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Original Article: JRCRS. 2021; 9(1): 31-35.

7- Acromioclavicular Joint Pain among Secondary School Students in Lahore, Pakistan.

Shoaib Waqas1, Naseem Ahmad Siddique 2, Muzna Munir3

1 Assistant Professor Lahore College of Physical Therapy, LMDC, Lahore
2 Senior physiotherapist, Social Security Teaching hospital, Multan road, Lahore
3 Physiotherapist, Boston Physiotherapy and wellness Clinic, Lahore

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Background: The education system in Pakistan is putting physical exertion on students among which is the impact of bag carrying practice which every student has to undergo. Heavy loading of the spine may induce musculoskeletal problems in children. When it comes to musculoskeletal problems, acromioclavicular joint pathology is assumed to be among top of list according to some surveys reported. Frequent overloading of school bags carried by students in primary and secondary schools is the main reason. This Study is conducted to find out facts associated with it.

Objective:  To determine the acromioclavicular joint pain among secondary school students.

Methodology: Data was collected from 370 secondary school students. The convenience sample technique was used for selection of schools. The self-designed questionnaire was used with combination of Paxinos test, Saccomanni (SAC) test and Numeric Pain Rating Scale (NPRS) as data collection tool. The data was analyzed in SPSS 20.0. The study time period was seven months.

Results: Results regarding location of shoulder pain showed there were 16.2% students complaining unilateral shoulder pain, 10% bilateral shoulder pain and 73.8% were not feeling any pain in shoulders. History of onset of shoulder pain showed 13.5% of students were having pain from more than 30 days, 12.7% from less than 30 days while rest of 73.8% were not complaining pain. Results regarding sitting showed that 73% students were sitting on bench, 17% on single arm chair and 10% were sitting in double arm chair. Paxinos Test was positive in 21.4% for right shoulder and 5.9% for left shoulder. SAC test was positive in 16.8% students for right shoulder and 6.8 for left shoulder. Numeric Pain Rating Scale showed overall mild pain or discomfort in 86.8% students and 13.2% students with moderate pain.

Conclusion: The study concludes that there was mild level of acromioclavicular joint pain in secondary school students where right shoulder was found to be affected more in comparison to left shoulder. Furthermore, the bag weight to body weight ratio was above the minimum recommended guidelines.

Key Words: Bag-Packs, Physical Therapy, School Bag, Secondary School.