Prevalence of Myofascial Pain Syndrome in Adolescent Idiopathic Scoliosis

Completed

• Conditions: Myofascial Pain Syndrome; Physical Medicine and Rehabilitation; Trigger Point Pain, Myofascial; Scoliosis; Adolescence
• Interventions: Diagnostic Test: physical examination and measurement of spinal alignment

• Registration Number: NCT05185050
• Lead Sponsor: Kanuni Sultan Suleyman Training and Research Hospital

Brief Summary

this is an observational and cross-sectional prevalence study. 10-18 years aged participants with adolescent idiopathic scoliosis were recruited in the study. Myofascial pain syndrome will be questioned to the participants. additionally, all participants will be evaluated using their findings for scoliosis and myofascial pain syndrome diagnostic criteria. Cobb angle, coronal balance, shoulder and pelvis asymmetry, sagittal spino-pelvic parameters of the spine (cervical lordosis, thoracic kyphosis, lumbar lordosis angles and sagittal vertical axis, sacral slop angle and pelvic incidence) will be measured.

Detailed Description

This is an observational and cross-sectional prevalence study. Patients diagnosed with adolescent idiopathic scoliosis who applied to the Physical Medicine and Rehabilitation Clinic of Kanuni Sultan Süleyman Training and Research Hospital will be included in our study. These participants will be aged between 10-18 years. These patients will be evaluated using their findings for scoliosis and myofascial pain syndrome diagnostic criteria. Cobb angle, coronal balance, shoulder and pelvis asymmetry, sagittal spino-pelvic parameters of the spine (cervical lordosis, thoracic kyphosis, lumbar lordosis angles and sagittal vertical axis, sacral slop angle and pelvic incidence) will be measured. Diagnostic criteria of Myofascial Pain Syndrome; As the Major Criteria;

1. Regional pain complaint

2. Pain or sensory change reflected from trigger points to a specific area 3. Palpable taut band in accessible muscles

4. Extreme tenderness at one point along the taut band 5. Decreased range of motion that can be measured As for the Minor Criteria;

1. Complaint of clinical pain and/or sensory change on pressurized palpation of the trigger point

2. Local twitch response of the tender point on the taut band with palpation and needling 3. Reduction of pain by injection of the tender point or stretching of the muscle Five major and at least 1 minor criteria are required for the clinical diagnosis of myofascial pain syndrome.

Patients with a previous history of surgery for scoliosis and neuromuscular scoliosis were excluded from the study.

Study Timeline

• Study Start: 2021-10-10
• Study First Submitted: 2021-12-23
• Study First Submitted QC: 2021-12-23
• Primary Completion: 2022-01-10
• Study First Posted: 2022-01-11
• Study Completion: 2022-04-25
• Status Verified: 2022-06
• Last Update Submitted: 2022-06-22
• Last Update Posted: 2022-06-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 168

Inclusion Criteria

• aged between 10-18 years
• diagnosed as adolescent idiopathic scoliosis
• agreed to participate in the study

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Exclusion Criteria

• neuromuscular or any other type of scoliosis
• any surgical treatment for scoliosis or spine.

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
AIS with no pain	physical examination and measurement of spinal alignment	the participants who has Cobb angle above 10 degrees and without pain
AIS with MPS	physical examination and measurement of spinal alignment	the participants who has Cobb angle above 10 degrees and diagnosed with myofascial pain syndrome

Primary Outcome Measures

Name	Time	Method
Cobb angle	1 day	The Cobb angle is the most widely used measurement to quantify the magnitude of spinal deformities, especially in the case of scoliosis, on plain radiographs. Scoliosis is defined as a lateral spinal curvature with a Cobb angle of \>10°
The angle of cervical lordosis	1 day	Cervical Lordosis refers to the natural curve of the spine in the neck, known as the cervical spine
pelvic incidence	1 day	Pelvic incidence is defined as the angle between a line perpendicular to the sacral plate at its midpoint and a line connecting this point to the femoral head axis.
The angle of thoracic kyphosis	1 day	thoracic Kyphosis is an abnormally excessive convex curvature of the spine as it occurs in the thoracic regions
The angle of lumbar lordosis	1 day	Lumbar lordosis is the inward curve of the lumbar, or lower, spine in the lower back
Sagittal vertical axis	1 day	he C7 plumb line is a radiographic reference to determine the sagittal vertical axis
sacral slope	1 day	Sacral slope isdefined as the angle between a sacral plate and the horizontal line. A vertical sacrum is described by a low sacral slope value and a horizontal sacrum by a high value sacral slope
pelvic tilt	1 day	Pelvic tilt is defined by a line through midpoint of the sacral plate and midpoint of the femoral head axes and the vertical line through the midpoint of the femoral head axis.
Myfascial pain syndrome	1 day	Using by Myfascial pain syndrome diagnostic criteria
VAS	1day	Visual analog scale (The grade of pain)

Trial Locations

Locations (1)

Kanuni Sultan Süleyman Training and Research Hospital; 🇹🇷 Istanbul, Kucukcekmece, Turkey