Trigger Points
Conditions
Keywords
Myofascial trigger points, Kinesiotaping, Integrated Neuromuscular Inhibition Technique
Brief summary
The aim of this research is to see the effects of kinesio taping after integrated neuromuscular inhibition technique on pain, disability, pain-pressure threshold and muscle length in patients with upper trapezius trigger points. There will be two groups experimental and control. One study group will receive kinesiotaping after integrated neuromuscular inhibition technique and the other group will only receive integrated neuromuscular inhibition technique.
Detailed description
This study is Randomized controlled trail done at physiotherapy department of Railway General Hospital Rawalpindi. The sample size of 26 individuals calculated using open epi tool. Sampling technique applied was convenience sampling. Randomization in groups by sealed envelope method. The subjects were divided into two groups with 13 patients each. Both groups were treated with Integrated neuromuscular inhibition technique (Muscle energy Technique, sustain pressure, Strain counter-strain) while Kinesio tape was applied after INIT in only experimental group. Study duration was of 6 months. Individuals having age between 20-40 years, upper trapezius active or latent trigger points, limited side bending were included in this study. Tools used in the study were neck disability index (NDI), algometry, numeric pain rating scale (NPRS) and muscle length (side bending through inclinometer). Assessments were taken on 1st day pre and post intervention and on 4th day.
Interventions
Total of 4 sessions on upper trapezius trigger points on alternate days.
Sustain Pressure. Strain Counter-strain (for 90 sec) Passive Isometric Relaxation (PIR) (6-10 sec hold, 4 reps)
Sponsors
Study design
Masking description
this study is randomized control trail, participants are randomly allocated through sealed envelope method
Eligibility
Inclusion criteria
* Upper Trapezius Active or latent trigger points * Limited range of motion (cervical Side Bending)
Exclusion criteria
* Radiculopathies * Malignancy * Infection * Trauma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neck disability index | 4th Day | Changes from the baseline, The NDI is a modification of the neck disability index and it was developed by Vernon and Mior. It was designed to measure the neck pain and disability over time. It consists of 10 items, five parts sections. At the end, score is calculated by dividing the obtained score by total 50 multiplied by 100. |
| Pain-Pressure threshold (PPT) | 4th day | Changes from the baseline, Pain-pressure threshold was measured with the help of an algometer. |
| NPRS | 4th Day | Changes from the baseline, Numeric Pain rating scale is a scale for pain intensity starting from 0-10. Where 0 indicates no pain and 10 indicate severe pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Muscle length measure | 4th Day | Changes from the baseline, Muscle length of upper trapezius was measured with the help of Inclinometer |
Countries
Pakistan