D.K. VINOGRADOV¹, O.B. DORONINA², B.M. DORONIN²

 ¹City Neurological Center «Sibneiromed», Novosibirsk

²Novosibirsk State Medical University of the Ministry of Health of the Russian Federation, Novosibirsk

 Contact details:

Vinogradov D.K. — Neurologist, Somnologist

Address: 37 Michurina St., Novosibirsk, Russian Federation, 630091, tel.: +7-923-742-14-88, e-mail: webkraz@gmail.com 

Chronic pain syndrome is a predictor of changes in the structure of sleep and psycho-vegetative disorders, a detailed description of the objective data of sleep patterns in patients with chronic tension headache and back pain is presented.

The purpose — studying the effect of chronic pain syndromes on the clinical and neurophysiological characteristics of structures, phases and quality of sleep, and their reciprocal mutual relations.

Materials and methods. Patients were randomly divided into three groups (main, control and comparison groups) and underwent examination according to the following algorithm: objective examination, assessment of neurological status, filling out neurological scales and questionnaires, a comprehensive study of night sleep — polysomnography — was performed once.

Results. Pain syndrome has an inverse relationship with the duration of delta sleep, amplitude of the alpha rhythm in a dream, total duration of sleep, and duration of the rapid eye movement sleep. Direct connection with the level of anxiety and latency of the first stage of sleep. Intensity of the pain syndrome is a predictor of dissomnic phenomena (OR 1,33 (0,8; 2,1)).

Conclusion. There is direct and inverse relationship between the severity of chronic pain syndrome with dissomnic phenomena and the psycho-vegetative status.

Key words: insomnia, back pain, chronic pain, chronic tension headache.

(For citation: Vinogradov D.K., Doronina O.B., Doronin B.M. Clinical relevance of sleep disorders in patients with chronic pain as exemplified by tension headache and back pain. Practical Medicine. 2019. Vol. 17, № 7, P. 79-84)

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