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Category: Volume 06 Issue 10 October 2018
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Title: Comparison of Clinical Parameters between Upper Back Myofascial Pain Syndrome with and Without Painfully Restricted Shoulder Range of Motion: A Cross Sectional Study

Authors: Dr Siddhartha Sinha Ray, Dr Kshetra Madhab Das, Prof. (Dr) Nityananda Kar

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i10.96

Abstract

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.

References

  1. Simmons D, Travell J, Simmons Y. Trigger Point Manual. 2nd edition. vol-1. Williams & Wilkins; 1999.
  2. Hong CZ. Considerations & recommendations regarding myofascial trigger point injection. J Mus Pain. 1994(2):29–590
  3. Chandola HC, Chakrabarty A. Fibromyalgia and Myofascial Pain Syndrome-A Dilemma Indian J Anaesth. 2009; 53(5): 575–581.
  4. Rachlin ES. Myofascial Pain and Fibromyalgia Trigger Point Management. In History and physical examination for regional myofascial pain syndrome; St Louis, Mosby- Yearbook: 1994.
  5. Maria F. M. Aranha M F M, Müller C E E, Gavião M B D. Pain intensity and cervical range of motion in womenwith myofascial pain treated with acupuncture andelectroacupuncture: a double-blinded, randomized clinical trial.Braz J Phys Ther. 2015 Jan-Feb; 19(1): 34-43
  6. Cerezo-Te´ llez E, Torres-Lacomba M, Moral O M, Sanchez-Sanchez  B, Dommerholt J, Gutie´rrez-Ortega C. Prevalence of Myofascial Pain Syndrome in Chronic Non-Specific Neck Pain: A Population- Based Cross-Sectional Descriptive Study. Pain Medicine 2016; 17: 2369–2377
  7. Bron C, Dommerholt J, Stegenga B, Wensing M, Oostendorp R A B. High prevalence of shoulder girdle muscles with myofascial trigger points in patients with shoulder pain. BMC Musculoskeletal Disorders 2011, 12:13
  8. Bron C, Wensing M, Franssen J L M and Rob AB Oostendorp R A B. Treatment of myofascial trigger points in common shoulder disorders by physical therapy: A randomized controlled trial BMC Musculoskeletal Disorders 2007, 8:107
  9. Romeo AA, Mazzocca A, David W. Hang DW, Shott S, Bernard R. Bach BR. Shoulder Scoring Scales for the Evaluation of Rotator Clinical Orthopaedics and Related Research 2004; 42(7):107–114
  10. Skootsky SA, Jaeger B, Oye RK: Prevalence of myofascial pain in general internal medicine practice. West J Med 1989 Aug; 151:157-160
  11. Bron C, Gast A, Dommerholt J, Boudewijn Stegenga B, Wensing M, Rob AB Oostendorp RA. Treatment of myofascial trigger points in patients with chronic shoulder pain: a randomized, controlled trial. BMC Medicine 2011, 9(8): 1-14.
  12. Simons DC, Travell JC, Simons LS. Myofascial Pain and Dysfunction: The Trigger Point Manual. 2nd ed. Baltimore, Md: Lippincott Williams & Wilkins; 1999.
  13. Jaiswal M, Sanyal RP, Goswami S. Revalidation of Trigger Point Injection in Myofascial Pain Syndrome, Assessed by Pain Disability Score. International Journal of Scientifific Study. 2017; 5(1):172-175
  14. Lugo LH, García HI, Rogers HL, Alberto Plata JA. Treatment of myofascial pain syndrome with lidocaine injection and physical therapy, alone or in combination: a single blind, randomized, controlled clinical trial. BMC Musculoskeletal Disorders (2016) 17:101
  15. Lee J, Park S, Na S. The Effect of Proprioceptive Neuromuscular Facilitation Therapy on Pain and Function. . Phys. Ther. Sci.2013;25( 6):713-716.

Corresponding Author

Dr Kshetra Madhab Das

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

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