The Relationship of Cervical Sagittal Parameters With Pain and Disability in Cervical Myofascial Pain Syndrome

Study Overview
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Brief Summary
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Participants between the ages of 18-64 who were diagnosed with cervical myofascial pain syndrome will be included in the study. cervical sagittal parameters, numerical pain rating scale, Bournemouth neck questionnaire and cervical range of motion will be measured and evaluated.

Detailed Description
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It is an observational, cross-sectional study. Participants between the ages of 18-64 who were diagnosed with cervical myofascial pain syndrome, who applied to the Physical Medicine and Rehabilitation Clinic of Kanuni Sultan Süleyman Training and Research Hospital with neck pain for more than 3 months will be included. The pain level of the participants will be evaluated with the numerical pain rating scale, the cervical range of motion and the disability level with the Bournemouth neck questionnaire. C0-2 cervical lordosis angle, C2-C7 cervical lordosis angle, cervical sagittal vertical axis (cSVA), T1 slop, T1 slop - cervical lordosis angle (TS-CL), cervical tilt, thoracic inlet angle (TIA) and Cranial tilt measurement will be performed by using Surgimap software program. The relationship between the level of pain and disability, and cervical sagittal parameters will be evaluated.

Official Title
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The Relationship of Cervical Sagittal Parameters With Pain and Disability in Cervical Myofascial Pain Syndrome

Conditions
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Myofascial Pain Syndrome, Neck Pain, Neck Disorder

Intervention / Treatment
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* Other: no intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age at 18-64 years Neck pain due to myofascial pain syndrome for more than 3 months Presence of lateral cervical radiograph taken in neutral position in the last 3 months Visible lower border of T1 vertebra on lateral radiographs Absence of other spinal pathologies such as underlying scoliosis, cervical disc herniation, spondylolysis, spondylolisthesis Exclusion Criteria: Presence of an organic pathology that will cause neck pain Inability to see the lower border of the T1 vertebra on lateral cervical radiographs and the radiographs not taken in neutral position

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| cervical myofascial pain syndrome<br>The participants who diagnosed as cervical myofascial pain syndrome aged 18-64 years. The pain must last at least 3 months. | Other: no intervention<br>* there is no any intervention in this study. it is an observational and cross-sectional study.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| NRS (Numerical rating scale) | The Numeric Rating Scale (NRS) is the simplest and most commonly used numeric scale in which the child rates the pain from 0 (no pain) to 10 (worst pain) | 1 day | 
| cervical range of motion (degree) | cervical flexion, extension, lateral flexion and rotation angles are actively evaluated. | 1 day | 
| Bournemouth Neck Questionnaire | Adapted from the Bournemouth Low Back Pain questionnaire developed by Bolton and Humphreys in 2002. The Bournemouth Neck Pain Questionnaire consists of 7 questions in total. Each question scores between 0 and 10. Although the highest score is 70, a high score indicates a high level of disability. | 1 day | 
| cervical sagittal parameters | Parameters to be checked in cervical lateral radiograph; C0-2 and C2-7 lordosis, T1 slope, c2-7 sagittal vertical axis, TS-CL, servical tilt and cranial tilt. | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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sagittal alignment, myofascial pain syndrome, neck disability, pain intensity