Affiliations: [a] Department of Psychosomatic Medicine, Kansai Medical University, Osaka, Japan | [b] Department of Psychosomatic Medicine, Kindai University, Osaka, Japan | [c] Department of Psychosomatic Medicine, International University of Health and Welfare Hospital, Otawara, Japan
Correspondence:
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Corresponding author: Hideaki Hasuo, Department of Psychosomatic Medicine, Kansai Medical University, Shinmachi 2-5-1, Hirakata, Osaka 573-1010, Japan. Tel.: +81 72 804 0101; E-mail: hasuohid@hirakata.kmu.ac.jp.
Abstract: BACKGROUND: Alexisomia is characterized by difficulties in the awareness and expression of somatic feelings. Trigger points are classified into two types, active and latent, according to the presence or absence of identifying spontaneous pain. OBJECTIVE: We aimed to examine the association between alexisomia and the presence of latent trigger points (LTrPs) in the upper trapezius of healthy volunteers. METHODS: This study was designed as a cross-sectional survey. A correlation analysis between the Shitsu-Taikan-Sho Scale (STSS) and LTrPs was performed on 154 healthy volunteers. The LTrP odds ratio for healthy volunteers with alexisomia was selected as the primary endpoint. RESULTS: LTrPs were seen in the upper trapezius of 82 healthy volunteers (53.2%). There was no significant difference between the LTrP and non-LTrP groups in STSS total score (p= 0.11). However, there was a significant difference between them in STSS difficulty of identifying bodily feelings (DIB) score (p= 0.03). In the alexisomic versus non-alexisomic groups, the LTrP odds ratio for STSS total score was 2.30 (95% confidence interval [CI] 1.03–5.10) and for STSS DIB score, 2.08 (95% CI 1.05–4.11). CONCLUSIONS: In STSS DIB in particular, alexisomia was associated with the presence of LTrP in the upper trapezius of healthy volunteers.
Keywords: Latent trigger point, upper trapezius, alexisomia, difficulty in identifying bodily feelings, over-adaptation
