Prevalence of Myofascial Pain Syndrome in Adolescent Idiopathic Scoliosis

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

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.

Study Overview

• Status: Completed
• Conditions: Myofascial Pain Syndrome; Trigger Point Pain, Myofascial; Scoliosis; Adolescence; Physical Medicine and Rehabilitation
• Intervention / Treatment: Diagnostic test: physical examination and measurement of spinal alignment

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 Type: Observational
• Enrollment (Actual): 168

Contacts and Locations

Study Locations

• Turkey
  • Kucukcekmece
    • Istanbul, Kucukcekmece, Turkey, 34303
      • Kanuni Sultan Suleyman Training and Research Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 years to 14 years (Child, Adult)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Aged between 10-18 years with adolescent idiopathic scoliosis

Description

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.

Study Plan

How is the study designed?

Design Details

• Observational Models: Other
• Time Perspectives: Cross-Sectional

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
AIS with MPS; the participants who has Cobb angle above 10 degrees and diagnosed with myofascial pain syndrome	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)
AIS with no pain; the participants who has Cobb angle above 10 degrees and without pain	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)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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
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
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
The angle of lumbar lordosis	Lumbar lordosis is the inward curve of the lumbar, or lower, spine in the lower back	1 day
Sagittal vertical axis	he C7 plumb line is a radiographic reference to determine the sagittal vertical axis	1 day
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
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
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
VAS	Visual analog scale (The grade of pain)	1day
Myfascial pain syndrome	Using by Myfascial pain syndrome diagnostic criteria	1 day

Collaborators and Investigators

• Sponsor: Kanuni Sultan Suleyman Training and Research Hospital
• Investigators: Principal Investigator: Merve Damla Korkmaz, 1, Kanuni Sultan Suleyman Training and Research Hospital

Study record dates

Study Major Dates

• Study Start (Actual): October 10, 2021
• Primary Completion (Actual): January 10, 2022
• Study Completion (Actual): April 25, 2022

Study Registration Dates

• First Submitted: December 23, 2021
• First Submitted That Met QC Criteria: December 23, 2021
• First Posted (Actual): January 11, 2022

Study Record Updates

• Last Update Posted (Actual): June 27, 2022
• Last Update Submitted That Met QC Criteria: June 22, 2022
• Last Verified: June 1, 2022

More Information

Terms related to this study

• Keywords: scoliosis; sagittal alignment; cobb angle; myofascial pain
• Additional Relevant MeSH Terms: Mental Disorders; Pathologic Processes; Nervous System Diseases; Disease; Musculoskeletal Diseases; Rheumatic Diseases; Muscular Diseases; Neuromuscular Diseases; Spinal Diseases; Bone Diseases; Spinal Curvatures; Syndrome; Fibromyalgia; Scoliosis; Somatoform Disorders; Myofascial Pain Syndromes
• Other Study ID Numbers: KAEK/2020.07.128

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Yes
• IPD Plan Description: Study Results will be shared after publication.
• IPD Sharing Time Frame: 1 day

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No