Immediate effects of bilateral neuromuscular taping on sternocleidomastoid muscle in patients with chronic mechanical neck pain.
Elena Sanchez Jimenez
60 participants
Nov 22, 2011
Interventional
Conditions
Summary
Researchers begun to investigate the effects of neuromuscular taping on different musculoskeletal conditions (eg, shoulder and trunk pain). Considering the demonstrated short-term effectiveness of neuromuscular tape for the management of shoulder pain, this suggest that this kind of tape may also be beneficial in reducing pain in patients with chronic mechanical neck pain. It was a randomized clinical trial. The main objective of this trial was to determine the immediate effects of neuromuscular taping applied bilaterally on upper trapezius muscle: neck pain, cervical range of motion and head position in patients with chronic mechanical neck pain
Eligibility
Inclusion Criteria5
- Men and women aged between 18 and 45.
- Subjects diagnosed with chronic mechanical neck pain, checking it as widespread pain in the neck and or shoulders with mechanical properties, whose pain increases with the positions held, with the movement and or palpation of the spinal musculature for more than three months
- Pain located between the occiput and the third dorsal vertebra
- More than 3 moths of pain evolution
- Informed consent signed
Exclusion Criteria16
- Positive orthopedic diagnostic test
- Patients with a history of whiplash
- Patients diagnosed with cervical osteoarthritis.
- Patients who are carrying out another parallel treatment for the condition being treated.
- Patients with pain radiation below the shoulder girdle and / or patients with bilateral irradiation on both upper limbs.
- Positive signs of nerve compression, hypo-reflexia, and sensitivity alteration in the dermatomes of upper limb.
- Cervical surgery and / or dorsal
- Refusal to participate in the study.
- Presence of any contraindications to the implementation of neuromuscular taping:
- Wound: not be placed on wounds because bands are not sterile
- Severe trauma
- general edema (swelling dynamic) caused by heart or kidney problems.
- Cancer
- Material used allergy.
- Pregnancy.
- Diabetes: Taping should not be placed in areas of insulin administration and never in a diabetic foot
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Interventions
Patients were randomly assigned to 1 of 2 groups: the experimental group received neuromuscular taping on sternocleidomastoid (applied with tension) and the placebo group received a sham neuromuscular taping application (applied without tension). Intervention group (Group 1): The tape used in this study was waterproof, porous, and adhesive. Its color was beige. Tape with a width of 5 cm and a thickness of 0.5 mm was used in both groups. The tape measure was the distance from the mastoid process to sternoclavicular joint. The experimental group received a standardized therapeutic Kinesio Tape application described by Kenso Kase. Patients were sitting during the tape application. The layer was a Y-strip placed on sternocleidomastoid muscle and applied from the insertion to origin with paper-off tension. A trained physiotherapist applied the tape following this instructions: Apply the base of the tape to the mastoid process.. Pell the tape from the paper liner and place the tape temporarily on the skin. Do not activate the glue by rubbing. Laterally flex the neck to the opposite side.Apply the lateral "Y" tail to the medial 1/3 of the clavicle.Rotate tothe head to the same side while maintaining lateralflexion to the opposite side.Apply the medial "Y" tail to the sternal-notch The paper-off tension tape was applied with approximately 15% stretch. Both sternocleidomastoid muscles were taping. Measurements were recorded inmediately after applying the tape with the tape on the skin. Only once time. Measurements are performed immediately after the application, a picture was taken (patient sitting and then standing), VAS was recorded in rest, then algometry in the trigger point of the sternocleidomastoid muscle and finally the cervical range of motion.This process of measurement will last approximately 1-2 minutes.
Locations(1)
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ACTRN12611001176954