Neck Pain
Conditions
Keywords
Trapezius muscle, trigger point, ultrasonographic imaging, blood flow, chronic pain
Brief summary
Objective: The purpose of this study was to compare the effects of ischemic compression (IC) and kinesio taping (KT) treatments on blood flow, tissue stiffness and thickness, pain, and joint range of motion on the upper trapezius muscle of individuals with chronic neck pain. Methods: In this study 22 individuals between the ages of 20-35 were randomly assigned to 3 groups: Group1, which received IC; Group2, received KT; Group3 (control) received exercise, for 2 days and 4 weeks. Pain was measured with VAS, pain threshold with J-Tech Algometer, range of motion with BASELINE Digital Inclinometer, ultrasonographic measurements for blood flow, tissue stiffness and tissue thickness using Acuson S3000. All measurements were performed twice; before and after treatment.
Interventions
OTHERischemic compression
manual therapy
OTHERkinesio taping
elastic therapeutic taping
OTHERexercise
posture exercises
Sponsors
Baskent University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
randomized controlled study
Eligibility
Sex/Gender
ALL
Age
20 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* A score ar least 3 and above 3 on the Visual analogue scale * Presence of palpable taut band and at least one trigger point on the taut band * Presence of referred pain with palpation of the trigger point
Exclusion criteria
* Analgesic use within the previous 24hours * History of cervical surgery * Receiving myofascial pain treatment within the previous month of the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | 4 weeks | Visual Analogue Scale: Individuals were asked to mark the intensity of neck pain on the scale, defining the visual analog scale as 0 absence of pain-no pain and 10 unbearable-worst pain. The distance between the sign of the individual and the 0 point was measured and recorded |
| pain threshold | 4 weeks | Individuals were asked to sit in a comfortable position in a chair with back support. Before starting the measurement, a statement was made to the individual that when the pressure sensation turns into pain, give a stop warning. The measurement was repeated 3 times and the average value was recorded. A 30-second interval was taken between measurements to prevent temporal summation. Measurements were taken over the UT muscle of the dominant extremity with the J-TECH USA Commander Algometer device |
| range of motion | 4 weeks | For ROM measurements individuals were asked to sit on a chair with back support with hands on thighs, shoulders free, hips and knees 90 flexed. For neck flexion and extension movements, the inclinometer was placed on the head of the individual in the sagittal plane, and for the right and left lateral flexion movements, the inclinometer was placed in the frontal plane. For neck rotation measurements, the individual was placed in a supine and relaxed position. The inclinometer was placed on the forehead of the head in the transverse plane. For each measurement, the individual was asked to actively perform the movement to be measured, and the average value was recorded for each parameter by repeating it 3 times. Before each measurement, the inclinometer was restarted after it was positioned over the individual's head. Measurements were made with the BASELİNE Digital Inclinometer device |
| Ultrasonographic Measurements | 4 weeks | Ultrasonographic measurements Using a 9L4 MHz (Megahertz) linear transducer (Acuson S2000, Siemens Healthcare, Erlangen, Germany) with sufficient amount of gel, the upper fibers of the dominant tar trapezius muscle were aligned longitudinally to the muscle fibers inside the transducer UT muscle with a dorsal approach at the mid-clavicular line level. The thickness of the UT muscle, B mode, peak systolic velocity (PV-cm/s) data from the transverse cervical artery, color Doppler ultrasound (RDUS) and the UT muscle fibers of the muscle again in quantitative ARFI mode (Virtual Touch Quantification®, VTq) for tissue stiffness assessment. Mean VTq values were calculated by taking VTq (m/sec) measurements 10 times. |
Countries
Turkey (Türkiye)
Outcome results
None listed