Imaging analysis of the posterior occipital muscles in cervical vertigo based on shear wave elastography.
10.12200/j.issn.1003-0034.20240987
- Author:
Ying-Sen PAN
1
;
Yi SHEN
1
;
Fei-Peng QIN
1
;
Hao-Yang ZHANG
2
;
Nao LIU
3
;
Yan-Jun XU
3
;
Xiao-Ming YING
4
Author Information
1. The Third Clinical College of Zhejiang Chinese Medicine University, Hangzhou 310053, Zhejiang, China.
2. Department of Massage, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou 310007, Zhejiang, China.
3. Department of Ultrasound, the Third Affiliated Hospital of Zhejiang Chinese Medicine University, Hangzhou 310004, Zhejiang, China.
4. Department of Massage, the Third Affiliated Hospital of Zhejiang Chinese Medicine University, Hangzhou 310004, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Cervical vertigo;
Occipital posterior muscle group;
Shear wave elastic imaging;
Stiffness;
Thickness
- MeSH:
Humans;
Female;
Male;
Elasticity Imaging Techniques/methods*;
Adult;
Vertigo/physiopathology*;
Neck Muscles/physiopathology*;
Young Adult
- From:
China Journal of Orthopaedics and Traumatology
2025;38(11):1126-1132
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the partial biomechanical properties of the posterior occipital muscles (rectus capitis posterior major, rectus capitis posterior minor, and obliquus capitis inferior) in patients with cervical vertigo.
METHODS:A total of 30 patients with cervical vertigo admitted from April 2024 to September 2024 were included in the vertigo group, and 30 age-and gender-matched healthy subjects were recruited as the normal group. In the vertigo group, there were 21 females and 9 males, with an average age of (24.00±2.25) years;in the normal group, there were 22 females and 8 males, with an average age of (23.00±3.00) years. Shear wave elastography was used to measure the thickness and stiffness of the posterior occipital muscles in both groups.
RESULTS:In the vertigo group, there were no statistically significant differences in the Young's modulus values (E) of stiffness of the posterior occipital muscles (rectus capitis posterior major, rectus capitis posterior minor, obliquus capitis inferior) between the left and right sides(P>0.05). The Young's modulus values(E) of stiffness of the right posterior occipital muscles (rectus capitis posterior major, rectus capitis posterior minor, obliquus capitis inferior) in the cervical vertigo group were (39.66±8.21) kPa, (45.61±5.85) kPa, and (43.73±5.22) kPa, respectively, which were significantly higher than those in the normal group 33.97(17.76) kPa, 41.38(8.99) kPa, 38.27(12.58) kPa, with statistically significant differences (P<0.05). In the vertigo group, the Young's modulus values(E) of stiffness of the left rectus capitis posterior major and left obliquus capitis inferior were (40.41±9.13) kPa and (42.11±6.20) kPa, respectively, which were significantly greater than those in the normal group (33.30±11.31) kPa, 38.94(14.62) kPa, with statistically significant differences(P<0.05);however, there was no statistically significant difference in the left rectus capitis posterior minor between the two groups(P>0.05). In the vertigo group, there were no statistically significant differences in the stiffness of the posterior occipital muscles (rectus capitis posterior major, rectus capitis posterior minor, obliquus capitis inferior) between the left and right sides(P>0.05). Additionally, there were no statistically significant differences in the thickness of the bilateral posterior occipital muscles between the vertigo group and the normal group (P>0.05).
CONCLUSION:The posterior occipital muscles of patients with cervical vertigo are stiffer than those of healthy individuals, while there is no significant difference in muscle thickness between the two groups.
