TY - JOUR
T1 - Use of P-31 magnetic resonance spectroscopy to detect metabolic abnormalities in muscles of patients with fibromyalgia
AU - Park, Jane H.
AU - Phothimat, Phomma
AU - Oates, Carolyn T.
AU - Hernanz-Schulman, Marta
AU - Olsen, Nancy J.
PY - 1998/3
Y1 - 1998/3
N2 - Objective. To investigate the metabolic and functional status of muscles of fibromyalgia (FM) patients, using P-31 magnetic resonance spectroscopy (MRS). Methods. Twelve patients with FM and 11 healthy subjects were studied. Clinical status was assessed by questionnaire. Biochemical status of muscle was evaluated with P-31 MRS by determining concentrations of inorganic phosphate (Pi), phosphocreatine (PCr), ATP, and phosphodiesters during rest and exercise. Functional status was evaluated from the PCr/Pi ratio, phosphorylation potential (PP), and total oxidative capacity (V(max)). Results. Patients with FM reported greater difficulty in performing activities of daily living as well as increased pain, fatigue, and weakness compared with controls. MRS measurements showed that patients had significantly lower than normal PCr and ATP levels (P < 0.004) and PCr/Pi ratios (P < 0.04) in the quadriceps muscles during rest. Values for PP and V(max) also were significantly reduced during rest and exercise. Conclusion. P-31 MRS provides objective evidence for metabolic abnormalities consistent with weakness and fatigue in patients with FM. Noninvasive P-31 MRS may be useful in assessing clinical status and evaluating the effectiveness of treatment regimens in FM.
AB - Objective. To investigate the metabolic and functional status of muscles of fibromyalgia (FM) patients, using P-31 magnetic resonance spectroscopy (MRS). Methods. Twelve patients with FM and 11 healthy subjects were studied. Clinical status was assessed by questionnaire. Biochemical status of muscle was evaluated with P-31 MRS by determining concentrations of inorganic phosphate (Pi), phosphocreatine (PCr), ATP, and phosphodiesters during rest and exercise. Functional status was evaluated from the PCr/Pi ratio, phosphorylation potential (PP), and total oxidative capacity (V(max)). Results. Patients with FM reported greater difficulty in performing activities of daily living as well as increased pain, fatigue, and weakness compared with controls. MRS measurements showed that patients had significantly lower than normal PCr and ATP levels (P < 0.004) and PCr/Pi ratios (P < 0.04) in the quadriceps muscles during rest. Values for PP and V(max) also were significantly reduced during rest and exercise. Conclusion. P-31 MRS provides objective evidence for metabolic abnormalities consistent with weakness and fatigue in patients with FM. Noninvasive P-31 MRS may be useful in assessing clinical status and evaluating the effectiveness of treatment regimens in FM.
UR - http://www.scopus.com/inward/record.url?scp=0031907810&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031907810&partnerID=8YFLogxK
U2 - 10.1002/1529-0131(199803)41:3<406::AID-ART5>3.0.CO;2-L
DO - 10.1002/1529-0131(199803)41:3<406::AID-ART5>3.0.CO;2-L
M3 - Article
C2 - 9506567
AN - SCOPUS:0031907810
SN - 0004-3591
VL - 41
SP - 406
EP - 413
JO - Arthritis and rheumatism
JF - Arthritis and rheumatism
IS - 3
ER -