Fibromyalgia syndrome (FMS) is characterized by systemic pain of unknown etiology, and is often accompanied by various psychological symptoms. In the present study, differences in surface electromyographic (SEMG) levels of the trapezius muscle, skin temperature (TEMP) and skin conductance level (SCL) were compared between the right and left side of the body in 31 FMS and 47 control subjects (Control Group). We observed significant asymmetries of SEMG level, TEMP and SCL in the FMS Group. These asymmetries might be related to central, peripheral and autonomic nervous system dysfunctions. Marked increase of SEMG levels, and a decrease of TEMP and SCL were observed at the dominant side in the FMS Group, and a negative correlation of SEMG levels with TEMP and SCL was found. These results suggest that continued antalgic postures in response to pain at the dominant side in FMS patients might lead to asymmetries of SEMG level, TEMP and SCL. Thus, a focus on pain related behaviors and muscle asymmetry might be a useful therapeutic approach.
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REFERENCES
Abram, S. E. (1993). Advances in chronic pain management since gate control. Regional Anesthesia, 18(2), 66–81.
Anders, C., Sprott, H., & Scholle, H. C. (2001). Surface EMG of the lumbar part of the erector trunci muscle in patients with fibromyalgia. Clinical Experimentals Rheumatology, 19(4), 453–455.
Barsky, A. J., & Borus, J. F. (1999). Functional somatic syndromes. Annals of Internal Medicine, 130(11), 910–921.
Basmajian, J. V. (1967). Electromyography: Its structural and neural basis. International Review of Cytology, 21, 129–140.
Bengtson, A., & Bengtson, M. (1988). Regional sympathetic blockade in primary fibromyalgia. Pain, 22, 161–167.
Bonica, J. J. (1977). Neurophysiologic and pathologic aspects of acute and chronic pain. Archives of Surgery, 112(6), 750–761.
Busch, A., Schachter, C. L., et al. (2002). Exercise for treating fibromyalgia syndrome. The Cochrane Database of Systematic Reviews, 2, CD003786, 1996.
Cinciripini, P. M. (1982). Relationship between frontal muscle tension and digital skin temperature during EMG biofeedback. Perceptual and Motor Skills, 54(3), 895–898.
Dalius, B., Rolf, H., et al. (2001). EMG activity and pain development in fibromyalgia patients exposed to mental stress of long duration. Scandinavian Journal of Rheumatology, 30, 92–98.
Egle, U. T., Rudolf, M. L., Hoffmann, S. O., Konig, K., et al. (1989). Personality markers, defence behavior and illness concept in patients with primary fibromyalgia. Zeitschrift Fur Rheumatologie, 48, 73–78.
Elam, M., Johansson, G., & Wallin, B. G. (1992). Do patients with primary fibromyalgia have an alterd muscle asympathetic nerve activity? Pain, 48, 371–375.
Fordyce, W. E., et al. (1982). The modification of avoidance learning pain behavior. Journal of Behavial Medicine, 5, 405–414.
Granges, G., & Littlejohn, G. (1993). A comparative study of clinical signs in fibromyalgia/fibrositis syndrome,healthy and exercising subjects. Journal of Rheumatology, 20, 344–351.
Hadhazy, V. A., Ezzo, J., Creamer, P., & Berman, B. M. (2000). Mind-body therapies for the treatment of fibromyalgia; A systematic review. Journal of Rheumatology, 27(12), 2911–2918.
Hugdahl, K. (1984). Hemispheric asymmetry and bilateral electrodermal recordings: A review of the evidence. Psychophysiology, 21(4), 371–393.
Jung, A. C., Sullivan, M., & Staiger, T. (1996). The efficacy of selective serotonin reuptake inhibitors for the management of chronic pain. Materia Medica Polona, 28, 17–19.
Kanbara, K., Mitani, Y., Fukunaga, M., Ishino, S., Takebayashi, T., & Nakai, Y. (2004). Paradoxical results of psychophysiological stress profile in functional somatic syndrome: correlation between subjective tension score and objective stress response. Applied Psychophysiology and Biofeedback, 29(4), 255–268.
Kitaoka, K., Ito, R., Araki, H., Sei, H., & Morita, Y. (2004). Effect of mood state on anticipatory postural adjustments. Neuroscience Letter, 3, 370(1), 65–68.
Martinez-Selva, J. M., Roman, F., Garcia-Sanchez, F. A., & Gomez-Amor, J. (1987). Sex differences, activation level, and bilateral electrodermal activity. Pavlovian Journal of Biological Science, 22(3), 113–117.
Mitani, Y., Kanbara, K., Fukunaga, M., et al. (2006). The effect of stretching and active biofeedback in psychosomatic medicine. Japanese Journal of Psychosomatic Medicine, in print.
Mittleman, B., & Wolff, H. (1939). Affective states and skin temperature: Experimental study of subjects with “cold hands” and Raynaud's syndrome. Psychosomatic Medicine, 1, 271–292.
Nagata, K., Okamoto, A., et al. (1990). Chronic headache and dysdynamisches syndrome. Pain, 41(1), 45.
Norregard, J., Volkman, H., & Danneslkiold-Samsoe, B. A. (1997). Randomizes controlled trial of citalopram in the treatment of fibromyalgia. Journal of Musculoskel Pain, 5, 71–79.
Okifuji, A., & Turk, D. C. (2002). Stress and psychophysiological dysregulation in patients with Fibromyalgia syndrome. Applied Psychophysiol and Biofeedback, 27(2), 129–41.
Petzke, F., & Clauw, D. J. (2000). Sympathetic nervous system function in fibromyalgia. Current Rheumatology Rep, Apr, 2(2), 116–123.
Randy, A., Julie, V., et al. (2004). Psychological aspents of Fibromyalgia Research vs clinician impressions. Journal of Psychosomatic Research, 56, 185–188.
Roman, F., Martinez-Selva, J. M., Garcia-Sanchez, F. A., & Gomez-Amor, J. (1987). Sex differences, activation level, and bilateral electrodermal activity. Pavlovian Journal of Biological Science, 22(3), 113–117.
Scudds, R. A., McCain, G. A., Rollman, G. B., et al. (1989). Improvements in pain responsiveness in patients with fibrositis after successful treatment with amitriptyline. Journal of Rheumatology, 16(19), 98–103.
Uematsu, S. David, H., et al. (1988). Quantification of thermal asymmetry Part1: Normal values and reproducibility. Journal of Neurosurgery, 69, 552–555.
Uematsu, S., William, R., et al. (1988). Quantification of thermal asymmetry Part2: Application in low-back pain and sciatica. Journal of Neurosurgery, 69, 556–561.
Van Houdenhove, B. (2000). Psychosocial stress and pain. European Journal of Pain, 4, 225–228.
Victoria, A., Hadhazy, V. A., Ezzo, J., et al. (2000). Mind-Bpdy therapies for the treatment of fibromyalgia. A Systematic Review, 27(12), 2911–2918.
Wallin, B. G. (1981). Sympathetic nerve activity underlying electrodermal and cardiovascular reactions in man. Psychophysiology, 18, 470–476.
Wessely, S., Nimnuan, C., & Sharpe, M. (1999). Functional somatic syndromes: one or many? Lancet, 354, 936–939.
Williams, D. A. (2003). Psycholigical and behavioral therapies in fibromyalgia and related syndromes. Baillieres Best Practice and Research Clinical Rheumatology, 17, 649–665.
Wolfe, F., Smythe, H. A., Yunus, M. B., et al. (1990). The American college of Rheumatology; criteria for the classification of fibromyalgia. Arthritis and Rheumatism, 33, 160–172.
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Mitani, Y., Fukunaga, M., Kanbara, K. et al. Evaluation of Psychophysiological Asymmetry in Patients with Fibromyalgia Syndrome. Appl Psychophysiol Biofeedback 31, 217–225 (2006). https://doi.org/10.1007/s10484-006-9020-8
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DOI: https://doi.org/10.1007/s10484-006-9020-8