Rajdeep Das1, Birendra Jhajharia1, Durgesh Shukla2, Vangie Boto-Montillano3, Dinesh Kumar4
1Department of Exercise Physiology, Lakshmibai National Institute of Physical Education, Deemed University Gwalior, Madhya Pradesh, India
2Department of Community Medicine, Gajra Raja Medical College, Madhya Pradesh, India
3Faculty Physical Education Department, De La Salle University-Dasmarinas Cavite, Philippines
4Department of Physical Education and Sports Science, University of Delhi, India
Determine the Occurrence of Latent Myofascial Trigger Points Through Binary Logistic Regression Model in Sportsmen
Sport Mont 2023, 21(3), 93-100 | DOI: 10.26773/smj.231015
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.
Keywords
binary logistic, myofascial pain syndrome, peak torque, range of motion, regression model, athletes
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