Basic Sciences Department, Faculty of Physical Therapy, Pharos University in Alexandria, Egypt.
Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Egypt; Physiotherapy Department, College of Applied Medical Sciences, Umm Al-Qura University, Saudi Arabia.
J Manipulative Physiol Ther. 2020 Jul-Aug;43(6):588-596. doi: 10.1016/j.jmpt.2019.05.010. Epub 2020 Jul 21.
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.
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.
Multivariate analysis of variance indicates a statistically significant group-by-time interaction (P = .000). Pain intensity was significantly reduced in group C more than in group B (P = .001). Mean values of RMS were significantly reduced in group C compared to both group A (P = .001) and group B (P = .022), whereas MDF was significantly increased in group C compared to either group A (P = .00) or group B (P = .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 < .01).
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.
机械性颈部功能障碍（MND）是一个主要的健康负担。尽管姿势矫正练习（PCEs）常用于其治疗，但 Kinesio 贴扎（KT）的疗效受到了广泛关注。本研究旨在确定 KT 和 PCEs 对斜方肌提肌（LS）肌电图的影响。
91 例 MND 患者随机分为 3 组，分别接受 4 周的治疗：A 组，KT；B 组，PCE；C 组，两种干预措施。用数字疼痛评分量表和表面肌电图分别在治疗前和治疗后测量颈痛、LS 均方根（RMS）和中位数频率（MDF），评估者对患者的分组情况不知情。
多变量方差分析表明，组间存在统计学上的显著交互作用（P=0.000）。与 B 组相比，C 组疼痛强度显著降低（P=0.001）。与 A 组和 B 组相比，C 组 RMS 的均值显著降低（P=0.001），而 MDF 显著增加（P=0.001），C 组与 A 组（P=0.026）和 B 组（P=0.026），与 B 组相比，A 组（P=0.26）。配对 t 检验显示，所有组的疼痛和 RMS 均显著降低，MDF 均显著增加（P<0.01）。
与单独应用任何一种干预措施相比，同时应用 KT 和 PCE 联合治疗可以显著减轻 MND 患者的颈痛并使 LS 活动正常化。
