Investigation of the Effectiveness of Muscle Inhibition and Space Correction Techniques of Kinesiotaping Method in Female Patients With Myofascial Pain Syndrome Related to Upper Trapezius Active Trigger Points

Not Applicable

Completed

• Conditions: Female Patients With Myofascial Pain Syndrome (MPS) Related to Upper Trapezius Active Trigger Points (TP)
• Interventions: Other: Kinesiotaping with muscle inhibition technique; Other: Kinesiotaping with space correction technique; Other: Home exercise program

• Registration Number: NCT03949010
• Lead Sponsor: Dilşad Sindel

Brief Summary

To investigate the effectiveness of muscle inhibition and space correction techniques of kinesiotaping (KT) method; on pain, functional status and quality of life in female patients with myofascial pain syndrome (MPS) related to upper trapezius active trigger points (TP) in comparison to control group and to determine the advantage of each technique over another.

Detailed Description

The investigators conducted a prospective, randomized, controlled trial involving 93 female patients with MPS related to upper trapezius TPs and randomized the patients to KT treatment group with space correction technique and home exercise program (KSCT, n=20), KT treatment group with muscle inhibition technique and home exercise program (KMIT, n=24) and control group (CG, n=27) which received home exercise program only. Patients were evaluated by numerical rating scale (NRS) for their average and maximum pain intensity, Turkish version of neck disability index (NDI), and short form-36 (SF-36) scales. Statistical tests were conducted at the 0.05 significance level for all outcome measures.

Study Timeline

• Study Start: 2013-12
• Primary Completion: 2014-12
• Study Completion: 2014-12
• Status Verified: 2019-05
• Study First Submitted: 2019-05-10
• Study First Submitted QC: 2019-05-10
• Study First Posted: 2019-05-14
• Last Update Submitted: 2019-05-14
• Last Update Posted: 2019-05-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 93

Inclusion Criteria

• being female
• being aged between 18 and 45 years old
• not being in menopausal period
• having pain in upper trapezius region
• determining a taut band in examination
• having at least one active TP in this taut band
• the pain produced by palpation of this TP is the pain that the patient complains
• painfull restriction of cervical lateral flexion
• having pain score 4 or more according to NRS
• signing informed consent.

Exclusion Criteria

• having major surgery or trauma related to the musculoskeletal system (primarily including the spine and upper extremity)
• having any operative history including the head and neck region
• having a neuromuscular disease
• having an active rheumatic disease
• having a systemic disease (diabetes, hypothyroidism, infection, malignancy...)
• having any pathology related to musculoskeletal diseases -especially including the cervical region- (cervical discopathy, cervical spondylosis, pathologies related to shoulder joint and surrounding soft tissues, scoliosis, kyphosis, limb length discrepancy, polio sequelae, developmental hip dysplasia...)
• having serious psychological problems (having score of 30 or more from Beck Depression Inventory)
• being obese (Body Mass Index≥30 kg/m2)
• having allergy to kinesiotapes

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Kinesiotaping with muscle inhibition technique	Home exercise program	-
Kinesiotaping with space correction technique	Home exercise program	-
Kinesiotaping with muscle inhibition technique	Kinesiotaping with muscle inhibition technique	-
Kinesiotaping with space correction technique	Kinesiotaping with space correction technique	-
Home exercise program	Home exercise program	-

Primary Outcome Measures

Name	Time	Method
Change in pain related to myofascial pain syndrome due to upper trapezius active trigger points from baseline to first, second and six weeks	Initial assessment, First week, second week, sixth week	Pain intensity mesaurement via Numerical Rating Scale, range between 0 to 10, higher scores indicating more pain intensity
Change in disability related to myofascial pain syndrome due to upper trapezius active trigger points from baseline to second and six weeks	Initial assessment, second week, sixth week	Functional status measurement via Neck Disability Index
Change in quality of life affected by myofascial pain syndrome due to upper trapezius active trigger points from baseline to second and six weeks	Initial assessment, second week, sixth week	Quality of life measurement via Short Form-36