Instrument-assisted Soft Tissue Mobilization and Kinesiotape Application in Individuals With Chronic Neck Pain.

Study Overview
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Brief Summary
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Chronic neck pain causes errors in joint position sense. There are studies in the literature suggesting that instrument-assisted soft tissue mobilization and Kinesiotape applications improve the joint position sense. There is no study examining these applications acutely on joint position sense and pain in the cervical region. As a result of our study, we will compare the effects of single-session instrument-assisted soft tissue mobilization and Kinesiotape application on pain and joint position sense.

Detailed Description
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The study will be carried out on volunteers after the approval of the ethics committee. Before the research, individuals and / or their relatives will be informed about the purpose and content of the study. Volunteer individuals between the ages of 18-45 with chronic neck pain will be included in the study after obtaining their informed consent. Participants will be randomly divided into two groups: Instrument assisted soft tissue mobilization and Kinesiotape Applications. In the instrument-assisted soft tissue mobilization group, the trapezius and sternocleidomastoideus muscles will be applied in a single session for 90 seconds. Kinesiotape application will be applied to the trapezius and sternocleidomastoideus muscles in one session. Pain will be evaluated with Visual Analog Scale and joint position sense will be evaluated with Cervical Range of Motion device before and after application.

Official Title
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Acute Effects of Instrument-assisted Soft Tissue Mobilization and Kinesiotape Application on Pain and Joint Position Sense in Individuals With Chronic Neck Pain.

Conditions
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Cervical Pain

Intervention / Treatment
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* Other: Instrument Assisted Soft Tissue Mobilization
* Other: Kinesiotape Application


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being diagnosed with chronic neck pain Being in the age range of 18-45 Exclusion Criteria: Those with acute injury or infection, Those with open wounds, Osteoporosis, Hematoma, Those with acute cardiac, liver and kidney problems, Those with connective tissue disease, Rheumatoid arthritis, osteoarthritis, Cancer, Those with circulation problems, Those with peripheral vascular disease, Epilepsy Identified as a history of surgery in the cervical region

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

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Instrument Assisted Soft Tissue Mobilization<br>The instruments will be applied to the soft tissue at 30º-60º angles, with multi-directional stroking movements. Instrument Assisted Soft Tissue Mobilization will be applied to the trapezius and sternocleidomastoideus muscles of the participants for 90 seconds. | Other: Instrument Assisted Soft Tissue Mobilization<br>* Bilateral Instrument assisted soft tissue mobilization application will be applied in a single session to the trapezius and sternocleideomastoideus muscles.<br>|
| Experimental: Kinesiotape Application<br>The application will be made from the insertion of the upper trapezoidal muscle to its origo . During taping, the patient will be allowed to sit in an upright position in a chair with a back, with the scapula fixed, without supporting the arms. Before taping, the patient will be positioned with the shoulder in adduction and the head in lateral flexion towards the contralateral side. The patient will be asked to perform shoulder abduction against resistance, and the insertion area of the upper trapezius fibers will be palpated. The initial 2-3 cm part of the band will be glued to the lateral of the acromion without stretching, after full (100%) stretching is applied to the 2-3 cm part of the band from the insertion area of the upper trapezoid fibers, the patient's head is rotated to the affected side and the arm part of the band is stretched along the muscle fibers. it will be glued up to the hairline without doing it. | Other: Kinesiotape Application<br>* Bilateral Kinesiotape application will be applied in a single session to the trapezius and sternocleideomastoideus muscles.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Cervical Pain at 2 minutes | Pain will be evaluated with Visual Analog Scale. | Baseline and 2 minutes after intervention | 
| Change from Baseline Joint Position Sense at 2 minutes | Joint Position Sense will be evaluated Cervical Range of Motion Device | Baseline and 2 minutes after intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic cervical pain, Instrument Assisted Soft Tissue Mobilization, Kinesiotape, Joint position sense