About this trial
The aim of this study is to examine chronotype preferences in myofascial pain syndrome and to investigate its relationship with pain severity, disability and quality of life.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
neck-back pain for at least 3 months
diagnosis of myofascial pain syndrome by anamnesis and physical examination
Disqualifiers
Cervical Radiculopathy/Myelopathy
Recent injection or physical therapy within the last 3 months
Neck and shoulder surgery
Neurological and inflammatory diseases
Trial population
Patients aged 18-65 who applied to Afyonkarahisar Health Sciences University (AFSU) Physical Medicine and Rehabilitation Polyclinic and who have had neck and back pain complaints for at least 3 months were diagnosed with myofascial pain syndrome through anamnesis and physical examination.
Trial design
Case-only
Cross-sectional
Treatments tested in this trial
Assessment
Other interventionThe patients' demographic information, weight and height measurements, occupational activities and desk work time, daily screen usage time, pain intensity (with VAS), cervical joint range of motion examination, pain threshold (with pressure algometer), functional status (with Neck Pain Disability Scale), sleep quality (with Pittsburgh Sleep Quality Scale), anxiety and depression symptoms (with Beck Depression Inventory), cognitive aspects of pain (with Pain Catastrophizing Scale) will be evaluated. The patients' chronotype preferences will be evaluated with Morningness Eveningness Questionnaire.
Treatment groups
Trial outcomes
Primary outcomes
VAS
The Visual Pain Scale (VAS), which is easy to understand, apply and interpret, and provides valid and reliable data in a short time, is the most commonly used method in clinics. With a 100 mm visual linear scale, the patient is told that there is no pain at 0, and that the most severe pain they have ever felt at 100, and the patient is asked to put a mark on the point corresponding to their pain.
Pressure Algometry Measurements: (kg/cm2)
Algometry measurements will be measured with the Baseline Push Pull Force Gauge ® (Fabrication Enterprises, Inc. PO Box 1500, White Plains, New York 10602, USA) algometry device from the painful trigger point area with the patient in a sitting position. Pressure will be applied slowly until the participant first feels pain and responds by saying "stop" and three measurements will be taken with a 30-second interval after each measurement and the average of the three measurements will be recorded as the final value.
Cervical joint range of motion
Active passive ROM (flexion, extension, right-left) flexion and rotation) of the cervical joint will be measured.
Morningness Eveningness Questionnaire
One of the most widely used tools to assess sleep chronotype preferences. This 19-item screening questionnaire has a rating range of 16 to 86. The scoring results are classified as follows: evening types with scores between 16 and 41, morning types with scores between 59 and 86, and no types with scores between 42 and 58. The Turkish version has been shown to have good validity and reliability
Secondary outcomes
Neck Pain Disability Scale
The questionnaire consists of 20 items and measurements. It includes questions about neck movements, pain intensity, the effect of neck pain on mood, and daily living activities. Each section is scored on a 0-5 rating scale and the total score ranges from 0-100. The Turkish version of this scale was found to be valid and reliable.
Pittsburg Sleep Quality Index (PSQI)
PSQI consists of 24 questions in total. 19 of these questions are self-assessment questions. The remaining 5 questions are questions answered by the individual's roommate or spouse, if any. Question 19 on the scale asks whether the participant has a roommate or spouse. The answer to this question is not included in the score calculation. The first 18 questions answered by the participant are used in calculating the total PSQI score and component scores. The 18 questions answered by the participant provide information about 7 components: sleep quality (component 1), sleep latency (component 2), sleep duration (component 3), habitual sleep efficiency (component 4), sleep disturbance (component 5), use of sleeping pills (component 6) and daytime sleep dysfunction (component 7). Each component is evaluated on a scale of 0-3 points. The sum of these 7 component scores gives the total PSQI score. The total PSQI score varies between 0-21. The sleep qual
Beck Depression Anxiety Inventory
The Beck Depression Inventory is a self-assessment scale consisting of 21 items. Each item is scored between 0 and 3, the highest score that can be obtained from the scale is 63, and the lowest score is 0. A high score from the scale indicates that the severity or level of depression is high.
The Pain Catastrophizing Scale
The Pain Catastrophizing Scale is a 13-item self-report inventory using a 5-point Likert scale (0-4) developed by Sullivan et al. to measure the extent to which people catastrophize in response to pain. The original scale consists of three subfactors called helplessness, magnification, and rumination.
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