Clinical trial NCT05185050: Prevalence of Myofascial Pain Syndrome in Adolescent Idiopathic Scoliosis
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
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Scoliosis; Adolescence
Myofascial Pain Syndrome
Trigger Point Pain, Myofascial
Physical Medicine and Rehabilitation
Keywords: scoliosis
sagittal alignment
cobb angle
myofascial pain
Lead sponsor: Kanuni Sultan Suleyman Training and Research Hospital
Sponsor class: OTHER
First posted: 2022-01-11
Enrollment: 168
Sex: ALL
Minimum age (years): 10
Maximum age (years): 18
Standard ages: CHILD
ADULT
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Aged between 10-18 years with adolescent idiopathic scoliosis

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.

Eligibility criteria: 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.

Primary outcomes:
measure: Cobb angle
timeFrame: 1 day
measure: The angle of cervical lordosis
timeFrame: 1 day
measure: The angle of thoracic kyphosis
timeFrame: 1 day
measure: The angle of lumbar lordosis
timeFrame: 1 day
measure: Sagittal vertical axis
timeFrame: 1 day
measure: pelvic incidence
timeFrame: 1 day
measure: sacral slope
timeFrame: 1 day
measure: pelvic tilt
timeFrame: 1 day
measure: VAS
timeFrame: 1day
measure: Myfascial pain syndrome
timeFrame: 1 day
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Kanuni Sultan Süleyman Training and Research Hospital
state: Kucukcekmece
Study officials:
affiliation: Kanuni Sultan Suleyman Training and Research Hospital
name: Merve Damla Korkmaz, 1
role: PRINCIPAL_INVESTIGATOR
References: