Prevalence of Trigger Points in Neck, Shoulder, and Upper Back Region and Its Association with Stress Levels Among Allied Health Sciences Students
Trigger Points and Stress in Allied Health Students
DOI:
https://doi.org/10.61919/jhrr.v4i3.1598Keywords:
Myofascial trigger points, stress level, musculoskeletal pain, Allied Health Sciences, trigger points prevalence, neck pain, shoulder pain, upper back pain, PSS scale, student health.Abstract
Background: Myofascial trigger points (MTrPs) are hyperirritable areas in taut muscle bands, often linked with musculoskeletal pain, motor dysfunction, and psychological stress. The relationship between stress levels and MTrPs remains underexplored in student populations.
Objective: To determine the prevalence of MTrPs in the neck, shoulder, and upper back regions and its association with stress levels among Allied Health Sciences students.
Methods: A cross-sectional study was conducted from August 2023 to January 2024, including 160 Allied Health Sciences students recruited through non-probability convenient sampling. Stress levels were measured using the Perceived Stress Scale (PSS), and MTrPs were identified using manual palpation. Data analysis was performed using SPSS version 25, with Pearson correlation used to assess associations.
Results: The mean age was 21.96 ± 2.02 years. Among 160 students, 64 (39.5%) had low stress, 32 (19.8%) had moderate, and 64 (39.5%) had high stress. MTrPs prevalence was 40.7% in the neck, 69.8% in the shoulder, and 44.4% in the upper back. Strong correlations were found between stress levels and MTrPs in the shoulder (r=0.721, P<0.01) and upper back (r=0.773, P<0.01).
Conclusion: Higher stress levels were significantly associated with an increased prevalence of MTrPs in Allied Health Sciences students.
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Dighriri YH, Akkur MA, Alharbi SA, Madkhali NA, Matabi KI, Mahfouz MS. Prevalence and Associated Factors of Neck, Shoulder, and Low-Back Pains Among Medical Students at Jazan University, Saudi Arabia: A Cross-Sectional Study. Journal of Family Medicine and Primary Care. 2019;8:3826-31.
Kashif M, Tahir S, Ashfaq F, Farooq S, Saeed W. Association of Myofascial Trigger Points in Neck and Shoulder Region With Depression, Anxiety, and Stress Among University Students. JPMA. 2021;71.
Kompal R, Kashif M, Riaz U, Dastgir A, Irum H, Manzoor N. Prevalence of Low Back, Neck, and Shoulder Pain and Associated Risk Factors Among Senior Semester Female Students of the University of Faisalabad. International Journal of Rehabilitative Sciences. 2017;5:21-7.
Guzmán-Pavón MJ, Cavero-Redondo I, Martínez-Vizcaíno V, Fernández-Rodríguez R, Reina-Gutierrez S, Álvarez-Bueno C. Effect of Physical Exercise Programs on Myofascial Trigger Points-Related Dysfunctions: A Systematic Review and Meta-Analysis. Pain Medicine. 2020;21:2986-96.
Widyadharma IPE. The Role of Oxidative Stress, Inflammation, and Glial Cells in Pathophysiology of Myofascial Pain. Advances in Psychiatry and Neurology. 2020;29:180-6.
Lalchhuanawma A, Sanghi D. The Link Between Emotional and Psychological Distress With Myofascial Pain Syndrome. American Journal of Sports Science. 2019;7:177-81.
Koukoulithras I, Plexousakis M, Kolokotsios S, Stamouli A, Mavrogiannopoulou C. A Biopsychosocial Model-Based Clinical Approach in Myofascial Pain Syndrome: A Narrative Review. Cureus. 2021;13.
Asad A, Chugtai AS, Sohail A, Gill A. Prevalence of Myofascial Trigger Points in Neck Pain With Its Associated Risk Factors in Undergraduate Students of the Physical Therapy Department of University of Lahore. Pakistan Journal of Physical Therapy. 2019;3:3-8.
Cao QW, Peng BG, Wang L, Huang YQ, Jia DL, Jiang H, et al. Expert Consensus on the Diagnosis and Treatment of Myofascial Pain Syndrome. World Journal of Clinical Cases. 2021;9:2077-88.
Baeumler P, Hupe K, Irnich D. Proposal of a Diagnostic Algorithm for Myofascial Trigger Points Based on a Multiple Correspondence Analysis of Cross-Sectional Data. BMC Musculoskeletal Disorders. 2023;24:1-14.
Ribeiro DC, Belgrave A, Naden A, Fang H, Matthews P, Parshottam S. The Prevalence of Myofascial Trigger Points in Neck and Shoulder-Related Disorders: A Systematic Review of the Literature. BMC Musculoskeletal Disorders. 2018;19:1-13.
Muhammad DG, Ahmad AA, Usman JS. Assessment of Level and Sources of Stress Among Allied Health Sciences Students of Bayero University Kano: A Comparison Between Clinical and Pre-Clinical Students. Education in Medicine Journal. 2019;11:11-9.
Ameen J, Iftikhar S, Kanwal R, Sheikh WA. Perceived Level of Stress Among Allied Health Sciences Students at University of Hail. The Rehabilitation Journal. 2017;1:35-7.
Fauzi MF, Anuar TS, Teh LK, Lim WF, James RJ, Ahmad R, et al. Stress, Anxiety, and Depression Among a Cohort of Health Sciences Undergraduate Students: The Prevalence and Risk Factors. International Journal of Environmental Research and Public Health. 2021;18:3269.
Aziz NAA, Baharudin NS, Alias NA. Association Between Stress and Social Support Perceived Among Undergraduate Health Sciences Students. The Malaysian Journal of Medical Sciences. 2023;30:176.
Lew J, Kim J, Nair P. Comparison of Dry Needling and Trigger Point Manual Therapy in Patients With Neck and Upper Back Myofascial Pain Syndrome: A Systematic Review and Meta-Analysis. Journal of Manual & Manipulative Therapy. 2021;29:136-46.
Khalid M, Arshad H, Batool F, Kiani SK, Riaz H, Sajjad AG. Prevalence of Trapezius Trigger Points in Young Healthy Individuals. The Therapist. 2023;36-40.
Hendi OM, Alturkistani LH, Bajaber AS, Alhamoud MA, Mahfouz MEM. Prevalence of Musculoskeletal Disorder and Its Relation to Stress Among Medical Students at Taif University, Saudi Arabia. International Journal of Preventive Medicine. 2021;12.
Abd Elrahman C, Mostafa EF, Nabil AM, Abdelrazik RK. Prevalence of Trigger Points at Lower Back Among Dentists in Cairo at Maadi District by Using Algometer. The Medical Journal of Cairo University. 2021;89:2015-21.
Castaldo M, Catena A, Fernández-De-Las-Peñas C, Arendt-Nielsen L. Widespread Pressure Pain Hypersensitivity, Health History, and Trigger Points in Patients With Chronic Neck Pain: A Preliminary Study. Pain Medicine. 2019;20:2516-27.
Procopio Pinheiro R, Gaubeur MA, Itezerote AM, Saleh SO, Hojaij F, Andrade M, et al. Anatomical Study of the Innervation of the Masseter Muscle and Its Correlation With Myofascial Trigger Points. Journal of Pain Research. 2020;13:3217-26.
Sabeh AM, Bedaiwi SA, Felemban OM, Mawardi HH. Myofascial Pain Syndrome and Its Relation to Trigger Points, Facial Form, Muscular Hypertrophy, Deflection, Joint Loading, Body Mass Index, Age, and Educational Status. Journal of International Society of Preventive & Community Dentistry. 2020;10:786.
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Copyright (c) 2024 Iqra Khalid Mughal, Muhammad Zunair Masood Baloach, Rida Fatima, Youkabad Khoula, Azka Laraib, Atif Ali Attar, Raheema Khalid, Shumaila Tabbassum, Intsam Aslam
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