Structure and Function of the Upper Trapezius and Its Role in Chronic Shoulder Pain: an Investigation of Kinematics, Morphology, Muscle Quality and Activation Distribution
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Muscle activation
研究概览
简要总结
Prior research has explored factors influencing muscle activation, including muscle thickness, fear avoidance beliefs (kinesiophobia), and somatosensory integration. In individuals with chronic shoulder pain, various characteristics impacting symptoms and treatment outcomes have been identified, such as psychosocial factors, fear avoidance, central sensitization, somatosensory impairments, and brain morphology changes. These shared characteristics affecting both muscle activation and chronic shoulder pain may potentially modulate upper trapezius muscle activation during functional movements in patients with chronic shoulder pain. Notably, there remains a gap in the literature concerning investigations into the upper trapezius muscle's morphology and quality, fear avoidance, central sensitization, somatosensory impairments, and their interplay with upper trapezius muscle activation in chronic shoulder pain patients.
To address these gaps, this study aims to: this study aims to: 1) compare different methods of measuring clavicular kinematics using an electromagnetic tracking system; 2) establish the reliability and validity of measuring muscle thickness and fat infiltration through ultrasound and magnetic resonance imaging; 3) compare shoulder kinematics, muscle activation, muscle morphology, and muscle fat infiltration in individuals with chronic shoulder pain with matched healthy controls; 4) explore the correlation between the factors that may influence upper trapezius muscle activation, including basic data of the subjects, muscle morphology, and muscle fat infiltration.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Chronic shoulder pain group
- •18-50 years old18-50 years old
- •unilateral and non-traumatic shoulder pain
- •pain duration longer than 3 months
- •pain intensity more than VAS=2 during movement
- •presence 3 of 5 positive pain provocation tests: Hawkins-Kennedy test, Jobe test, or Neer's test Painful Arc, and Resistance Test against External Rotation.
- •Healthy control group
- •presenting no shoulder pain at rest or during daily activities
- •negative results of the pain provocation test: Hawkins-Kennedy test, Jobe test, Neer's test, Painful Arc, Resistance Test against External Rotation and Spurling's neck compression test.
排除标准
- •- Chronic shoulder pain group
- •history of significant shoulder trauma, such as fracture or ultrasonography clinically suspected full thickness cuff tear
- •recent shoulder dislocation in the last 2 years
- •diagnosis of adhesive capsulitis characterized by a gradual and painful loss of both active and passive ROM in all shoulder planes, primarily external rotation
- •shoulder pain originating from the cervical spine by using Spurling's neck compression test
- •shoulder pain owing to the following disorders: arthritis (e.g., rheumatoid arthritis, osteoarthritis of shoulder complex), neurologic (e.g., stroke), neoplastic (e.g., breast cancer). and/or referred pain (e.g., visceral referred pain)
- •corticoid injections over the shoulder during 6 months prior to the study
- •history of shoulder and neck surgery
研究组 & 干预措施
Chronic shoulder pain group
Healthy control group
结局指标
主要结局
Muscle activation
时间窗: During the procedure
The average root mean square (RMS) value collected from surface EMG and outcomes collected by high-density EMG including average root mean square (RMS) value in whole/upper/lower regions, the RMS value distribution, and position of the barycentre of RMS distribution in different humeral elevation angles and different isometric shoulder and scapular tasks will be the outcome measures related to muscle activation.
Shoulder kinematics
时间窗: During the procedure
The scapular kinematics will be assessed, including scapular internal/external rotation, upward/downward rotation, and posterior/anterior tilt angle. Clavicular kinematics will be evaluated by measuring clavicular protraction/retraction, elevation/depression, and posterior rotation angle.
次要结局
- Mechanical stress relaxation time (ms)(During the procedure)
- Muscle fat quantification(During the procedure)
- Pain intensity(During the procedure)
- Craniovertebral angle(During the procedure)
- Muscle thickness and cross-sectional area(During the procedure)
- Oscillation frequency(During the procedure)
- Dynamic stiffness(During the procedure)
- Muscle thickness change at rest and in contraction(During the procedure)
- Echo intensity(During the procedure)
- Muscle / fat fraction(During the procedure)
- Disability level(During the procedure)
研究者
Yi-Fen Shih
Professor
National Yang Ming Chiao Tung University