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Evaluation of pain sensitivity by tender point counts and myalgic score in patients with and without obstructive sleep apnea syndrome
Author(s) -
Terzi Rabia,
Yılmaz Zahide
Publication year - 2017
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/1756-185x.12629
Subject(s) - medicine , obstructive sleep apnea , physical therapy , apnea , anesthesia , pain score
Abstract Aim The purpose of this study was to assess the difference between patients with and without obstructive sleep apnea syndrome ( OSAS ) with respect to pain sensitivity. Method The study was conducted on 31 womens diagnosed with OSAS and 31 healthy women. All patients underwent polysomnographic testing. A pressure algometer (dolorimeter) was used to measure the pressure pain threshold. Fibromyalgia was diagnosed based on the 1990 American College of Rheumatology diagnosis criteria. Results The myalgic score was 73.95 ± 18.09 in patients with OSAS , while this value was 84.18 ± 24.31 in the control group. The difference between the groups was statistically significant ( P = 0.041).The number of tender points was 8.19 ± 3.35 in the patient group with OSAS , while this number was 6.35 ± 2.23 in the control group. The difference between the two groups was statistically significant ( P = 0.014). No statistically significant differences were found between age, body mass index, Beck depression scores, control point score and the presence of fibromyalgia, between the two groups ( P > 0.05). A statistically significant positive correlation was found between the myalgic scores and mean saturation O 2 (%) values of the patients ( r = 0.357; P = 0.049). Conclusion The differences noted between OSAS patients and the control group with respect to myalgic score and the number of tender points suggest that there might be a relation between OSAS and pain sensitivity. There might be an association between low oxygen saturation and total myalgic score.