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Predictors of upper trapezius pain with myofascial trigger points in food service workers: The STROBE study.

Abstract Shoulder pain occurs commonly in food service workers (FSWs) who repetitively perform motions of the upper limbs. Myofascial trigger points (MTrPs) on the upper trapezius (UT) are among the most common musculoskeletal shoulder pain syndromes. This study determined the psychological, posture, mobility, and strength factors associated with pain severity in FSWs with UT pain due to MTrPs.In this cross-sectional study, we measured 17 variables in 163 FSWs with UT pain due to MTrPs: a visual analog scale (VAS) pain score, age, sex, Borg rating of perceived exertion (BRPE) scale, beck depression inventory, forward head posture angle, rounded shoulder angle (RSA), shoulder slope angle, scapular downward rotation ratio, cervical lateral-bending side difference angle, cervical rotation side difference angle, glenohumeral internal rotation angle, shoulder horizontal adduction angle, serratus anterior (SA) strength, lower trapezius (LT) strength, bicep strength, and glenohumeral external rotator strength, in 163 FSWs with UT pain due to MTrPs.The model for factors influencing UT pain with MTrPs included SA strength, age, BRPE, LT strength, and RSA as predictor variables that accounted for 68.7% of the variance in VAS (P < .001) in multiple regression models with a stepwise selection procedure. The following were independent variables influencing the VAS in the order of standardized coefficients: SA strength (β = -0.380), age (β = 0.287), BRPE (β = 0.239), LT strength (β = -0.195), and RSA (β = 0.125).SA strength, age, BRPE, LT strength, and RSA variables should be considered when evaluating and intervening in UT pain with MTrPs in FSWs.
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Journal Title medicine
Publication Year Start




PMID- 28658117
OWN - NLM
STAT- In-Process
DA  - 20170628
LR  - 20170628
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 26
DP  - 2017 Jun
TI  - Predictors of upper trapezius pain with myofascial trigger points in food service
      workers: The STROBE study.
PG  - e7252
LID - 10.1097/MD.0000000000007252 [doi]
AB  - Shoulder pain occurs commonly in food service workers (FSWs) who repetitively
      perform motions of the upper limbs. Myofascial trigger points (MTrPs) on the
      upper trapezius (UT) are among the most common musculoskeletal shoulder pain
      syndromes. This study determined the psychological, posture, mobility, and
      strength factors associated with pain severity in FSWs with UT pain due to
      MTrPs.In this cross-sectional study, we measured 17 variables in 163 FSWs with UT
      pain due to MTrPs: a visual analog scale (VAS) pain score, age, sex, Borg rating 
      of perceived exertion (BRPE) scale, beck depression inventory, forward head
      posture angle, rounded shoulder angle (RSA), shoulder slope angle, scapular
      downward rotation ratio, cervical lateral-bending side difference angle, cervical
      rotation side difference angle, glenohumeral internal rotation angle, shoulder
      horizontal adduction angle, serratus anterior (SA) strength, lower trapezius (LT)
      strength, bicep strength, and glenohumeral external rotator strength, in 163 FSWs
      with UT pain due to MTrPs.The model for factors influencing UT pain with MTrPs
      included SA strength, age, BRPE, LT strength, and RSA as predictor variables that
      accounted for 68.7% of the variance in VAS (P &lt; .001) in multiple regression
      models with a stepwise selection procedure. The following were independent
      variables influencing the VAS in the order of standardized coefficients: SA
      strength (beta = -0.380), age (beta = 0.287), BRPE (beta = 0.239), LT strength
      (beta = -0.195), and RSA (beta = 0.125).SA strength, age, BRPE, LT strength, and 
      RSA variables should be considered when evaluating and intervening in UT pain
      with MTrPs in FSWs.
FAU - Hwang, Ui-Jae
AU  - Hwang UJ
AD  - aDepartment of Physical Therapy, Graduate School, Yonsei University bDepartment
      of Physical Therapy, College of Health Science, Laboratory of Kinetic Ergocise
      Based on Movement Analysis, Yonsei University, Wonju cDepartment of Physical
      Therapy, Joongbu University, Chubu-myeon, Geumsan-gun, Chungcheongnam-do
      dDepartment of Physical Therapy, College of Health Science, Sangji University,
      Wonju, South Korea.
FAU - Kwon, Oh-Yun
AU  - Kwon OY
FAU - Yi, Chung-Hwi
AU  - Yi CH
FAU - Jeon, Hye-Seon
AU  - Jeon HS
FAU - Weon, Jong-Hyuck
AU  - Weon JH
FAU - Ha, Sung-Min
AU  - Ha SM
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2017/06/29 06:00
MHDA- 2017/06/29 06:00
CRDT- 2017/06/29 06:00
AID - 10.1097/MD.0000000000007252 [doi]
AID - 00005792-201706300-00025 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jun;96(26):e7252. doi: 10.1097/MD.0000000000007252.

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