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47.Correlation of Myofascial Trigger Points with Shoulder Pain and Function in Post-Stroke Patients with Painful Shoulder

Mahnoor Asif, Yasha Sajjad, Saima Riaz, Fizza Nasir and Humaira Azam

ABSTRACT

Objective: To find out the correlation of shoulder pain and disability with myofascial trigger points (MTrPs) in post stroke patients having shoulder pain.

Study Design: A cross-sectional survey was conducted with non-probability convenient sampling

Place and Duration of Study: This study was conducted at the Riphah Rehabilitation Center, Riphah International University, Lahore from January 2019 to June 2019.

Materials and Methods: Patients were recruited with six months or older stroke history and having post stroke shoulder pain. Upper Trapezius, Supraspinatus, Infraspinatus and Teres Minor muscles were targeted. MTrPs were diagnosed by using the palpation method described by Simons, and Travell. Shoulder disability was measured by using the DASH (Disability of Arm, Shoulder and Hand) score and pain was recorded through NPRS (Numeric Pain Rating Scale). Data analysis was done by IBM SPSS Statistics 21.

Results: Total 70 stroke patients participated. Males were 41.4%. Mean age was 55.53±14.98 years. MTrPs were moderately correlated with shoulder disability for supraspinatus, upper trapezius and infraspinatus (r= 0.53, r= 0.49 and r=0.54 respectively. All have p<0.001). Moderate correlation was found between MTrPs and pain for supraspinatus, upper trapezius and infraspinatus (r= 0.50, r= 0.47 and r= 0.47 & all have p<0.001 respectively).

Conclusion: MTrPs in the upper trapezius, supraspinatus and infraspinatus were moderately correlated with shoulder pain and disability in stroke patients.

Key Words: myofascial trigger points, post-stroke, shoulder disability, shoulder pain, stroke

Citation of article: Asif M, Sajjad Y, Riaz S, Nasir F, Azam H. Correlation of Myofascial Trigger Points with Shoulder Pain and Function in Post-Stroke Patients with Painful Shoulder. Med Forum 2021;32(10):211-214.