Different Taping Methods in Myofascial Pain Syndrome
Condition: Myofascial Pain Syndrome; Trigger Point Pain, Myofascial
MeSH terms: Myofascial Pain Syndromes; Fibromyalgia; Syndrome; Somatoform Disorders
Study type: Interventional

Summary: 
      Myofascial pain syndrome is a musculoskeletal pain condition that originates from localized,
      tight areas of skeletal muscle and fascia, called trigger points. Myofascial pain syndrome is
      the most common cause of musculoskeletal pain and its prevalence in the community is reported
      to be 12-55%. Patients with myofascial pain syndrome have pain, stiffness, tenderness,
      burning, and squeezing sensations in the muscles. In treating myofascial pain syndrome,
      trigger points should be inactivated and normal body mechanics should be corrected as much as
      possible. Treatment of the trigger point may be the main goal of a physiotherapy
      rehabilitation program as it can rapidly reduce acute pain. The goal is to control pain,
      restore limited ROM, and return the muscle to its optimal length and position. One of the
      treatment methods applied in MAS is kinesio taping. Kinesio Taping is a non-invasive,
      painless and less time-consuming method with fewer side effects, widely used as a therapeutic
      tool in various prevention and rehabilitation protocols. It differs from other rigid tapes
      because it can stretch significantly (130-140% of its original length), reducing mechanical
      movement limitations and mimicking skin thickness and elasticity. It has been found to be
      effective in reducing pain and muscle spasm, increasing range of motion, improving local
      blood and lymph circulation, reducing edema, strengthening weakened muscles, and controlling
      joint instability and postural alignment.

      Kinesiological tapes can be applied with different shapes and techniques according to the
      shape and size of the application area and the purpose of the application. Application
      techniques can be listed as muscle techniques, functional correlation techniques, fascia
      correlation techniques, star techniques (circulation / lymphatic correction technique),
      ligament/tendon correction (ligament) technique, mechanical correction techniques, and neural
      techniques. Functional correlation technique, which is one of the techniques the
      investigators will prefer in our study, is just above the area of pain, it lifts the skin,
      fascia, and soft tissue thanks to the elastic properties of the band, thereby reducing the
      pressure under the application area, reducing the irritation in the chemical receptors and
      nociceptors, reducing the lymphatic circulation. It is claimed that it increases blood
      circulation and helps to remove exudate more effectively, and as a result, it helps to reduce
      pain. The fascia correlation technique, which is the other technique the investigators would
      prefer to use in our study, is used to bring the fascial tissue to the desired position. The
      main goal is to reduce tension and adhesions by making vibration (oscillation) movement
      between the fascia layers. Another technique the investigators will use in our study is the
      star technique. This technique is aimed at reducing the pressure on the lymphatic vessels and
      creating a gap that allows circulation in the tissue. Fan-cut tape is often used. Our study
      aims to compare the effects of 3 different taping techniques (correction, fascia correction,
      and star technique) in individuals with Myofascial Pain Syndrome with a trigger point in the
      trapezius muscle.
    


Intervention name(s): Functional Correction Technique; Fascia Correction Technique; Star Taping Technique; Sham Comparator
Intervention type(s): Other; Other; Other; Other
Intervention description(s): A single I strip will be used for this technique. Taping will be done by applying moderate (25-35%) degree of stretching to the middle 1/3 of the tape, with the stretched area centered on the trigger point. The ends of the tape will be adhered without stretching.; Y tape will be applied to prevent fascia adhesions. In the Y tape application, first the tail strips of the Y will be adhered with maximum tension so that the muscle fiber is transverse. Then it will be glued so that its base is in front of the pain point. No tension will be applied to the ends of the tape. The application will be applied when the patient is in a resting position and his joints are in a tense position.; 4 I tapes of the same length between 15 cm and 20 cm will be glued on top of each other. After the first I tape is adhered, the 2nd I tape will be adhered at 90 degrees, then the 3rd and 4th I tapes will be adhered at 45 degrees to obtain a star appearance. There will be no tension at the ends of the tapes; I shape tape will be adhered for sham purpose without applying any tension.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment