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Comparison of Effectiveness of Exercise Plus Kinesio Taping Versus Exercise Alone in Dentists with Myofascial Pain Syndrome of the Upper Trapezius Muscle

Year 2019, , 272 - 280, 28.06.2019
https://doi.org/10.31832/smj.534736

Abstract

Objective: The aim in the present study was to compare the
effectiveness of exercise plus kinesio taping versus exercise alone in dentists
who have myofascial pain syndrome (MPS) of the upper trapezius muscle.

Materials and Methods: In total, 47 dentists diagnosed with MPS of the upper
trapezius muscle were included in the study. The patients were divided into two
groups according to the dual block randomisation method. The patients in the
first group (n = 23) received kinesio taping for the upper trapezius muscle and
an exercise programme. The patients in the second group (n = 24) received only
an exercise programme. All patients completed the study. The severity of the
pain was measured with the visual analogue scale (VAS). An algometer was used
to determine the pressure pain threshold, and the quality of life was measured
using the Short Form-36 (SF-36) Health Survey.

Results: The mean age of the patients included
into the study was
29.83 ± 5.45 in the kinesio taping group and 31.79 ±
5.60 in the exercise alone group. In both
groups, a significant improvement in pain values
was observed between
the evaluations performed at the beginning and at the end of the study (p < 0.05). After the treatment, it was observed
that the
kinesio taping group exhibited
higher improvement
(p < 0.05) in the
pain scores at rest and during activity as measured by VAS, pressure pain
threshold values and using the subscales (physical functioning, social role
functioning, vitality [energy], emotional role limitation, physical role
limitation, mental health and general health perceptions) and total SF-36

scores. Only the improvement in the ‘bodily pain’ subscale of the SF-36 did not
show statistically significant difference between the groups (p > 0.05).







Conclusion: The present study
found that exercise therapy alone and exercise plus kinesio taping are
beneficial in reducing pain in dentists with MPS of the upper trapezius muscle.
The use of kinesio taping plus exercise provided further improvement in the
resting and activity pain scores, pressure pain threshold and in certain
subscales of the quality of life scale.

References

  • 1. Kerosuo E, Kerosuo H, Kanerva L. Self-reported health complaints among general dental practitioners, orthodontists, and office employees. Acta Odontologica Scandinavica 2000;58(5):207-212.2. Landeras S, Felsenfeld AL. Ergonomics and dental office. An overview and consideration of regulating influences. J Calif Dent Assoc 2002;30:137-138. 3. Valachi B, Valachi K. Mechanisms leading to musculoskeletal disorders in dentistry. J Am Dent Assoc 2003;134:1344-1350.4. Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Pract Res Clin Rheumatol 2011;25(2):185-198.5. Donnelly JM. Travell, Simons & Simons myofascial pain and dysfunction: the trigger point manual. 3rd ed. Philadelpia: Wolters Kluwer Health 2019;17-216. Dıraçoğlu D. Sağlık personelinde kas-iskelet sistemi ağrıları. Türkiye Klinikleri J Med Sci 2006;26:132-139.7. Thompson JM, Luedtke CA, Oh TH, et al. Direct medical costs in patients with fibromyalgia: cost of illness and impact of a brief multidisciplinary treatment program. American journal of physical medicine & rehabilitation 2011;90(1):40-46.8. Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Anesthesiology clinics 2007;25(4):841-51.9. Kase K, Wallis J, Kase T. Clinical therapeutic application of the kinesio taping method. Tokyo, Japan: Ken Ikai Co Ltd; 2003.10. Travell JG, Simons DG. Myofascial Pain and Dysfunction. The Trigger Point Manual. Volume 1 Upper half of body. 2nd ed. Baltimore: Williams and Wlkins 1992.p.5-201.11. Dixon JS, Bird HA. (1981). Reproducibility along a 10 cm vertical visual analogue scale. Ann Rheum Dis 40(1),87–89.12. Friction JR, Kroening R, Haley D, Siegert R. Myofascial pain syndrome of the head neck: A review of clinical characteristicis of 164 patients: Oral Surg. Oral Med. Oral Pathol 1985;60:615.13. Koçyiğit H, Aydemir Ö, Fişek G et al. (1999). Kısa Form-36 (KF-36)‟nin Türkçe versiyonunun güvenirliliği ve geçerliliği. İlaç ve Tedavi Dergisi 1999;12:102-106.14. Oguzcan MŞ, Karaman GT, Gür G. Diş hekimlerinde görülen mesleki dejenerasyonların analizi A.Ü. Diş Hek. Fak. Derg 2011;38(1):7-13.15. Ylinen J, Takala EP, Kautiainen H et al. Association of neck pain, disability and neck pain during maximal effort with neck muscle strength and range of movement in women with chronic nonspecific neck pain. Eur J Pain 2004;8(5):473-478.16. Morris D, Jones D, Ryan H, Ryan CG. The clinical effects of Kinesio® Tex taping: A systematic review. Physiother Theory Pract 2013;29(4):259-270.17. Ay S, Konak HE, Evcik D, Kibar S. The effectiveness of kinesio taping on pain and disabilty in cervical myofascial pain syndrome. Rev Bras Reumatol 206;9:1-7.18. Azatcam G, Atalay NS, Akkaya N et al. Comparison of effectiveness of Transcutaneous Electrical Nerve Stimulation and Kinesio Taping added to exercises in patients with myofascial pain syndrome. J Back Musculoskelet Rehabil 2017;30(2):291-298.19. Kase K. Clinical therapeutic applications of the Kinesio (! R) taping method. Albuquerque, 2003. 20. Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries: a metaanalysis of the evidence for its effectiveness. Sports Med 2012;42:153-164.21. Miller P, Osmotherly P. Does scapula taping facilitate recovery for shoulder impingement symptoms? A pilot randomized controlled trial. J Man Manip Ther 2009;17:6-13.22. Berker E. Miyofasial ağrı sendromu ve tedavisi. Romatol Tıb Rehab 1997;8(2):121-124.23. Özdemir F, Birtane M, Kokino S. The Clinical Efficacy of Low Power Laser Therapy on Pain and Function in Cervical Osteoarthritis. Clin. Rheumatol 2001;20(3):181-184.24. Gam AN, Warming S, Larsen LH. Treatment of myofascial trigger-points with ultrasound combined with massage and exercise. Pain 1998;77:73–79.25. Fernández-de-Las-Peñas C, Alonso-Blanco C, Miangolarra JC. Myofascial trigger points in subjects presenting with mechanical neck pain: a blinded, controlled study. Manual therapy 2007;12(1):29-33.26. Ylinen J. Physical exercises and functional rehabilitation for the management of chronic neck pain. Europa medicophysica 2007;43(1):119.27. Hanten WP, Olson SL, Butts NL, Nowicki AL. Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points. Physical therapy 2000;80(10):997-1003.28. Paoloni M, Bernetti A, Fratocchi G et al. Kinesio Taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehabil Med 2011;47(2):237-244.29. İnanoglu D, Baltacı G. Nörolojik defisiti olmayan bel ağrılı hastalarda farklı bantlama tekniklerinin yaşam kalitesi ve ağrı üzerine etkisi. Journal of Exercise Therapy and Rehabilitation 2014;1(1):26-34.30. Acar B, Yılmaz ÖT. Servikal miyofasyal ağrı sendromunda fizyoterapinin ağrı, mental durum ve yaşam kalitesi üzerine etkisi. Fizyoterapi Rehabilitasyon 2012;23:73-82.

Trapezius Üst Kısmınında Miyofasyal Ağrı Sendromu Olan Diş Hekimlerinde Kinezyolojik Bantlama ile Egzersizin Etkinliğinin Sadece Egzersizin Etkinliği ile Karşılaştırılması

Year 2019, , 272 - 280, 28.06.2019
https://doi.org/10.31832/smj.534736

Abstract

Amaç: Bu çalışmada diş
hekimlerinde trapezius üst bölgesindeki miyofasiyal ağrı sendromunda, egzersiz
ile birlikte uygulanan kinezyolojik bantlama ile sadece egzersiz programının etkinliğinin
karşılaştırılması amaçlanmıştır.



Gereç ve Yöntemler: Çalışmaya  trapezius üst parçasında  miyofasiyal ağrı sendromu tanısı konmuş olan
47 diş hekimi dahil edildi. Hastalar ikili blok randomizasyon yöntemi ile iki
gruba ayrıldı. Birinci gruptaki
(n =
23)
  hastalara üst trapezius kasına kinezyolojik
bantlama yapıldı ve egzersiz programı verildi. İkinci gruptaki
(n = 24) hastalara ise yanlızca
egzersiz programı verildi. Çalışmayı birinci gruptan 23 kişi, ikinci gruptan 24
kişi tamamladı. Ağrının şiddeti visual analog skala ile ölçüldü. Basınç ağrı
eşiği için  algometre  kullanıldı. Yaşam kalitesi Kısa form-36 ile
ölçüldü.



Bulgular: Çalışmaya alınan hastaların yaş ortalamaları kinezyolojik
bantlama  grubunda 29,83±5,45 yıl iken
egzersiz grubunda 31,79±5,60 yıl idi. Her iki grubun çalışma başlangıcı ve
sonrası değerlendirmelerinde ağrı değerlerinde anlamlı bir iyileşme saptandı (p<0.05). Tedavi sonrası kinezyolojik
bantlama grubunda,
VAS  ile ölçülen istirahat ve aktivite ağrısı
skorları, basınç ağrı eşik değerleri ve KF-36 subgrupları (fiziksel fonksiyon,
sosyal fonksiyon ,vitalite (enerji), rol kısıtlılığı (emosyonel), rol
kısıtlılığı(fiziksel), mental sağlık, sağlığın genel olarak algılanması
) ve toplam KF-36 skorlarındaki
iyileşme  derecesi  daha fazlaydı (p<0,05). Sadece SF-36’nın
alt grubu olan ağrı skorlarındaki düzelme gruplar arasında farklılık göstermedi
(p>0,05).


Sonuç: Bu çalışmada trapezius üst parçada miyofasiyal
ağrı sendromu olan diş hekimlerinde hem egzersiz hem de egzersizle beraber
kinezyolojik bantlama uygulaması  ağrı
açısından yararlı bulunmuştur. Egzersizle birlikte kinezyolojik bant uygulaması
istirahat ve aktivite ağrısında, basınç ağrı eşiğinde ve yaşam kalitesinin bazı
alanlarında daha fazla iyileşme sağlamıştır. 

References

  • 1. Kerosuo E, Kerosuo H, Kanerva L. Self-reported health complaints among general dental practitioners, orthodontists, and office employees. Acta Odontologica Scandinavica 2000;58(5):207-212.2. Landeras S, Felsenfeld AL. Ergonomics and dental office. An overview and consideration of regulating influences. J Calif Dent Assoc 2002;30:137-138. 3. Valachi B, Valachi K. Mechanisms leading to musculoskeletal disorders in dentistry. J Am Dent Assoc 2003;134:1344-1350.4. Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Pract Res Clin Rheumatol 2011;25(2):185-198.5. Donnelly JM. Travell, Simons & Simons myofascial pain and dysfunction: the trigger point manual. 3rd ed. Philadelpia: Wolters Kluwer Health 2019;17-216. Dıraçoğlu D. Sağlık personelinde kas-iskelet sistemi ağrıları. Türkiye Klinikleri J Med Sci 2006;26:132-139.7. Thompson JM, Luedtke CA, Oh TH, et al. Direct medical costs in patients with fibromyalgia: cost of illness and impact of a brief multidisciplinary treatment program. American journal of physical medicine & rehabilitation 2011;90(1):40-46.8. Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Anesthesiology clinics 2007;25(4):841-51.9. Kase K, Wallis J, Kase T. Clinical therapeutic application of the kinesio taping method. Tokyo, Japan: Ken Ikai Co Ltd; 2003.10. Travell JG, Simons DG. Myofascial Pain and Dysfunction. The Trigger Point Manual. Volume 1 Upper half of body. 2nd ed. Baltimore: Williams and Wlkins 1992.p.5-201.11. Dixon JS, Bird HA. (1981). Reproducibility along a 10 cm vertical visual analogue scale. Ann Rheum Dis 40(1),87–89.12. Friction JR, Kroening R, Haley D, Siegert R. Myofascial pain syndrome of the head neck: A review of clinical characteristicis of 164 patients: Oral Surg. Oral Med. Oral Pathol 1985;60:615.13. Koçyiğit H, Aydemir Ö, Fişek G et al. (1999). Kısa Form-36 (KF-36)‟nin Türkçe versiyonunun güvenirliliği ve geçerliliği. İlaç ve Tedavi Dergisi 1999;12:102-106.14. Oguzcan MŞ, Karaman GT, Gür G. Diş hekimlerinde görülen mesleki dejenerasyonların analizi A.Ü. Diş Hek. Fak. Derg 2011;38(1):7-13.15. Ylinen J, Takala EP, Kautiainen H et al. Association of neck pain, disability and neck pain during maximal effort with neck muscle strength and range of movement in women with chronic nonspecific neck pain. Eur J Pain 2004;8(5):473-478.16. Morris D, Jones D, Ryan H, Ryan CG. The clinical effects of Kinesio® Tex taping: A systematic review. Physiother Theory Pract 2013;29(4):259-270.17. Ay S, Konak HE, Evcik D, Kibar S. The effectiveness of kinesio taping on pain and disabilty in cervical myofascial pain syndrome. Rev Bras Reumatol 206;9:1-7.18. Azatcam G, Atalay NS, Akkaya N et al. Comparison of effectiveness of Transcutaneous Electrical Nerve Stimulation and Kinesio Taping added to exercises in patients with myofascial pain syndrome. J Back Musculoskelet Rehabil 2017;30(2):291-298.19. Kase K. Clinical therapeutic applications of the Kinesio (! R) taping method. Albuquerque, 2003. 20. Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries: a metaanalysis of the evidence for its effectiveness. Sports Med 2012;42:153-164.21. Miller P, Osmotherly P. Does scapula taping facilitate recovery for shoulder impingement symptoms? A pilot randomized controlled trial. J Man Manip Ther 2009;17:6-13.22. Berker E. Miyofasial ağrı sendromu ve tedavisi. Romatol Tıb Rehab 1997;8(2):121-124.23. Özdemir F, Birtane M, Kokino S. The Clinical Efficacy of Low Power Laser Therapy on Pain and Function in Cervical Osteoarthritis. Clin. Rheumatol 2001;20(3):181-184.24. Gam AN, Warming S, Larsen LH. Treatment of myofascial trigger-points with ultrasound combined with massage and exercise. Pain 1998;77:73–79.25. Fernández-de-Las-Peñas C, Alonso-Blanco C, Miangolarra JC. Myofascial trigger points in subjects presenting with mechanical neck pain: a blinded, controlled study. Manual therapy 2007;12(1):29-33.26. Ylinen J. Physical exercises and functional rehabilitation for the management of chronic neck pain. Europa medicophysica 2007;43(1):119.27. Hanten WP, Olson SL, Butts NL, Nowicki AL. Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points. Physical therapy 2000;80(10):997-1003.28. Paoloni M, Bernetti A, Fratocchi G et al. Kinesio Taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehabil Med 2011;47(2):237-244.29. İnanoglu D, Baltacı G. Nörolojik defisiti olmayan bel ağrılı hastalarda farklı bantlama tekniklerinin yaşam kalitesi ve ağrı üzerine etkisi. Journal of Exercise Therapy and Rehabilitation 2014;1(1):26-34.30. Acar B, Yılmaz ÖT. Servikal miyofasyal ağrı sendromunda fizyoterapinin ağrı, mental durum ve yaşam kalitesi üzerine etkisi. Fizyoterapi Rehabilitasyon 2012;23:73-82.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Gökşen Gökşenoğlu 0000-0002-4375-7754

Publication Date June 28, 2019
Submission Date March 2, 2019
Published in Issue Year 2019

Cite

AMA Gökşenoğlu G. Comparison of Effectiveness of Exercise Plus Kinesio Taping Versus Exercise Alone in Dentists with Myofascial Pain Syndrome of the Upper Trapezius Muscle. Sakarya Tıp Dergisi. June 2019;9(2):272-280. doi:10.31832/smj.534736

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