ORIGINAL RESEARCH ARTICLE

Characteristics of cervical myofascial pain in medical students

Dewa Putu Gede Purwa Samatra, I Putu Eka Widyadharma , Yogi Haditya, Kadek Adi Suryamulyawan, Gusti Ayu Putu Giti Livia Devi, Demetria Jesica Lim, Ida Ayu Sri Wijayanti, I Made Oka Adnyana, Thomas Eko Purwata

Dewa Putu Gede Purwa Samatra


I Putu Eka Widyadharma
Department of Neurology, Faculty of Medicine, Udayana University. Email: eka.widyadharma@unud.ac.id

Yogi Haditya


Kadek Adi Suryamulyawan


Gusti Ayu Putu Giti Livia Devi


Demetria Jesica Lim


Ida Ayu Sri Wijayanti


I Made Oka Adnyana


Thomas Eko Purwata

Online First: August 30, 2019 | Cite this Article
Samatra, D., Widyadharma, I., Haditya, Y., Suryamulyawan, K., Devi, G., Lim, D., Wijayanti, I., Adnyana, I., Purwata, T. 2019. Characteristics of cervical myofascial pain in medical students. Bali Journal of Anesthesiology 3(2). DOI:10.15562/bjoa.v3i2.188


Background: Cervical myofascial pain or neck pain is in the fourth most disease that causes disability after back pain, depression, and other musculoskeletal diseases. Cervical myofascial pain is characterized by pain originating from a trigger point located in the skeletal muscle, commonly referred as myofascial trigger points (MTrPs).

Methods: An observational study with a cross-sectional design, conducted on 3 to 9 of December 2018 with research subjects were medical students at Udayana University who undergoing 5th and 6th year in clinical clerkship at Sanglah General Hospital Denpasar. The data was taken using Google Form which was filled in online by the subject and then analyzed using SPSS version 21.

Results: From 307 respondents, 62.2% stated experiencing neck pain (196 respondents) with the majority of women 65.4%, the duration of neck pain occurred for <24 hours with the most frequent frequency at least once per month (46.1%), and appeared most often at night (39.8%) and occurs after night shift in 106 subjects (55.5%). The pain was said getting worse by activity in 102 subjects (52.4%) and getting better when resting in 185 subjects (96.9%). Most of the subjects did not use pain relievers to treat neck pain experienced (84.3%). In subjects who use painkillers, Paracetamol is the most often drug of choice to relieve pain (11%). For non-pharmacological treatment, 53.4% of respondents chose to rest or sleep.

Conclusion: Most of the respondents who were clerkship reported experiencing neck pain at least once a month and often felt after a night shift. Respondents who reported neck pain were mostly women.

References

Hooten, Cohen. Advances in the diagnosis and management of neck pain. 2017, The BMJ; 358 :1-19.

Altan, Bingol, Aykac, Yurtkuran. Investigation of the effect of GaAs Laser therapy on cerevical myofascial pain syndrome. 2017. The BMJ; 334(7592): 511-515.

Alshagga M, Nimer A, Yan L, Ibrahim I, Al-Ghamdi S, Radman Al-Dubai S. Prevalence and factors associated with neck, shoulder and low back pains among medical students in a Malaysian Medical College. BMC Research Notes [Internet]. 2013 [cited 11 December 2018];6(1):244.

Algarni A, Al-Saran Y, Al-Moawi A, Bin Dous A, Al-Ahaideb A, Kachanathu S. The Prevalence of and Factors Associated with Neck, Shoulder, and Low-Back Pains among Medical Students at University Hospitals in Central Saudi Arabia. Pain Research and Treatment [Internet]. 2017 [cited 11 December 2018];2017:1-7.

Cote, P., Hall, H., McIntosh, G., and Alleyna, J. A Pain in The Neck. 2015, Research Gate; 1(5): 25-34.

Ehsani, F., Mosallanezhad, Z., and Vahedi, G. The Prevalence, Risk Factors, and Consequences of Neck Pain in Office Employees. 2017, Research Gate; 4(2): 1-8.

Binder, Allan. Cervical Spondylosis and Neck Pain. 2007, The BMJ; 334(7592): 527-531.

Cagnie, B., Danneels, L., Van Tiggelen, D., De Loose, V., and Cambier, D. Individual and Work Related Risk Factors for Neck Pain Among Office Workers: A Cross Sectional Study. 2007, Eur Spine J; 16(5): 679-686.

Matre D, Knardahl S, Nilsen KB. Night-shift work is associated with increased pain perception. 2017. Scand J Work Environ Health; 43(3):260-268.

Takahashi M, Matsudaira K, Shimazu A. Disabling Low Back Pain Associated With Night Shift Duration: Sleep Problems as a Potentiator. 2015. American Journal of Industrial Medicine; 58 : 1300-1310.

Panta P. The possible role of meditation in myofascial pain syndrome: A new hypothesis. Indian Journal of Palliative Care [Internet]. 2017;23(2):180. Available from: http://dx.doi.org/10.4103/0973-1075.204239

Brodsky M, Spritzer K, Hays RD, Hui K-K. Change in Health-Related Quality-of-Life at Group and Individual Levels Over Time in Patients Treated for Chronic Myofascial Neck Pain. Journal of Evidence-Based Complementary & Alternative Medicine [Internet]. 2016 Aug 18;22(3):365–8. Available from: http://dx.doi.org/10.1177/2156587216662779


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