Investigation of the Diagnostic Efficacy of the M-Mode Ultrasonography in the Diagnosis of Myofascial Pain Syndrome

Investigation of the Diagnostic Efficacy of the Amount of Fascial Sliding Measured by M-Mode Ultrasonography in the Diagnosis of Myofascial Pain Syndrome

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.

Study Overview

• Status: Completed
• Conditions: Myofascial Pain Syndromes
• Intervention / Treatment: Diagnostic test: Ultrasound

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.

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Bursa, Turkey, 16320
    • Bursa Yüksek İhtisas Eğitim Ve Araştırma Hastanesi
  • Bursa
    • Nilüfer, Bursa, Turkey, 16110
      • Burcu Metin Ökmen

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Diagnostic
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: mps; M-mode ultrasonography images of the fascia under the trapezius muscle will be recorded during 3 different movements.	Diagnostic test: Ultrasound; M-mode ultrasonography images of the fascia under the trapezius muscle will be recorded during 3 different movements.; Other Names: M-Mode musculoskeletal ultrasound
Active Comparator: healthy volunteers; M-mode ultrasonography images of the fascia under the trapezius muscle will be recorded during 3 different movements.	Diagnostic test: Ultrasound; M-mode ultrasonography images of the fascia under the trapezius muscle will be recorded during 3 different movements.; Other Names: M-Mode musculoskeletal ultrasound

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
m-mode	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.	30 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Trapezius and rhomboid muscle	Trapezius and rhomboid muscle thickness measurements will be made via ultrasound	30 minutes
vas	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.	baseline
NPDS	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	baseline
sf-12	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	baseline

Collaborators and Investigators

• Sponsor: Bursa Yüksek İhtisas Education and Research Hospital

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2020
• Primary Completion (Actual): February 1, 2022
• Study Completion (Actual): September 1, 2023

Study Registration Dates

• First Submitted: January 2, 2025
• First Submitted That Met QC Criteria: January 2, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 8, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: pain; ultrasound
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Nervous System Diseases; Muscular Diseases; Mental Disorders; Pathologic Processes; Neuromuscular Diseases; Rheumatic Diseases; Disease; Somatoform Disorders; Syndrome; Fibromyalgia; Myofascial Pain Syndromes
• Other Study ID Numbers: BursaYIEAH-2019-6-24

Drug and device information, study documents

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