ABSTRACT
Abstract Objective: The aim of this study was to investigate the effectiveness of Kinesio Taping and sham Kinesio Taping on pain, pressure pain threshold, cervical range of motion, and disability in cervical myofascial pain syndrome patients (MPS). Methods: This study was designed as a randomized, double-blind placebo controlled study. Sixty-one patients with MPS were randomly assigned into two groups. Group 1 (n = 31) was treated with Kinesio Taping and group 2 (n = 30) was treated sham taping five times by intervals of 3 days for 15 days. Additionally, all patients were given neck exercise program. Patients were evaluated according to pain, pressure pain threshold, cervical range of motion and disability. Pain was assessed by using Visual Analog Scale, pressure pain threshold was measured by using an algometer, and active cervical range of motion was measured by using goniometry. Disability was assessed with the neck pain disability index disability. Measurements were taken before and after the treatment. Results: At the end of the therapy, there were statistically significant improvements on pain, pressure pain threshold, cervical range of motion, and disability (p < 0.05) in both groups. Also there was a statistical difference between the groups regarding pain, pressure pain threshold, cervical flexion-extension (p < 0.05); except cervical rotation, cervical lateral flexion and disability (p > 0.05). Conclusion: This study shows that Kinesio Taping leads to improvements on pain, pressure pain threshold and cervical range of motion, but not disability in short time. Therefore, Kinesio Taping can be used as an alternative therapy method in the treatment of patients with MPS.
Resumo Objetivo Investigar a eficácia do kinesio taping e do taping placebo sobre a dor, limiar de dor à pressão, amplitude de movimento cervical e incapacidade em pacientes com síndrome dolorosa miofascial (SDM) cervical. Métodos: Ensaio clínico randomizado duplo-cego controlado por placebo. Foram alocados em dois grupos, aleatoriamente, 61 pacientes com SDM. O grupo 1 (n = 31) foi tratado com kinesio taping e o grupo 2 (n = 30) foi tratado com taping placebo cinco vezes em intervalos de três dias, durante 15 dias. Além disso, todos os pacientes foram submetidos a um programa de exercícios para o pescoço. Os pacientes foram avaliados em relação à dor, ao limiar de dor à pressão, à amplitude de movimento cervical e à incapacidade. A dor foi avaliada com a escala visual analógica, o limiar de dor à pressão foi medido com um algômetro e a amplitude de movimento cervical ativa foi mensurada com a goniometria. A incapacidade foi avaliada com o Neck Pain Disability Scale. As mensurações foram feitas antes e depois do tratamento. Resultados: No fim do tratamento, houve melhoria estatisticamente significativa na dor, no limiar de dor à pressão, na amplitude de movimento cervical e na incapacidade (p < 0,05) em ambos os grupos. Também houve uma diferença estatisticamente significativa entre os grupos em relação à dor, ao limiar de dor à pressão e à flexão-extensão cervical (p < 0,05); não houve diferença na rotação cervical, flexão lateral cervical e incapacidade (p > 0,05). Conclusão: O kinesio taping leva à melhoria na dor, no limiar de dor à pressão e na amplitude de movimento cervical, mas não na incapacidade em um curto período. Portanto, o kinesio taping pode ser usado como um método de terapia opcional para o tratamento de pacientes com SDM.
Subject(s)
Humans , Male , Female , Adult , Young Adult , Cervical Vertebrae/physiopathology , Neck Pain/therapy , Exercise Therapy/methods , Athletic Tape , Myofascial Pain Syndromes/therapy , Pain Measurement , Double-Blind Method , Range of Motion, Articular/physiology , Treatment Outcome , Pain Threshold/psychology , Neck Pain/physiopathology , Neck Pain/rehabilitation , Disability Evaluation , Muscle Strength/physiology , Middle Aged , Myofascial Pain Syndromes/physiopathology , Myofascial Pain Syndromes/rehabilitationABSTRACT
Myofascial pain syndrome of upper trapezius muscle is common; reports about successful treatment with dry needling and physical therapy have been published. This study was performed with the objective of comparing the efficacy of these two treatment modalities in relieving the symptoms in patients with myofascial pain in the trapezius referred to the Physical Medicine and Rehabilitation Center at the Shohadaye Tajrish Hospital from Apr 2009 to March 2010. It was a randomized controlled trial performed on 28 patients. After matching age, sex, duration of symptoms, pain severity, pain pressure threshold of trigger point and quality of life measures, subjects were randomly put in to subgroups of case [dry needling] or control [physical therapy]. One week and one month after receiving treatment, outcomes and intra and inter group changes in pain severity, pain pressure threshold of trigger point and quality of life measures were evaluated and compared. 28 subjects in two 14 patients groups took part in this study. After one month of both physical therapy and dry needling, there was a decrease in resting, night and activity pain levels, [p<0.05]. Pain pressure threshold of trigger point, scores of physical functioning, role limitation due to physical problems, social functioning and bodily pain were improved [p<0.05]. Results were similar in the two groups, [p<0.4]. It seems that both physical therapy modalities and dry needling have equal effect in decreasing myofascial pain of upper trapezius muscle
Subject(s)
Humans , Male , Female , Myofascial Pain Syndromes/rehabilitation , Needles , Treatment Outcome , Randomized Controlled Trials as Topic , Physical Therapy Modalities , Pain MeasurementABSTRACT
Os procedimentos de medicina fisica incluindo os meios fisicos, a cinesioterapia, o uso de orteses e proteses, as imobilizacoes, a reabilitacao psicossocial e os programas educativos sao...
Subject(s)
Humans , Pain , Physical and Rehabilitation Medicine , Myofascial Pain Syndromes/rehabilitation , Quality of Life , Rest , Complementary Therapies , Acupuncture Analgesia , Occupational Therapy , Manipulation, SpinalABSTRACT
As emocoes e os valores simbolicos individuais influenciam a magnitude das sensacoes dolorosas. A analise das estrategias de enfrentamento, das caracteristicas psicocomportamentais dos doentes, e de seus...
Subject(s)
Humans , Pain , Musculoskeletal Diseases/psychology , Myofascial Pain Syndromes/psychology , Musculoskeletal Diseases/rehabilitation , Interview, Psychological , Myofascial Pain Syndromes/rehabilitationABSTRACT
Fibromialgia uma síndrome dolorosa crônica caracterizada pela presença de dores generalizadas e difusas; presença de pontos dolorosos específicos á palpaçäo denominados tender points (TePs). Ela pode ser classificada em: fibromialgia regional, primária, secundária e concomitante. A fibromialgia regional é também denominada fibromialgia localizada e síndrome dolorosa miofascial, isto é, os sintomas dolorosos têm localizaçäo regional. A fibromialgia primária é caracterizada pela presença de dor difusa generalizada e com múltiplos tender pointse, na falta de patologia de base ou concomitante, explicaria os sinais e sintomas da dor parcial ou total do sitema músculo-esquelético.
Subject(s)
Musculoskeletal Diseases/diagnosis , Fibromyalgia/diagnosis , Myofascial Pain Syndromes/rehabilitationABSTRACT
As síndromes dolorosas cervicais säo muito freqüentes e podem se tornar incapacitantes para o paciente. O tratamento fisiátrico é uma dasopçöes terapêuticas para esses quadros. As principais indicaçöes do tratamento säo as artroses cervicais e as síndromes miofasciais. A contra-indicaçäo formal deste tipo de tratamento é a presença de mielopatia. Este artigo faz uma revisäo sobre os principais aspectos do tratamento fisiátrico, o uso e indicaçöes dos agentes físicos e seus efeitos fisiológicos nas principais síndromes dolorosas da coluna cervical