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Dry Needling and Kinesio Taping in the Treatment of Myofascial Pain Syndrome

Primary Purpose

Myofascial Pain Syndrome of Neck

Status
Recruiting
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
Kinesio Taping
Dry needling
Sponsored by
Abant Izzet Baysal University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Myofascial Pain Syndrome of Neck focused on measuring Taping, Pain, Trigger Point, Dry needling

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Being diagnosis with MPS and having active myofascial trigger points on trapezius muscle

Exclusion Criteria:

  • Fibromyalgia
  • a history of myofascial trigger point injection
  • acute trauma
  • inflammatory joint or muscle disease
  • infection or malignancy on cervical region
  • neurological disorders
  • cervical radiculopathy or myelopathy
  • inadequate cooperation for the treatment
  • a history of neck surgery or spinal degeneration

Sites / Locations

  • Abant Izzet Baysal UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

No Intervention

Arm Label

Kinesio Taping Group

Dry needling Group

Control Group

Arm Description

Kinesio taping will be applied to trapezius muscle

Dry needling will be applied to trigger point on trapezius muscle

Control group will not receive any additional intervention

Outcomes

Primary Outcome Measures

Pressure Pain Threshold (PPT) Measurement
Pain pressure threshold (PPT). was assessed with an analogue algometry (Baseline, FEl Inc. White Plains, NY,USA) with 1 cm2 rubber tip was used to measure the pain pressure threshold. Algometer perpendicularly placed over spinous process of T1 on prone position and pressure progressively increased 1 kg/s until patients verbally reported pain under the tip of algometer or referring pain. Measurement repeated three times and average score recorded.

Secondary Outcome Measures

Visual analog scale
The patient was asked to mark the severity of his or her pain with active motion on a horizontal line 100 millimeters in length. The intensity of the pain was calculated by measuring the area in which the individual marked between 0 (no pain) and 10 (the most severe pain I felt in my life).
Neck Disability Index
Perceived disability of patients was assessed with 10-item item Neck Disability Index (NDI),which a modified from Oswestry Low Back Pain Disability Index to assess with a score range of 0 to 50.
Global Perceived Effect Scale
Change in the perception of the symptoms after the treatment was measured by a Global Perceived Effect Scale. Patients were asked to rate change between 1 completely recovered, 4 unchanged, 7 vastly worse on a horizontal likert scale.

Full Information

First Posted
August 18, 2020
Last Updated
December 23, 2022
Sponsor
Abant Izzet Baysal University
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1. Study Identification

Unique Protocol Identification Number
NCT04521127
Brief Title
Dry Needling and Kinesio Taping in the Treatment of Myofascial Pain Syndrome
Official Title
Comparison of Dry Needling and Kinesio Taping Methods in the Treatment of Myofascial Pain Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Recruiting
Study Start Date
August 27, 2020 (Actual)
Primary Completion Date
November 1, 2024 (Anticipated)
Study Completion Date
November 15, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Abant Izzet Baysal University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this study is to compare the effectiveness of kinesio tape and dry needling in the treatment of myofascial pain syndrome of the trapezius muscle.
Detailed Description
Myofascial pain syndrome (MPS) is a common problem with manifesting itself such as trigger points, taut bands, range of motion limitations and pain. One of the most common place for MPS is neck region and trapezius muscle is the common cause of these symptoms and 9 different trigger point location has been identified on trapezius muscle. Myofascial trigger points, characterized by hypersensitive nodules, can be palpated in stretched bands in the affected muscles. In order to eliminate trigger points fascial releasing, dry needling, kinesio taping and other physical therapy applications can be used. Although there are several studies investigating the effectiveness of Kinesio taping (KT) and Dry needling(DN) methods in MPS, it is controversial which one is superior to others. The aim of this study is to compare the effects of exercise, KT, and DN methods on pain and disability in the treatment of upper trapezoidal muscle MPS.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Myofascial Pain Syndrome of Neck
Keywords
Taping, Pain, Trigger Point, Dry needling

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Three groups with a conventional therapy control group.
Masking
Outcomes Assessor
Masking Description
Patients will be aware of group distribution due to the nature of the taping and DN procedures. Therefore, the only outcome assessor will be blinded
Allocation
Randomized
Enrollment
90 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Kinesio Taping Group
Arm Type
Active Comparator
Arm Description
Kinesio taping will be applied to trapezius muscle
Arm Title
Dry needling Group
Arm Type
Active Comparator
Arm Description
Dry needling will be applied to trigger point on trapezius muscle
Arm Title
Control Group
Arm Type
No Intervention
Arm Description
Control group will not receive any additional intervention
Intervention Type
Other
Intervention Name(s)
Kinesio Taping
Intervention Description
Taping will be performed on sitting position with contralateral lateral flexion and flexion of the neck, using muscle technique with I strip and stretching the head at the maximum level in order to benefit from the muscle release effect. Kinesio tape was applied directly on muscle with 0% stretching.
Intervention Type
Other
Intervention Name(s)
Dry needling
Intervention Description
The trigger point on the taut band will be held with the thumb and forefinger from below and above. In the needling technique, a 0.25 * 25-mm with nickel handle, disposable sterile steel acupuncture needle will be used. The needle tip will be inserted perpendicularly into the subcutaneous tissue and inserted into the muscle until the trigger point in the taut band was found. The same point will be pinned 8-10 times with fast needle movements inside and out. Then the needle tip will pulled back so that it did not come out of the skin, and the bottom, top and sides of the first entered point were also pinned. This procedure was applied to all trigger points in the trapeze muscle.
Primary Outcome Measure Information:
Title
Pressure Pain Threshold (PPT) Measurement
Description
Pain pressure threshold (PPT). was assessed with an analogue algometry (Baseline, FEl Inc. White Plains, NY,USA) with 1 cm2 rubber tip was used to measure the pain pressure threshold. Algometer perpendicularly placed over spinous process of T1 on prone position and pressure progressively increased 1 kg/s until patients verbally reported pain under the tip of algometer or referring pain. Measurement repeated three times and average score recorded.
Time Frame
two weeks
Secondary Outcome Measure Information:
Title
Visual analog scale
Description
The patient was asked to mark the severity of his or her pain with active motion on a horizontal line 100 millimeters in length. The intensity of the pain was calculated by measuring the area in which the individual marked between 0 (no pain) and 10 (the most severe pain I felt in my life).
Time Frame
two weeks
Title
Neck Disability Index
Description
Perceived disability of patients was assessed with 10-item item Neck Disability Index (NDI),which a modified from Oswestry Low Back Pain Disability Index to assess with a score range of 0 to 50.
Time Frame
two weeks
Title
Global Perceived Effect Scale
Description
Change in the perception of the symptoms after the treatment was measured by a Global Perceived Effect Scale. Patients were asked to rate change between 1 completely recovered, 4 unchanged, 7 vastly worse on a horizontal likert scale.
Time Frame
two weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Being diagnosis with MPS and having active myofascial trigger points on trapezius muscle Exclusion Criteria: Fibromyalgia a history of myofascial trigger point injection acute trauma inflammatory joint or muscle disease infection or malignancy on cervical region neurological disorders cervical radiculopathy or myelopathy inadequate cooperation for the treatment a history of neck surgery or spinal degeneration
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ramazan KURUL, Ph.D
Phone
+905436414731
Email
ramazankurul2@hotmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
Muhammed ÖGÜN, M.D.
Phone
+905072329466
Email
dr.mogun@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mustafa Fatih Yaşar, MD
Organizational Affiliation
Bolu Abant Izzet Baylsa University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Abant Izzet Baysal University
City
Bolu
State/Province
Merkez
ZIP/Postal Code
14100
Country
Turkey
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Muhammed Nur ÖĞÜN, M.D
Phone
+905072329466
Email
dr.mogun@gmail.com
First Name & Middle Initial & Last Name & Degree
Ramazan Kurul, Ph.D
Phone
+905436414731
Email
ramazankurul2@hotmail.com
First Name & Middle Initial & Last Name & Degree
Ramazan Kurul, Ph.D
First Name & Middle Initial & Last Name & Degree
Mustafa Fatih Yaşar, M.D.

12. IPD Sharing Statement

Plan to Share IPD
No

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Dry Needling and Kinesio Taping in the Treatment of Myofascial Pain Syndrome

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