Myofascial Pain, Physical Therapy
Conditions
Brief summary
This prospective, observational cohort pilot study compared pain phenotyping and functional measures in 30 participants with non-acute neck and/or shoulder girdle pain consistent with primary myofascial pain at 3-months following a physical therapy referral to study the impact of their baseline degree of pain amplification.
Interventions
Physical therapy for chronic upper quarter myofascial pain syndrome, as prescribed by the patients' physicians
Sponsors
Study design
Eligibility
Inclusion criteria
* English-speaking participants * Diagnosed by their physician with non-acute (more than two weeks) neck and/or shoulder girdle primary myofascial pain * Referred to a physical therapy treatment.
Exclusion criteria
* In an effort to reduce the potential that another medical condition could lead to a secondary myofascial pain response, extensive comorbid exclusion criterion. * Use of chronic high-dose opioid medication greater than 100 mg oral morphine equivalents per day. * Individuals receiving or applying for compensation or disability. * The inability to provide informed consent. * Severe physical impairment (e.g., blindness, deafness) * Co-morbid medical condition limiting function (e.g., malignant cancer) * Reported illicit drug use * Severe psychiatric condition that would limit judgment. * Lack of internet access.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Neck Disability Index | Baseline to 3 months | Function neck scale with a total possible score of 50 indicating worse function compared to a score of 0. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in PEG Score | Baseline to 3 months | Multidimensional measure for initial assessment and follow-up of chronic pain in a primary care setting. The average of 3 domains with an averaged score of 0 to 10; 0 means lower pain interference and 10 means higher pain interference with life. |
Countries
United States