Investigation of the Effectiveness of Muscle Inhibition and Space Correction Techniques of Kinesiotaping Method in Female Patients With Myofascial Pain Syndrome Related to Upper Trapezius Active Trigger Points

Study Overview
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Brief Summary
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To investigate the effectiveness of muscle inhibition and space correction techniques of kinesiotaping (KT) method; on pain, functional status and quality of life in female patients with myofascial pain syndrome (MPS) related to upper trapezius active trigger points (TP) in comparison to control group and to determine the advantage of each technique over another.

Detailed Description
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The investigators conducted a prospective, randomized, controlled trial involving 93 female patients with MPS related to upper trapezius TPs and randomized the patients to KT treatment group with space correction technique and home exercise program (KSCT, n=20), KT treatment group with muscle inhibition technique and home exercise program (KMIT, n=24) and control group (CG, n=27) which received home exercise program only. Patients were evaluated by numerical rating scale (NRS) for their average and maximum pain intensity, Turkish version of neck disability index (NDI), and short form-36 (SF-36) scales. Statistical tests were conducted at the 0.05 significance level for all outcome measures.

Conditions
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Female Patients With Myofascial Pain Syndrome (MPS) Related to Upper Trapezius Active Trigger Points (TP)

Intervention / Treatment
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* Other: Kinesiotaping with space correction technique
* Other: Kinesiotaping with muscle inhibition technique
* Other: Home exercise program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: being female being aged between 18 and 45 years old not being in menopausal period having pain in upper trapezius region determining a taut band in examination having at least one active TP in this taut band the pain produced by palpation of this TP is the pain that the patient complains painfull restriction of cervical lateral flexion having pain score 4 or more according to NRS signing informed consent. Exclusion Criteria: having major surgery or trauma related to the musculoskeletal system (primarily including the spine and upper extremity) having any operative history including the head and neck region having a neuromuscular disease having an active rheumatic disease having a systemic disease (diabetes, hypothyroidism, infection, malignancy...) having any pathology related to musculoskeletal diseases -especially including the cervical region- (cervical discopathy, cervical spondylosis, pathologies related to shoulder joint and surrounding soft tissues, scoliosis, kyphosis, limb length discrepancy, polio sequelae, developmental hip dysplasia...) having serious psychological problems (having score of 30 or more from Beck Depression Inventory) being obese (Body Mass Index≥30 kg/m2) having allergy to kinesiotapes

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

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 |
| --- | --- |
| Experimental: Kinesiotaping with space correction technique<br> | Other: Kinesiotaping with space correction technique<br>* Kinesiotaping with space correction technique twice per week for two weeks along with home exercise program<br>Other: Home exercise program<br>* Home exercise program which consists of stretching exercises towards neck area<br>|
| Experimental: Kinesiotaping with muscle inhibition technique<br> | Other: Kinesiotaping with muscle inhibition technique<br>* Kinesiotaping with muscle inhibition technique twice per week for two weeks along with home exercise program<br>Other: Home exercise program<br>* Home exercise program which consists of stretching exercises towards neck area<br>|
| Active Comparator: Home exercise program<br> | Other: Home exercise program<br>* Home exercise program which consists of stretching exercises towards neck area<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in pain related to myofascial pain syndrome due to upper trapezius active trigger points from baseline to first, second and six weeks | Pain intensity mesaurement via Numerical Rating Scale, range between 0 to 10, higher scores indicating more pain intensity | Initial assessment, First week, second week, sixth week | 
| Change in disability related to myofascial pain syndrome due to upper trapezius active trigger points from baseline to second and six weeks | Functional status measurement via Neck Disability Index | Initial assessment, second week, sixth week | 
| Change in quality of life affected by myofascial pain syndrome due to upper trapezius active trigger points from baseline to second and six weeks | Quality of life measurement via Short Form-36 | Initial assessment, second week, sixth week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Myofascial pain syndrome, kinesiotaping, upper trapezius, home exercise program