Changes on Pain and Range of Motion by the Use of Kinesio Taping in Patients Diagnosed With Cervical Pain

Overview

The aim of this study is to demonstrate that the application of Kinesio Taping on a myofascial trigger point in the trapezius muscle able to cause a decrease of the pain and an increase of the cervical range of motion in patients diagnosed with cervical pain.

Full Title of Study: “Changes on Pain and Range of Motion by the Use of Kinesio Taping in With Its Corrective of Space Variant on Upper Trapezius Muscle in Patients Diagnosed With Cervical Pain”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Double (Participant, Investigator)
  • Study Primary Completion Date: November 2016

Detailed Description

The use of Kinesio Taping has become very popular for the treatment of many musculoskeletal disorders in recent decades. Of the six variants of application that has the Kinesio Taping, the space correction technique is suggested for pain management. The increased space achieved with this variant decreases the pressure by raising the skin directly over the treatment area, reducing chemical irritation receptors and therefore pain. The aim of this study is to demonstrate that the application of this variant of Kinesio Taping on a myofascial trigger point in the trapezius muscle able to cause a decrease of the pain and an increase of the cervical range of motion in patients diagnosed with cervical pain. For this, the pressure pain threshold will be measured with a algometer on the trigger point, the perception of pain with a visual analog scale and the range of motion with a cervical goniometer.

Interventions

  • Device: Kinesio Taping
    • Four Kinesio Taping strips will be placed with tension on skin forming an asterisk. The point of intersection of the four strips will be just above the myofascial trigger point. The subject will remain three days with the strips on his skin
  • Device: Sham Kinesio Taping
    • Four Kinesio Taping strips will be placed without tension on skin forming an asterisk. The point of intersection of the four strips will be just above the myofascial trigger point. The subject will remain three days with the strips on his skin

Arms, Groups and Cohorts

  • Experimental: Kinesio Taping
    • Four Kinesio Taping strips will be placed with tension on skin forming an asterisk. The point of intersection of the four strips will be just above the myofascial trigger point. The subject will remain three days with the strips on his skin
  • Placebo Comparator: Sham Kinesio Taping
    • Four Kinesio Taping strips will be placed without tension on skin forming an asterisk. The point of intersection of the four strips will be just above the myofascial trigger point. The subject will remain three days with the strips on his skin

Clinical Trial Outcome Measures

Primary Measures

  • Changes in pressure pain threshold
    • Time Frame: At the beginning, immediately after intervention and at 72 hours
    • Is defined as the minimum force applied which induces pain on myofascial trigger point. Pressure will be applied with algometer

Secondary Measures

  • Changes in pain perception
    • Time Frame: At the beginning, immediately after intervention and at 72 hours
    • It is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Will be measured with a visual analog scale
  • Changes in cervical range of motion
    • Time Frame: At the beginning, immediately after intervention and at 72 hours
    • Cervical range of motion is measuring movement around this segment of the spine. Lateral flexion and rotation. Will be measured with a cervical goniometer

Participating in This Clinical Trial

Inclusion Criteria

  • Agree to participate in the study (signed informed consent)
  • Presence of active myofascial trigger point in upper trapezius.
  • Presence of neck pain

Exclusion Criteria

  • Subjects in which not clearly identified myofascial trigger point in the upper trapezius .
  • Subjects who suffer or have suffered pathologies of upper limb deformities or orthopedic injuries that can alter static and biomechanics of shoulder and neck.
  • Subjects who suffer or have suffered rheumatic or neurological disease or chronic shoulder pain and/or neck
  • Subjects diagnosed with fibromyalgia, myelopathy or radiculopathy.
  • Subjects suffering from any psychiatric disorder (such as anxiety or depression).
  • Subjects who have suffered post-traumatic alteration (whiplash type) or cervical surgery.
  • Pregnancy risk of abortion.
  • Have used analgesics in the 48 hours before participating in the study
  • Subjects presenting any contraindications to the application of Kinesio Taping.
  • Know the Kinesio Taping technique applied in the study.
  • Be receiving physical therapy for any shoulder or neck pathology.

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 65 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Cardenal Herrera University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Fco. Javier Montanez Aguilera, PhD – Cardenal Herrera University
  • Overall Official(s)
    • F Javier Montañez-Aguilera, PhD, Study Director, CEU Cardenal Herrera University

References

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Ekiz T, Aslan MD, Özgirgin N. Effects of Kinesio Tape application to quadriceps muscles on isokinetic muscle strength, gait, and functional parameters in patients with stroke. J Rehabil Res Dev. 2015;52(3):323-31. doi: 10.1682/JRRD.2014.10.0243.

Gusella A, Bettuolo M, Contiero F, Volpe G. Kinesiologic taping and muscular activity: a myofascial hypothesis and a randomised, blinded trial on healthy individuals. J Bodyw Mov Ther. 2014 Jul;18(3):405-11. doi: 10.1016/j.jbmt.2013.11.007. Epub 2013 Nov 8.

Wu WT, Hong CZ, Chou LW. The Kinesio Taping Method for Myofascial Pain Control. Evid Based Complement Alternat Med. 2015;2015:950519. doi: 10.1155/2015/950519. Epub 2015 Jun 21. Review.

Gerwin RD, Shannon S, Hong CZ, Hubbard D, Gevirtz R. Interrater reliability in myofascial trigger point examination. Pain. 1997 Jan;69(1-2):65-73.

Akamatsu FE, Ayres BR, Saleh SO, Hojaij F, Andrade M, Hsing WT, Jacomo AL. Trigger points: an anatomical substratum. Biomed Res Int. 2015;2015:623287. doi: 10.1155/2015/623287. Epub 2015 Feb 24.

Vanderweeën L, Oostendorp RA, Vaes P, Duquet W. Pressure algometry in manual therapy. Man Ther. 1996 Dec;1(5):258-265.

Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983 Sep;17(1):45-56.

Walton DM, Levesque L, Payne M, Schick J. Clinical pressure pain threshold testing in neck pain: comparing protocols, responsiveness, and association with psychological variables. Phys Ther. 2014 Jun;94(6):827-37. doi: 10.2522/ptj.20130369. Epub 2014 Feb 20.

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