Relationships between Pain, Pain Behavior, Anxiety, and Muscle Tension during Electrodiagnosis

電生理檢查中疼痛、疼痛行為、焦慮及肌肉張力之相互關係

裴育晟(Yu-Cheng Pei) ； 鄧復旦(Simon F. T. Tang) ； 謝煒基(Wei-Chi Hsieh) ； 趙明哲(Ming-Che Chao) ； 黃美涓(Alice M. K. Wong) ； 陳凱華(Kai-Hua Chen)

《中華民國復健醫學會雜誌》 30卷4期 (2002/12) Pp. 207-215

摘要

The purpose of the study was to investigate the interaction between pain, pain behavior, anxiety, and muscle tension during electrodiagnosis, and to examine the anxiolytic and pain-relieving effects of traditional Chinese music. Two measuring tools, including electrodiagnosis pain behavior checklist (EPBC) and electromyography muscle tension scale (EMTS) were developed to objectively assess the subject's pain and muscle tension, respectively. Sixty-one patients were included in this study and were randomly divided into background music group and control group. EPBC and EMTS were concurrently measured during electrodiagnosis, which consisted of nerve conduction velocity and electromyography (EMG) studies. Linear analog anxiety scale (LAAS) and pain visual analog scale (VAS) were applied to measure anxiety and pain, receptively, during electrodiagnosis. Electrodiagnosis VAS showed a positive correlation with LAAS, EPBC (P＜0.01), and EMTS (p＜0.05). No significant difference was found in all parameters between background music and control groups (p＞0.05). Five percents of patients under needle EMG couldn't completely relax their paraspinal muscle even though all bedside relaxation measures were tried. In conclusion, the interactions between electrodiagnosis pain, pain behavior, anxiety, and muscle tension were established which could explain the psychosomatic effect of the stressful electrodiagnosis. Pain may be the major contributor of pain behavior, anxiety, and muscle tension during electrodiagnosis. Traditional Chinese music did not demonstrate significant pain-relieving or anxiolytic effect.

關鍵字

電生理檢查 ； 疼痛行為 ； 焦慮 ； 肌肉張力 ； 傳統國樂

並列摘要

The purpose of the study was to investigate the interaction between pain, pain behavior, anxiety, and muscle tension during electrodiagnosis, and to examine the anxiolytic and pain-relieving effects of traditional Chinese music. Two measuring tools, including electrodiagnosis pain behavior checklist (EPBC) and electromyography muscle tension scale (EMTS) were developed to objectively assess the subject's pain and muscle tension, respectively. Sixty-one patients were included in this study and were randomly divided into background music group and control group. EPBC and EMTS were concurrently measured during electrodiagnosis, which consisted of nerve conduction velocity and electromyography (EMG) studies. Linear analog anxiety scale (LAAS) and pain visual analog scale (VAS) were applied to measure anxiety and pain, receptively, during electrodiagnosis. Electrodiagnosis VAS showed a positive correlation with LAAS, EPBC (P＜0.01), and EMTS (p＜0.05). No significant difference was found in all parameters between background music and control groups (p＞0.05). Five percents of patients under needle EMG couldn't completely relax their paraspinal muscle even though all bedside relaxation measures were tried. In conclusion, the interactions between electrodiagnosis pain, pain behavior, anxiety, and muscle tension were established which could explain the psychosomatic effect of the stressful electrodiagnosis. Pain may be the major contributor of pain behavior, anxiety, and muscle tension during electrodiagnosis. Traditional Chinese music did not demonstrate significant pain-relieving or anxiolytic effect.

並列關鍵字

electrodiagnosis ； pain behavior ； anxiety ； muscle tension ； traditional therapeutic music