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Vestibular Evoked Myogenic Potentials in Cervical Myofascial Pain Syndrome

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Abstract

Cervical myofascial pain syndrome with dizziness (CMPS-D) has always faced the challenges of evaluation, diagnosis, and etiology. Vestibular-evoked myogenic potentials (VEMPs) are applicable to evaluate the functions of the vestibular system, especially the saccule. The Sound evoked triceps myogenic potentials (SETMPs) have different anatomical efferent connections from Sternocleidomastoid (SCM)-VEMPs. The present study aimed to evaluate the SETMPs and SCMVEMPs in CMPS-D group and compare the results with the control group. We tested 15 participants with CMPS-D with 15 participants in the control group using SCMVEMP and SETMP tests. All participants had normal hearing and vestibular functions. The SCMVEMP response was absent in 4 of 15 patients with CMPS-D, and the mean response CMPS-D group was significantly lower than the control group. There were the SETMP and SCMVEMP responses in all participants in the control group. In CMPS-D subjects with false absent SCMVEMP response, SETMP tests are suitable alternatives for the saccule evaluation, and diminished SCMVEMP in the CMPS-D subjects may not necessarily mean the saccular injury. Furthermore, the involvement of spinal cord pathways is not a cause of dizziness in CMPS-D patients.

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Funding

This work was funded by research Committee at the iran university of medical sciences under grant agreement No IR.IUMS.FMD.REC.1399.380.

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Authors and Affiliations

  1. Department of Audiology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Madad karan St., Madar Sq., Mirdamad Blv, 15459-13187, Tehran, Iran

    Morteza Hamidi Nahrani, Mehdi Akbari, Malihah Mazaher Yazdi & Mohammad Maarefvand

  2. Department of Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran

    Soheil Mansour Sohani

Authors
  1. Morteza Hamidi Nahrani
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  2. Mehdi Akbari
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  3. Soheil Mansour Sohani
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  4. Malihah Mazaher Yazdi
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  5. Mohammad Maarefvand
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by morteza hamidi nahrani, Mehdi akbari and mohammad maarefvand. Cervical pain assessment performed by Soheil Mansour Sohani. The first draft of the manuscript was written by Mehdi akbari and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Mehdi Akbari.

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The authors have no conflicts of interest to declare that are relevant to the content of this article.

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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Iran University of Medical Sciences.

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Hamidi Nahrani, M., Akbari, M., Mansour Sohani, S. et al. Vestibular Evoked Myogenic Potentials in Cervical Myofascial Pain Syndrome. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 3993–3997 (2022). https://doi.org/10.1007/s12070-021-02772-w

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  • DOI: https://doi.org/10.1007/s12070-021-02772-w

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