Geler Külcü Duygu, Dinç Yavaş Arzu, Çakmak Bahar, Erhan Belgin, Sonel Tur Birkan, Ayhan Figen, Tuğba Bulut Gül, Soysal Merve, Mesci Nilgün, Alpoğuz Zeynep, Yazıcıoğlu Kamil, Keleş Elif Çiğdem
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, Istanbul, Türkiye.
Department of Physical Medicine and Rehabilitation, Istanbul Aydın University, Istanbul, Türkiye.
Turk J Phys Med Rehabil. 2024 Aug 26;70(3):309-318. doi: 10.5606/tftrd.2024.14151. eCollection 2024 Sep.
This study aims to investigate the efficacy of epidermis dermis fascia (EDF) kinesiotaping (KT) technique on pain intensity, number of active trigger points (TrPs), cervical range of motion (ROM) angles, and disability levels in patients with myofascial pain syndrome (MPS) on upper trapezius (UT) muscle.
Between January 2019 and January 2020, a total of 180 patients (21 males, 159 females; mean age: 35.9±9.0 years; range, 18 to 56 years) with MPS were included. The patients were randomized into either KT with EDF technique (Group 1) or sham KT (Group 2). Outcome measures were Visual Analog Scale (VAS) pain score, number of active TrPs, cervical ROM angles, and Neck Pain Disability Scale (NPDS).
Both groups improved in terms of all outcome parameters except for cervical flexion and extension angles in Group 2. The VAS pain scores significantly decreased in Group 1 (p<0.0001) significantly improved in Group 1. Cervical left (p=0.001) and right (p<0.0001) lateral flexion angles significantly improved in Group 2. There was no significant difference between the groups regarding cervical ROM angles.
Our study results suggest that KT with the EDF technique is an effective method in reducing pain and number of active TrPs, improving disability and cervical ROM angles.
本研究旨在探讨表皮-真皮-筋膜(EDF)肌内效贴技术对肌筋膜疼痛综合征(MPS)患者上斜方肌(UT)疼痛强度、活性触发点(TrP)数量、颈椎活动范围(ROM)角度及功能障碍水平的疗效。
纳入2019年1月至2020年1月期间共180例MPS患者(男性21例,女性159例;平均年龄:35.9±9.0岁;范围18至56岁)。患者被随机分为EDF技术肌内效贴组(第1组)或假肌内效贴组(第2组)。观察指标包括视觉模拟量表(VAS)疼痛评分、活性TrP数量、颈椎ROM角度及颈部疼痛功能障碍量表(NPDS)。
除第2组颈椎屈伸角度外,两组所有观察指标均有改善。第1组VAS疼痛评分显著降低(p<0.0001),第1组显著改善。第2组颈椎左侧(p=0.001)和右侧(p<0.0001)侧屈角度显著改善。两组颈椎ROM角度无显著差异。
我们的研究结果表明,EDF技术肌内效贴是减轻疼痛和活性TrP数量、改善功能障碍和颈椎ROM角度的有效方法。