Prevalence of Myofascial Pain Syndrome in Adolescent Idiopathic Scoliosis

Myofascial Pain Syndrome Clinical Trial

Official title:

Prevalence of Myofascial Pain Syndrome in Adolescent Idiopathic Scoliosis and the Relationship Between Myofascial Pain Syndrome and Spinal Coronal and Sagittal Alignment in Adolescent Idiopathic Scoliosis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05185050
• Other study ID #: KAEK/2020.07.128
• Status: Completed
• Start date: October 10, 2021
• Est. completion date: April 25, 2022

Study information

• Verified date: June 2022
• Source: Kanuni Sultan Suleyman Training and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 168
• Est. completion date: April 25, 2022
• Est. primary completion date: January 10, 2022
• Gender: All
• Age group: 10 Years to 18 Years

Eligibility

Inclusion Criteria:

• aged between 10-18 years

• diagnosed as adolescent idiopathic scoliosis

• agreed to participate in the study

Exclusion Criteria:

• neuromuscular or any other type of scoliosis

• any surgical treatment for scoliosis or spine.

Related Conditions & MeSH terms

• Fibromyalgia
• Myofascial Pain Syndrome
• Myofascial Pain Syndromes
• Scoliosis
• Scoliosis; Adolescence
• Somatoform Disorders
• Syndrome
• Trigger Point Pain, Myofascial

Intervention

Diagnostic Test:
• physical examination and measurement of spinal alignment
physical examination for scoliosis and myofascial pain syndrome, measurement of spinal coronal and sagittal alignment in X-ray, and pain intensity (with Visual analog scale) if necessary (for MPS group)

Locations

Country	Name	City	State
Turkey	Kanuni Sultan Süleyman Training and Research Hospital	Istanbul	Kucukcekmece

Sponsors (1)

Lead Sponsor	Collaborator
Kanuni Sultan Suleyman Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Cobb angle	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°	1 day
Primary	The angle of cervical lordosis	Cervical Lordosis refers to the natural curve of the spine in the neck, known as the cervical spine	1 day
Primary	The angle of thoracic kyphosis	thoracic Kyphosis is an abnormally excessive convex curvature of the spine as it occurs in the thoracic regions	1 day
Primary	The angle of lumbar lordosis	Lumbar lordosis is the inward curve of the lumbar, or lower, spine in the lower back	1 day
Primary	Sagittal vertical axis	he C7 plumb line is a radiographic reference to determine the sagittal vertical axis	1 day
Primary	pelvic incidence	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.	1 day
Primary	sacral slope	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	1 day
Primary	pelvic tilt	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.	1 day
Primary	VAS	Visual analog scale (The grade of pain)	1day
Primary	Myfascial pain syndrome	Using by Myfascial pain syndrome diagnostic criteria	1 day