Myofascial Pain Syndromes
Conditions
Keywords
pain, ultrasound
Brief summary
Myofascial pain syndrome, or MPS, is a prevalent musculoskeletal disorder, which is characterised by the presence of muscle pain and tenderness. The inflammation and microtrauma that are the consequence result in adhesions between the fascial layers. It has been reported that these adhesions prevent the fasciae from sliding over each other and contribute to pain.
Detailed description
The rhomboid and trapezius muscles are commonly involved in MPS, which often affects the upper extremity. This study hypothesized that muscle sliding decreases in patients with MPS. To this end, the investigators measured the amount of fascial sliding of the trapezius muscle in healthy volunteers and patients with MPS using M-mode ultrasound and a software-assisted program to investigate the differences and diagnostic value.
Interventions
DIAGNOSTIC_TESTUltrasound
M-mode ultrasonography images of the fascia under the trapezius muscle will be recorded during 3 different movements.
Sponsors
Bursa Yuksek Ihtisas Training and Research Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* At least one active trigger point * Moderate back pain lasting more than 3 months * Diagnosis of MPS according to Travell and Simons diagnostic criteria * Healthy volunteers
Exclusion criteria
* cervical disc disease * Fibromyalgia * Central or peripheral nerve disease * Shoulder joint disease * Malignancy * Rheumatic disease * those who had been treated for MPS within 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| m-mode | 30 minutes | The amount of displacement of the fascia under the Trapezius muscle during arm lift, neck lateral and anterior flexion, and shoulder lift in a sitting position and the M-mode ultrasonography image will be recorded. The measurements obtained from the recordings will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Trapezius and rhomboid muscle | 30 minutes | Trapezius and rhomboid muscle thickness measurements will be made via ultrasound |
| vas | baseline | Visual Analog Scale was used for pain. Pain intensity was measured using 0-10 cm visual analogue scale (VAS). The findings suggested that 100-mm VAS ratings of 0 to 4 mm can be considered no pain; 5 to 44 mm, mild pain; 45 to 74 mm, moderate pain; and 75 to 100 mm, severe pain. |
| NPDS | baseline | Neck and Disability Scale (NPDS): The 20-item Neck and Disability Scale is scored on a 10 cm visual analog scale and ranges from 0 to 5 points. The test aims to measure the impact of neck pain on quality of life, functionality, and disability |
| sf-12 | baseline | The SF-12 form, which includes scales to assess physical (SF-12-PCS) and mental (SF-12-MCS) status, was created by taking 12 different items from 8 other titles of the SF-36, which is the extended version |
Countries
Turkey (Türkiye)
Outcome results
None listed