores. Patients with elevated hsCRP had higher FIQ scores, with worse physical functioning and greater pain, and were less likely to be in work, than patients with normal hsCRP. These patient groups did not differ by blood count, liver function, or lipid profiles, nor by education, psychological measures, sleep disturbance, smoking, or comorbidities. CONCLUSION Some fibromyalgia patients have elevated hsCRP, mostly due to overweight and physical inactivity. They have worse symptoms and their ability to work is impaired. Measurement of hsCRP may help to identify fibromyalgia patients in greatest need of interventions supporting working ability. TRIAL REGISTRATION ClinicalTrials.gov, https://clinicaltrials.gov, NCT03300635 Lay summary What does this mean for patients? People with fibromyalgia suffer from persistent pain and reduced physical functioning. Severity of fibromyalgia symptoms varies greatly between patients. Laboratory tests have not been able to confirm fibromyalgia or gauge its severity. C-reactive protein (CRP) is a commonly used indicator of inflammation; even low levels of inflammation are known to predict worse health outcomes. In our study, we measured the CRP levels of 40 female patients with fibromyalgia and collected data on their medical history and lifestyle factors. We found that patients with above normal levels of CRP had worse symptoms, lower physical functioning and were less likely to be able to work. This increased inflammation was mostly explained by being overweight and having reduced physical activity, and not by, for example, other medical conditions. Although some patients had severe symptoms without inflammation, our results suggest that a simple and widely available blood test could be useful for identifying patients with severe fibromyalgia. CRP measurements could also be used to monitor the effectiveness of lifestyle changes such as exercise and weight-loss in these individuals. Using medication to alleviate fibromyalgia symptoms through reduction of inflammation should also be studied in the future.

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“…2 Diffuse pain is the symptom that prevails in patients with fibromyalgia; additionally, it is difficult to accurately assess its intensity, since pain is perceived subjectively and individually. 7 The symptoms can increase according to modulating factors, such as climate change, 8 degree of physical activity, and high stress levels, 9 such as those experienced throughout the year 2020 with the confrontation of the global pandemic of coronavirus disease (COVID-19) 10 by the reduction of social contact, leisure activities, financial concern, and with the health of friends and family members. 11,12 Regarding the consequences of the syndrome, fibromyalgia has a direct influence on the mental health of the carrier, since the fewer symptoms the patient presents, the closer to a positive mental health model the patient will be.…”

Section: Introductionmentioning

confidence: 99%

Cross-sectional evaluation of socioeconomic and clinical factors and the impact of fibromyalgia on the quality of life of patients during the COVID-19 pandemic

et al. 2023

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BACKGROUND: The fibromyalgia impact questionnaire (FIQ) relates to the functional capacity, professional situation, psychological disorders, and physical symptoms, and can identify the factors that determine the impact of the syndrome and characteristics of its carriers; the higher the score, the greater the impact of fibromyalgia on the quality of life. OBJECTIVE: To evaluate the impact of fibromyalgia on the quality of life of individuals with fibromyalgia, who were categorized according to the FIQ during the coronavirus disease pandemic. DESIGN AND SETTING: A cross-sectional study was conducted at an institution of higher education in Taquara, RS, Brazil. METHODS: A quantitative study was carried out, with the application of a sociodemographic and clinical questionnaire, and the FIQ in 163 Brazilian individuals with a medical diagnosis of fibromyalgia. Data were collected using SurveyMonkey software. RESULTS: Of the female carriers, 98.2% were living in urban areas, working, and under pharmacological and complementary treatment. The FIQ results showed that seven of the 10 items had the maximum score. The items "physical function" and "feel good" had intermediate scores, and the item "missed work" had a low score. The average total score was 79.9 points, indicating that fibromyalgia had a severe impact on the participants' lives. A severe impact of fibromyalgia was observed in 61.3% of the participants, a moderate impact in 30.7%, and a low impact in 8%. CONCLUSION: The survey findings suggest a severe impact in the majority of the Brazilian fibromyalgic population.

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Muscle activity and acute stress in fibromyalgia

Cited by 17 publications

References 25 publications

The Relationship between Stress and Masticatory Muscle Activity in Female Students

The Relationship between Stress and Masticatory Muscle Activity in Female Students

Elevated highly sensitive C-reactive protein in fibromyalgia associates with symptom severity

Cross-sectional evaluation of socioeconomic and clinical factors and the impact of fibromyalgia on the quality of life of patients during the COVID-19 pandemic

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