Effects of Kinesio Taping on Post-Needling Induced Pain After Dry Needling of Active Trigger Point in Individuals With Mechanical Neck Pain (original) (raw)
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Short Term Effects of Kinesiology Taping on Mechanical Neck Pain
https://www.ijhsr.org/IJHSR\_Vol.7\_Issue.9\_Sep2017/IJHSR\_Abstract.017.html, 2017
Background: Improper posture due to modern lifestyle has caused many problems. It has been observed that neck pain is one of the common problems. Patients with mechanical neck pain have severe pain along with functional disability and reduction of cervical range of motion. Aim: To find out the effect of kinesiology taping on mechanical neck pain, spasm, range of motion and additional effect of kinesio tape over exercise and manual therapy Method: Approval was taken from the ethical committee. Total 50 subjects were recruited for study and were divided in two groups. Group A-controlled group was given exercise program and Group B was given same protocol along with kinesiology taping (space correction 35% stretch) for upper trapezius. Tape was kept for 5 days. Readings were taken before treatment and on 6th day. Numeric rating scale (NRS) for pain, cervical range of motion (ROM) in degrees and Neck disability index (NDI) were used as outcome measures. Results: Post treatment values showed significant improvement in pain on NRS, range of motion in degrees and functional disability in both the groups. However, experimental group showed more significant improvement when compared between the groups. Conclusion: Combination therapy (kinesio tape plus physical exercise) would work better than only exercise therapy in improving neck pain and decreasing limitation of functions.
Research Paper: What Is the Acute Effect of Dry Needling on the Active Trigger Points of Upper Tra-pezius Muscle? The Effect of Eliciting Local Twitch Response on Clinical Outcomes Purpose: Dry needling has been introduced as an effective method to treat the upper trapezius myofascial pain. Muscle damage after receiving the local twitch response can increase the risk of tissue fibrosis in some cases. This study aimed to investigate how the clinical parameters change after dry needling without local twitch response. Methods: This is a quasi-experimental study, with pretest and posttest. A total of 26 patients suffering from neck pain with an active trigger point in their upper trapezius muscles were recurited via the convenience sampling methods. In all patients, the needle was moved 15 times in the trigger point of the trapezius muscle and then remained in place for 5 minutes. Participants were assigned in the dry needling with local twitch response (experimental group) when a local twitch response was evoked from muscle and without receiving local twitch response or deqi (control group) when a local twitch response was not seen. Then, they were treated with one session of dry needling. Before the intervention and 24 hours after the treatment, pain, pain pressure threshold, and neck disability index were evaluated. The obtained data were analyzed by multivariate ANCOVA using SPSS version 20. Results: After the treatment, no significant changes were seen in the experimental group compared to the control group (P>0.05) regarding the pain, the pain pressure threshold, and neck disability index. Conclusion: Dry needling along with receiving local twitch response does not have a superiority over the dry needling without receiving the local twitch response while the treatment aimed to receive the immediate effects.
Pain physician, 2019
BACKGROUND Dry needling (DN) is a commonly used technique by clinicians for the treatment of mechanical neck pain (MNP) by targeting trigger points and nontrigger point structures. It is a skilled intervention that uses a thin ?liform needle to penetrate the skin and stimulate underlying trigger points, muscular and connective tissues without the use of injectate. Another popular treatment technique used in the management of musculoskeletal pathologies is kinesiotaping (KT). Although its popular, there is minimal scientific evidence supporting KT for neck pain. Although there are a few studies regarding KT for neck pain in literature, there is a lack of randomized, controlled studies evaluating KT for neck pain. OBJECTIVES To evaluate the effect of KT on posterior cervical spine and DN into a posterior paracervical muscle of patients with MNP. STUDY DESIGN Randomized clinical study. SETTING Physical medicine and rehabilitation center. METHODS Seventy-two patients (17 men, 55 women) ...
Journal of Back and Musculoskeletal Rehabilitation, 2019
BACKGROUND: Pain from myofascial trigger points is often treated by dry needling (DN). Empirical evidence suggests eliciting a local twitch response (LTR) during needling is essential. Muscle damage after eliciting LTR can increase the risk of tissue fibrosis in some cases. OBJECTIVE: This study aimed to compare two methods of DN including with and without LTR on clinical parameters. METHODS: Twenty-six participants suffering from chronic non-specific neck pain with an active trigger point (TrP) in their upper trapezius muscles were recruited via the convenience sampling method. Participants were randomly assigned in DN with LTR (control group) and without eliciting LTR or "de qi" (experimental group). Then, they received 3 sessions of dry needling, 3 days apart. We evaluated pain, pain pressure threshold, active cervical lateral flexion range of motion, and Neck Disability Index before the intervention and 4 weeks after the treatment. RESULTS: After the treatment, significant higher changes were seen in the experimental group compared to the control group (p < 0.05) regarding pain, pain pressure threshold, and active cervical lateral flexion. However, there was no significant difference between groups according to the disability (p > 0.05). CONCLUSION: DN without eliciting LTR has superiority over the DN along with eliciting LTR while the treatment aimed to receive long-term effects.
Physical Treatments - Specific Physical Therapy
Purpose: Dry needling has been introduced as an effective method to treat the upper trapezius myofascial pain. Muscle damage after receiving the local twitch response can increase the risk of tissue fibrosis in some cases. This study aimed to investigate how the clinical parameters change after dry needling without local twitch response. Methods: This is a quasi-experimental study, with pretest and posttest. A total of 26 patients suffering from neck pain with an active trigger point in their upper trapezius muscles were recurited via the convenience sampling methods. In all patients, the needle was moved 15 times in the trigger point of the trapezius muscle and then remained in place for 5 minutes. Participants were assigned in the dry needling with local twitch response (experimental group) when a local twitch response was evoked from muscle and without receiving local twitch response or deqi (control group) when a local twitch response was not seen. Then, they were treated with one session of dry needling. Before the intervention and 24 hours after the treatment, pain, pain pressure threshold, and neck disability index were evaluated. The obtained data were analyzed by multivariate ANCOVA using SPSS version 20. Results: After the treatment, no significant changes were seen in the experimental group compared to the control group (P>0.05) regarding the pain, the pain pressure threshold, and neck disability index. Conclusion: Dry needling along with receiving local twitch response does not have a superiority over the dry needling without receiving the local twitch response while the treatment aimed to receive the immediate effects.
International Journal of Advanced Research, 2019
Introduction: Chronic Mechanical Neck Pain (CMNP) is one of the most common health problems. Patient with neck pain were found to have the highest prevalence rate of myofascial trigger points. Subjects And Methods: Forty-five (45) subjects with CMNP were randomly assigned into three groups. Subject in Group-A (n=15) with mean age of 29.47±5.85 received Kinesio Taping (KT), standardized exercise (SE) protocol & home exercise program (HEP), Group-B (n=15) with mean age of 31.53±7.80 received sham Kinesio taping (SKT), SE protocol & HEP & Group-C control group (n=15) with mean age of 32.00±8.37 received SE protocol & HEP received 5 sessions 2 session per week & HEP was advised for every day for 2 weeks. Pain intensity was measured by VAS, PPT was measured by Algometer & Function was measured by NDI were obtained at baseline and after completion of 5 session. Results: All the three groups were homogeneous at baseline as there was non-significant (p>0.05) difference among groups related to all parameters. All the groups showed statistically significant improvement after 5 session of intervention in respect to VAS, PPT & NDI in CMNP. But when compared among the groups group A & group B showed significant (p<0.05) improvement in PPT when compared to Group C where as other parameters showed non-significant (p >0.05) difference among the groups after 5 session of treatment. Conclusion: The results of this study suggested that KT with SE protocol and SKT with SE protocol has a significant effect in improving pressure pain threshold whereas there was non-significant difference found among group on VAS & NDI in subjects with levator scapulae trigger point in CMNP.
Function and Disability Journal, 2021
Background and Objectives: The purpose of the present study was to examine the effectiveness of dry needling as local treatment of upper trapezius trigger points related to chronic neck pain on pain and pain pressure threshold in women with chronic nonspecific neck pain. Methods: Thirty females with an active myofascial trigger point of the upper trapezius muscle were randomly divided into two groups: dry needling with passive stretch (n=15) and passive stretch alone (n=15). They received 5 sessions of the intervention for three weeks. The outcomes were pain intensity and pain pressure threshold. Every outcome was recorded at baseline and 2 days after the fifth session. Results: Significant improvement in pain and pain pressure threshold was observed in both groups (P=0.0001) after the treatment. The results of the independent t-test showed a significant difference in measurements between the dry needling and passive stretch groups (P<0.05). Conclusion: Dry needling with passive s...
2015
Objective: To determine whether dry needling of an active myofascial trigger point (MTrP) reduces pain and alters the status of the trigger point to either a nonespontaneously tender nodule or its resolution. Design: A prospective, nonrandomized, controlled, interventional clinical study. Setting: University campus. Participants: A total of 56 subjects with neck or shoulder girdle pain of more than 3 months duration and active MTrPs were recruited from a campus-wide volunteer sample. Of these, 52 completed the study (23 male and 33 female). Their mean age was 35.8 years. Interventions: Three weekly dry needling treatments of a single active MTrP. Main Outcome Measures: Primary Outcomes: Baseline and posttreatment evaluations of pain using a verbal analogue scale, the Brief Pain Inventory, and the status of the MTrP as determined by digital palpation. Trigger points were rated as active (spontaneously painful), latent (requiring palpation to reproduce the characteristic pain), or resolved (no palpable nodule). Secondary Outcomes: Profile of Mood States, Oswestry Disability Index, and Short Form 36 scores, and cervical range of motion. Results: Primary outcomes: A total of 41 subjects had a change in trigger point status from active to latent or resolved, and 11 subjects had no change (P < .001). Reduction in all pain scores was significant (P < .001). Secondary outcomes: Significant improvement in posttreatment cervical rotational asymmetry in subjects as follows: unilateral/bilateral MTrPs (P ¼ .001 and P ¼ 21, respectively); in pain pressure threshold in subjects with unilateral/bilateral MTrPs, (P ¼ .006 and P ¼ .012, respectively); improvement in the SF-36 mental health and physical functioning subscale scores (P ¼ .019 and P ¼ .03), respectively; and a decrease in the Oswestry Disability Index score (P ¼ .003). Conclusions: Dry needling reduces pain and changes MTrP status. Change in trigger point status is associated with a statistically and clinically significant reduction in pain. Reduction of pain is associated with improved mood, function, and level of disability.
Procedia - Social and Behavioral Sciences, 2014
Mechanically triggered cervicalgia is frequently encountered in persons holding a fixed, monotonous position and it causes pain at the level of the cervical paraspinal muscles and ligaments which may be associated with muscular contraction, with stiffness and blocking of the upper thorax and shoulders. The study we have undertaken started out from the assumption that massage, on the one hand, and kinesio taping, on the other hand, in association with physiotherapy, can yield different effects in obtaining painlessness, diminishing discomfort and enhancing the range of motion in the cervical region. For testing purposes we used: the pain numeric scale (0-10), the neck disability index (NDI) and the range of motion testing (CROM). The patients belonging to the experimental and control groups were dynamically tested at the beginning of the study and after a week during which they underwent differential treatment. The test results showed a minimal difference between the two groups from the point of view of pain, discomfort and range of motion in the cervical region; the patients benefiting from kinesio taping recorded a more rapid reduction of pain.
acupuncture in medicine, 2020
The aim of this study was to compare the effects of dry needling (DN) versus pressure release over scalene muscle trigger points (TrPs) on pain, related disability, and inspiratory vital capacity in individuals with neck pain. Methods: In this randomized, single-blind trial, 30 patients with mechanical neck pain and active TrPs in the scalene musculature were randomly allocated to trigger point dry needling (TrP-DN; n = 15) or pressure release (n = 15) groups. The DN group received a single session of DN of active TrPs in the anterior scalene muscles, and the pressure release group received a single session of TrP pressure release over the same muscle lasting 30 s. The primary outcome was pain intensity as assessed by a numerical pain rate scale (NPRS, 0-10). Secondary outcomes included disability (neck disability index, NDI) and inspiratory vital capacity. Outcomes were assessed at baseline and 1 day (immediately post), 1 week, and 1 month after the treatment session. Data were expressed as mean score difference (Δ) and standardized mean difference (SMD). Results: Patients receiving DN exhibited a greater decrease in pain intensity than those receiving TrP pressure release at 1 month (Δ 1.2 (95% CI-1.8,-0.6), p = 0.01), but not immediately (1 day) or 1 week after. Patients in the DN group exhibited a greater increase in inspiratory vital capacity at all follow-up time points (Δ 281 mm (95% CI 130, 432) immediately after, Δ 358 mm (95% CI 227, 489) 1 week after, and Δ 310 mm (95% CI 180, 440) 1 month after treatment) than those in the pressure release group (p = 0.006). Between-group effect sizes were large at all follow-up time points (1.1 > SMD > 1.3) in favor of DN. Conclusion: This trial suggests that a single session of DN over active TrPs in the scalene muscles could be effective at reducing pain and increasing inspiratory vital capacity in individuals with mechanical neck pain. Future studies are needed to further confirm these results.