The Effectiveness of Cervical Kinesio Taping in Migraine

Not Applicable

Recruiting

• Conditions: Kinesio Taping; Migraine
• Interventions: Other: Kinesio taping; Other: Sham taping; Other: Exercise

• Registration Number: NCT06203678
• Lead Sponsor: Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey

Brief Summary

Migraine is a common episodic headache disorder accompanied by neurological, gastrointestinal and autonomic changes.Migraine symptoms have a wide range, neck pain is seen in most migraine attacks, and accompanying neck pain is considered one of the important factors that increase migraine-related disability. It has been shown that various physical therapy methods applied to migraine patients with cervical myofascial pain reduce migraine pain and analgesic needs. One of the methods used in myofascial pain syndrome is kinesio taping and the effectiveness of cervical area applications has been shown in different studies.In this study, it was planned to examine the effect of kinesio taping applied to cervical trigger points on migraine symptoms in migraine patients.

Detailed Description

The annual prevalence of migraine is approximately 15% and it is the second most common neurological disease worldwide. Migraine symptoms have a wide range, neck pain is seen in most migraine attacks, and accompanying neck pain is considered one of the important factors that increase migraine-related disability. In myofascial pain syndrome, active trigger points are considered as the source of pain and the treatment goal is to relax and inhibit these trigger points. It has been shown that various physical therapy methods applied to migraine patients with cervical myofascial pain reduce migraine pain and analgesic needs. In a study conducted with forty migraine patients, a significant decrease in headache parameters was reported with dry needling applied to the sternocleidomastoid muscle immediately after the procedure and at 1-month follow-up. Similarly, in migraine patients who received local anesthetic injection and topical analgesic treatment for cervical myofascial pain in addition to migraine prophylaxis, a decrease in attack frequency, severity and analgesic need was found compared to the control group.Kinesio taping is one of the most preferred conservative treatments for pain originating from the musculoskeletal system, and it is suggested that it provides an increase in blood and lymphatic flow by applying tension force on the skin with its elastic structure, and provides muscle relaxation with proprioceptive stimulation. In this study, it was planned to examine the effect of kinesiology taping applied to the cervical region on migraine symptoms in migraine patients.

Study Timeline

• Status Verified: 2024-01
• Study Start: 2024-01-02
• Study First Submitted: 2024-01-02
• Study First Submitted QC: 2024-01-02
• Last Update Submitted: 2024-01-02
• Study First Posted: 2024-01-12
• Last Update Posted: 2024-01-12
• Primary Completion: 2024-12-01
• Study Completion: 2025-03-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 18

Inclusion Criteria

• Having a diagnosis of migraine without aura for at least 1 year according to the International Classification of Headache Disorders criteria
• Being under migraine prophylactic treatment
• Being between the ages of 18-65
• Physical examination reveals a cervical (trapezoidal and SCM) myofascial trigger point with a spreading pattern overlapping the migraine pain area.
• Being literate
• Agreeing to participate in the study

Exclusion Criteria

• History of neck trauma, cervical radiculopathy and previous cervical surgery
• Physical therapy, injection and manipulation to the cervical area in the last 3 months
• History of fibromyalgia, active cancer, systemic inflammatory disease and infection
• Pregnancy
• Being <18 and >65 years old
• Being illiterate

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Kinesio taping+exercise	Kinesio taping	Kinesio taping will be applied to the bilateral upper trapezius and sternocleidomastoid muscles by an experienced practitioner, once a week for 4 weeks. Cervical stretching and strengthening exercises home program
Sham taping+exercise	Sham taping	Sham taping will be applied to the bilateral upper trapezius and sternocleidomastoid muscles once a week for 4 weeks, using patch tape of the same color as kinesio tape. Cervical stretching and strengthening exercises home program
Kinesio taping+exercise	Exercise	Kinesio taping will be applied to the bilateral upper trapezius and sternocleidomastoid muscles by an experienced practitioner, once a week for 4 weeks. Cervical stretching and strengthening exercises home program
Exercise	Exercise	Cervical stretching and strengthening exercises home program
Sham taping+exercise	Exercise	Sham taping will be applied to the bilateral upper trapezius and sternocleidomastoid muscles once a week for 4 weeks, using patch tape of the same color as kinesio tape. Cervical stretching and strengthening exercises home program

Primary Outcome Measures

Name	Time	Method
headache index (HI)	3 months	HI is calculate as mean migraine days per month (30 days) × mean migraine duration (h/day) × mean intensity (0-10 numeric rating scale).

Secondary Outcome Measures

Name	Time	Method
numeric rating scale	3 months	The numeric rating scale (NRS) is a validated subjective measure for pain, scored in the 0-10 range (0:no pain; 10: worst pain).
number of migraine days per month (30 days/month)	3 months	number of migraine days per month (30 days/month)
Migraine day	3 months	A migraine day is defined as the day on which migraine with or without aura or possible migraine occurs.
migraine duration	3 months	Migraine pain duration (hour)
The Migraine Disability Assessment Test	3 months	This scale is used to evaluate headache-related disability in migraine patients. Accordingly, 0-5 points; Stage 1, 6-10 points; Stage 2; 11-20 points; Stage 3; Scores of 21 points and above are classified as Stage 4, and as the stage increases, the severity of disability increases.
hospital anxiety and depression scale	3 months	This scale is used to screen for anxiety and depression in individuals with physical illnesses.The scale consists of a total of 14 questions, 7 of which are anxiety and 7 depression, to be answered on a four-point Likert scale. A score above 10 for anxiety and 7 points for depression is considered significant.
Cervical range of motion	3 months	Cervical joint range of motion measurement with inclinometer (includes flexion, extension, lateral flexion and rotations)
24-Hour Migraine Quality of Life Questionnaire (24-Hr MQoLQ)	3 months	A 24-Hour Migraine Quality of Life Questionnaire (24-Hr MQoLQ) is a scale to measure the decrease of quality of life of a person within the past 24 hours after suffering of an acute migraine and taking migraine medication.The scale consists of 15 Likert-type questions scored in the range of 0-5, with higher scores indicating more deterioration in quality of life.
Pressure pain threshold	3 months	Pain pressure threshold (PPT) is used to measure deep muscular tissue sensitivity. Algometer is used in the measurement and low values are interpreted in favor of increased sensitivity.

Trial Locations

Locations (1)

Sultan Abdülhamid Han Training and Research Hospital; 🇹🇷 Istanbul, Uskudar, Turkey