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Efficacy of Kinesio Taping and postural correction exercises on levator scapula electromyographic activities in mechanical cervical dysfunction: a randomized blinded clinical trial [with consumer summary] |
Elabd AM, Ibrahim AR, Elhafez HM, Hussien HA, Elabd OM |
Journal of Manipulative and Physiological Therapeutics 2020 Jul-Aug;43(6):588-596 |
clinical trial |
8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: Mechanical neck dysfunction (MND) is a major health burden. Although postural correction exercises (PCEs) are commonly used for its treatment, efficacy of Kinesio Taping (KT) has received considerable attention. This study was conducted to determine the effect of KT and PCEs on levator scapula (LS) electromyography. METHODS: Ninety-one patients with MND were randomly assigned into 1 of 3 groups that received 4 weeks' treatment: group A, KT; group B, PCE; and group C, both interventions. Neck pain, LS root mean square (RMS), and median frequency (MDF) were measured pretreatment and post-treatment with the Numerical Pain Rating Scale and surface electromyography, respectively, by an assessor blinded to the patients' allocation. RESULTS: Multivariate analysis of variance indicates a statistically significant group-by-time interaction (p = 0.000). Pain intensity was significantly reduced in group C more than in group B (p = 0.001). Mean values of RMS were significantly reduced in group C compared to both group A (p = 0.001) and group B (p = 0.022), whereas MDF was significantly increased in group C compared to either group A (p = 0.00) or group B (p = 0.026), and in group B compared to group A (p = 0.26). A paired t test revealed that there was a significant decrease in pain and RMS, and a significant increase in MDF in all groups (p < 0.01). CONCLUSION: Application of both KT and PCE combined can significantly reduce neck pain and normalize LS activities in patients with MND more than the application of either intervention.
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