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NCT Number: NCT05185050

Prevalence of Myofascial Pain Syndrome 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.

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Key information

Conditions

Scoliosis; Adolescence Bone Diseases Muscular Diseases Musculoskeletal Diseases Myofascial Pain Syndrome Myofascial Pain Syndromes Physical Medicine and Rehabilitation Scoliosis Spinal Curvatures Spinal Diseases Trigger Point Pain, Myofascial

Age range

10 year–18 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Kanuni Sultan Süleyman Training and Research Hospital

Istanbul, Kucukcekmece, 34303, Turkey (Türkiye)

About this study

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;

  • Regional pain complaint
  • Pain or sensory change reflected from trigger points to a specific area 3. Palpable taut band in accessible muscles
  • Extreme tenderness at one point along the taut band 5. Decreased range of motion that can be measured As for the Minor Criteria;
  • Complaint of clinical pain and/or sensory change on pressurized palpation of the trigger point
  • 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.

Who can participate

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

physical examination and measurement of spinal alignment

Diagnostic Test

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)

Primary outcomes

  1. Cobb angle

    Time frame: 1 day

    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°

  2. The angle of cervical lordosis

    Time frame: 1 day

    Cervical Lordosis refers to the natural curve of the spine in the neck, known as the cervical spine

  3. The angle of thoracic kyphosis

    Time frame: 1 day

    thoracic Kyphosis is an abnormally excessive convex curvature of the spine as it occurs in the thoracic regions

  4. The angle of lumbar lordosis

    Time frame: 1 day

    Lumbar lordosis is the inward curve of the lumbar, or lower, spine in the lower back

  5. Sagittal vertical axis

    Time frame: 1 day

    he C7 plumb line is a radiographic reference to determine the sagittal vertical axis

  6. pelvic incidence

    Time frame: 1 day

    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.

  7. sacral slope

    Time frame: 1 day

    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

  8. pelvic tilt

    Time frame: 1 day

    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.

  9. VAS

    Time frame: 1day

    Visual analog scale (The grade of pain)

  10. Myfascial pain syndrome

    Time frame: 1 day

    Using by Myfascial pain syndrome diagnostic criteria

Sponsors and collaborators

Lead sponsor

Kanuni Sultan Suleyman Training and Research Hospital

Other

Registry information

Official study 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

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Jan 11, 2022
Registry last updated
Jun 27, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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