Acromioclavicular Joint Pain Among Secondary School Students In Lahore, Pakistan

JRCRS-2020-11-037 DOI:


  • Shoaib Waqas Assistant Professor Lahore College of Physical Therapy, LMDC, Lahore
  • Naseem Ahmad Siddique Senior physiotherapist, Social Security Teaching hospital, Multan road , Lahore
  • Muzna Munir Physiotherapist, Boston Physiotherapy and wellness Clinic, Lahore


Background: The education system in Pakistan put many questions among which one is impact of bag carrying practice which every student has to undergo. When it comes to musculoskeletal problems, acromioclavicular joint pathology that was assumed to be among top of list that can be resulted due to routine weight on shoulder even school bag. The current study was done to dig out the facts associated with it, particularly acromioclavicular joint pathology.

Objective: The objective was to determine acromioclavicular joint pain among secondary school students.

Methodology: Data was collected from different 370 secondary school students. The convenience sample technique was used followed by cluster sampling technique for selection of schools. The self designed questionnaire was used with combination of Paxinos test, SAC test and Visual Analogue scale (VAS). 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: There found mild level of acromioclavicular joint pain in bag carrying secondary school student where right shoulder found affected in comparison to left shoulder. Furthermore, the bag weight to body weight ratio was above the minimum recommended guidelines.

Key Words: School bag, bag-packs, physical therapy, secondary school, adolescent



2021-06-11 — Updated on 2021-06-11


How to Cite

Waqas S, Siddique NA, Munir M. Acromioclavicular Joint Pain Among Secondary School Students In Lahore, Pakistan: JRCRS-2020-11-037 DOI: J Riphah Coll. Rehabili. sci. [Internet]. 2021Jun.11 [cited 2021Dec.5];9(01):31-5. Available from:



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