Effects of Kinesio Taping With Thoracic Manipulation in Mechanical Neck Pain Patients.

NCT05552313 | Unknown

• 1 other identifier: FUI/CTR/2022/12
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Neck pain is considered one of the very common cause of musculoskeletal pain. It is 4th leading cause of disability with a prevalence ranges between 30% and 50% among general population. cervical pain is among 5 most contributing factors in causing years lived with disability. Mechanical neck pain is identified by neck pain that gets evoked by sustained neck postures, neck mobility and by the palpation of cervical muscles. diagnosis is made through history and physical examination and can be helpful in differentiating from other causes of neck pain. functional impairments suffered by mechanical neck pain patients include weakness of deep cervical flexors, because of activation of superficial cervical muscles, reduced mobility of cervical spine, development of forward head posture, altered proprioception and disturbed balance leading to functional disability and decline in health related quality of life. there are different treatment approaches that include pharmacotherapy, manual therapy, active exercises, stretching, traction and electrotherapy. physiotherapy is often the first line treatment approach for individuals with mechanical, idiopathic and insidious neck pain but manual therapy is preferred through its biomechanical and neurophysiological responses that eventually leads to reduction in pain and improved function in clinical practice.thoracic manipulation and kinesio taping has proved to be very effective in treating mechanical neck pain patients according to several studies despite of their certain limitations. this study aims at evaluating effects of kinesio taping combined with thoracic manipulation in mechanical neck pain patients.

Conditions

Neck Pain

Outcome Measures

Primary Outcomes (3)

• change in pain

  pain will be measured using numeric pain rating scale. nprs is a 10 item scale. higher result shows more pain and low results show less pain.

  4 weeks

• Change in Cervical ROM:

  Cervical ROM will be measured using cervical ROM device. Cervical flexion, cervical extension, cervical right and left side bending, cervical right and left rotation. During evaluation, patient would be asked to perform all movements. Three repetitions will be recorded and the final mean error calculated between angles.

  4 weeks.

• Change in Functional disability:

  Functional disability will be measured using neck disability index questionnaire and it is used to assess self-rated disability in neck pain patients. It has 10 items and response to every item is rated on a 6 point scale from 0, indicating no disability and 5, indicating complete disability. The responses for every item are added for a total score that ranges between 0 and 50. Higher scores represent increased level of disability

  4 weeks

Secondary Outcomes (1)

• Change in Deep neck flexor endurance:

  4 weeks

Study Arms (2)

kinesio taping with thoracic manipulation and conventional treatment

EXPERIMENTAL

experimental group will be given kinesio taping with thoracic manipulation and conventional treatment

Procedure: kinesio tape; Procedure: standard therapy

sham kinesio taping with thoracic manipulation and conventional treatment

SHAM COMPARATOR

control group will be given sham kinesio taping with thoracic manipulation and conventional treatment

Procedure: kinesio tape; Procedure: standard therapy

Interventions

kinesio tape PROCEDURE

kinesio tape will be applied while patient is in sitting position. Y strip will be applied along C1 till T1.while patient's cervical spine is in contalateral side bending and rotation. same will be performed on the other side. on top of it, an I strip will be applied horizontly along C1 to C4. Both strips will be applied with 15% to 20% stretch.

kinesio taping with thoracic manipulation and conventional treatment; sham kinesio taping with thoracic manipulation and conventional treatment

standard therapy PROCEDURE

Thoracic manipulation along with conventional including Tens, stretching and strengthening exercises of entire neck musculature

kinesio taping with thoracic manipulation and conventional treatment; sham kinesio taping with thoracic manipulation and conventional treatment

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• individuals aged 18-35 years, unilateral or bilateral pain in posterior neck, shoulder or cervical region when moving or on palpations.
• individuals with thoracic hypomobility.
• symptoms of duration more than 3 months.
• NPRS scoring of equal to or greater than 4 points.
• neck disability index score of 20% or above.

You may not qualify if:

• history of neurologic signs or symptoms suggestive of nerve root involvement.
• prior cervical or thoracic spine fractures, dislocation or surgeries, spinal osteoporosis or infection, or whiplash.
• pregnancy
• any contraindication to manipulation or any tape allergy.
• hypertension

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Neck Pain

Interventions

Athletic Tape; Standard of Care

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Bandages; Equipment and Supplies; Orthotic Devices; Orthopedic Equipment; Surgical Equipment; Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Control group will be given sham kinesio taping.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This study is a randomized controlled trial which will consist of 2 groups. Experimental group will be given kinesio taping along with thoracic manipulation and conventional treatment whereas control group will be given sham kinesio taping along with thoracic manipulation and conventional treatment. Both groups will be recruited concurrently.

Study Record Dates

• First Submitted: September 13, 2022
• First Posted: September 23, 2022
• Study Start: March 1, 2022
• Primary Completion: January 1, 2023
• Study Completion: February 1, 2023
• Last Updated: September 23, 2022

Record last verified: 2022-09

Locations

PA (1)