Myofascial pain syndrome (MPS) is a musculoskeletal disorder It is associated with myofascial trigger points. Often the MPS involving upper back presents with painfully restricted shoulder range of motion. Which may influence the overall clinical presentation of the patient’s sufferings.  Different parameters are used to assess patients with myofascial pain syndrome, like pain, activity, global assessment score, pain free range of motion and composite scoring systems like University of California, Los Angeles (UCLA) score and Constant Murley (CM) score. This cross sectional study has been designed to compare the clinical parameters like pain, global score, activity score, University of California, Los Angeles (UCLA) score and Constant Murley (CM) score between patients with Myofascial Pain Syndrome (MPS) involving upper back, with and without painfully restricted shoulder range of motion. Two groups of patients with diagnosed MPS of upper back region, one with painfully restricted shoulder range of motion and another with normal pain free shoulder range of motion were included in the study. Each group included forty patients. The parameters assessed were pain score, patient’s global score, physician’s global score, activity score, UCLA score and Constant Murley score. Results were analysed and interpreted using appropriate statistical tests. All parameters demonstrated more severity in patients with painful shoulder range of motion.

Keywords: Myofascial Pain Syndrome, Painful shoulder ROM, Activity score, UCLA score, Constant Murley score.

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Dr Kshetra Madhab Das

Associate Professor, Dept of P.M.&R, NRS Medical College & Hospital, Kolkata, India

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