Determine the Occurrence of Latent Myofascial Trigger Points Through Binary Logistic Regression Model in Sportsmen

Q3 Health Professions
Sport Mont Pub Date : 2023-10-01 DOI:10.26773/smj.231015
Rajdeep Das, Birendra Jhajharia, Durgesh Shukla, Vangie Boto-Montillano, Dinesh Kumar
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Abstract

This study aimed to ascertain the prevalence of latent myofascial trigger points (L-MTrPs) among male athletes. Ninety participants were randomly included in the study. The presence of L-MTrPs was identified based on Simon’s criteria, leading to the categorization of participants into two groups: L-MTrPs (n=45) and non-myofascial trigger points (N-MTrPs) (n=45). Pain pressure thresholds (PPT) of muscles were quantified using a pressure algometer, while force production was measured with HUMAC NORM isokinetic. The range of motion (ROM) for knee flexors and extensors was determined using Kinovea software. These parameters were treated as independent variables, whereas L-MTrPs and N-TrPs were considered dependent variables. Binary Logistic Regression (Enter Method) was employed for data analysis. Model fitness was evaluated through standard error computation, Wald’s χ2, and odds ratios with a 95% confidence interval. Model adequacy was assessed via the likelihood ratio, Cox & Snell (R2), Nagelkerke (R2), and Hosmer and Lemeshow tests. The results effectively predicted L-MTrPs and N-MTrPs, revealing that force production, PPT, and ROM were the most significant predictive variables for L-MTrPs. In conclusion, reduced force production, lower PPT, and restricted ROM were indicative of L-MTrPs. Consequently, regular evaluation of muscular strength, PPT, and ROM are recommended for athletes to prevent the development of L-MTrPs.
用二元Logistic回归模型确定运动员肌筋膜潜伏触发点的发生
本研究旨在确定男性运动员中潜伏肌筋膜触发点(L-MTrPs)的患病率。90名参与者被随机纳入研究。根据Simon的标准确定L-MTrPs的存在,将参与者分为两组:L-MTrPs (n=45)和非肌筋膜触发点(n - mtrps) (n=45)。肌肉疼痛压力阈值(PPT)用压力计量化,力产生用HUMAC NORM等速测量。使用Kinovea软件确定膝关节屈伸肌的活动范围(ROM)。这些参数被视为自变量,而L-MTrPs和N-TrPs被视为因变量。采用二元Logistic回归(进入法)进行数据分析。模型适应度通过标准误差计算、Wald’s χ2和95%置信区间的比值比来评估。模型充分性通过似然比、Cox &Snell (R2), Nagelkerke (R2), Hosmer和Lemeshow检验。结果有效地预测了L-MTrPs和N-MTrPs,表明力产生、PPT和ROM是L-MTrPs最显著的预测变量。总之,力产生减少,PPT降低,ROM受限是L-MTrPs的指标。因此,建议运动员定期评估肌肉力量、PPT和ROM,以防止L-MTrPs的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sport Mont
Sport Mont Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
1.30
自引率
0.00%
发文量
58
审稿时长
24 weeks
期刊介绍: SM covers all aspects of sports science and medicine; all clinical aspects of exercise, health, and sport; exercise physiology and biophysical investigation of sports performance; sport biomechanics; sports nutrition; rehabilitation, physiotherapy; sports psychology; sport pedagogy, sport history, sport philosophy, sport sociology, sport management; and all aspects of scientific support of the sports coaches from the natural, social and humanistic side.
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