A Comparison of the Effectiveness of Massage and Kinesio Taping in Neck Pain

Study Overview
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Brief Summary
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This study aimed to compare the effectiveness of massage and Kinesio taping on pain, range of motion, disability and quality of life in patients with chronic neck pain.

Detailed Description
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Neck pain is a common condition, affecting 30% to 50% of the general population, and is most prevalent in middle age.33 It is usually accompanied by a substantial effect on daily life, resulting in an extensive use of health care resources. Several physical therapy applications such as massage therapy, kinesio taping, thermal and electrophysiological agents, hydrotherapy/spa therapy, and therapeutic exercises especially neck stabilization exercise are used to manage FM. Both massage therapy and kinesio taping have a favorable effect on clinical symptoms. However, it is not clear which method is more effective. Therefore, this study aimed to compare the effectiveness of massage and Kinesio taping on pain, range of motion, disability and quality of life in patients with chronic neck pain.

Official Title
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A Comparison of the Effectiveness of Massage and Kinesio Taping on Pain, Range of Motion, Disability and Quality of Life in Patients With Chronic Neck Pain

Conditions
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Neck Pain

Intervention / Treatment
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* Other: Massage
* Other: Kinesio tape
* Other: Neck stabilization exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 to 65 years of age, having generalized neck pain for more than 3 months, being volunteer Exclusion Criteria: pregnancy, inflammatory rheumatologic diseases, malignity, structural deformity, previous surgery related to the cervical spine, cervical spinal stenosis, being allergic to Kinesio tape severe psychological disorder, any intervention that included exercise or physical therapy in the last 3 months.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Massage group<br>Patients in this group were applied to massage plus neck stabilization exercise. | Other: Massage<br>* Soft tissue massage known as Swedish massage technique was applied to the neck area for 20 minutes. This massage was carried out 3 days a week for 4 weeks (12 sessions) by the supervisor physiotherapist.<br>Other: Neck stabilization exercise<br>* Neck stabilization exercise was performed in stages with gradual progression according to the stages of motor learning and sensory-motor integration, namely, static, dynamic, and functional. The program started with postural training and then the cervical bracing technique with the activation of deep neck flexors for NSE was performed. The patients were asked to maintain a neutral spine during the exercises and throughout the day as much as possible. The difficulty and variety of exercises were increased weekly. It was carried out 3 days a week for 4 weeks (12 sessions) by the supervisor physiotherapist.<br>|
| Active Comparator: Kinesio taping group<br>Patients in this group were applied to Kinesio taping plus neck stabilization exercise. | Other: Kinesio tape<br>* Patients were taped according to the Kenzo Kase's Kinesio Taping Method by an experienced physical therapist. The application was carried out in a relaxed sitting position. Y banding with extensor muscles on the back of the neck with muscle technique, I banding with the upper trapezius with muscle technique and I banding with ligament technique to the middle region of the neck were performed.<br>Other: Neck stabilization exercise<br>* Neck stabilization exercise was performed in stages with gradual progression according to the stages of motor learning and sensory-motor integration, namely, static, dynamic, and functional. The program started with postural training and then the cervical bracing technique with the activation of deep neck flexors for NSE was performed. The patients were asked to maintain a neutral spine during the exercises and throughout the day as much as possible. The difficulty and variety of exercises were increased weekly. It was carried out 3 days a week for 4 weeks (12 sessions) by the supervisor physiotherapist.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Level (Visual Analog Scale) | The pain level was assessed with the Visual Analog Scale, which consists of a horizontal line of 10 cm in length. For pain level assessment, 0 defines no pain and 10 defines unbearable pain''. The participants are asked to mark the intensity of their pain level. | change from baseline at 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Turkish of the Short Form-36 | The quality of life was assessed with the Turkish of the Short Form-36 (SF-36). The SF-36 consists of 36 questions: physical functioning (10 items), role limitations due to physical health (4 items), bodily pain (2 items), social functioning (2 items), vitality (4 items), role limitations due to emotional health (3 items), mental health (5 items), general health perceptions (5 items) and changes in health over time (1 item, not included in the final score). The SF-36 score ranges from 0 (the worst score) to 100 (the best score). Thus, higher scores indicate better health. The participants are asked to fulfill the questionnaire. | change from baseline at 4 weeks | 
| Turkish version of Neck Disability Index | The disability level was measured with the Turkish version of Neck Disability Index (NDI). It consists of 10 sections which include the severity of pain, personal care, lifting, reading, headache, concentration, work-life, driving, sleeping and leisure activities. There are 6 responses for each section, scored 0 (no pain and no functional limitation) and 5 (worst pain and maximum limitation). The total score ranges from 0 to 50. Patients were asked to select the most appropriate option for each section. | change from baseline at 4 weeks | 
| Range of Motion | The range of motion of the neck joints of the patients was measured with a clinical goniometer (Baseline Evaluation Tools, USA) for flexion, extension, lateral flexion and rotation movements while sitting upright on the stool. | change from baseline at 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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neck pain, massage, kinesio tape,