Immediate and Long Term Effect of Kinesiotaping on Cervical Core in Forward Head Posture: One Week Follow Up Study

Abstract

Background: For maintaining normal posture of cervical spine, deep cervical flexor muscle endurance is essentially required. Therefore, if muscle recruitment is impaired the balance between the stabilizers on the front and the back of the neck will be disrupted. This will cause loss of proper alignment of spinal segments and forward headed posture. It has been studied that Modified sphygmomanometer just like pressure biofeedback can be used as a assessment tool for measuring cervical core endurance. Kinesio -Taping (KT) has been developed as an adjunct to the treatment of musculoskeletal dysfunction and has improved over time to provide therapeutic effects which do not hinder the functionality of body segments. But, rather help in correcting or maintaining the alignment of body segments. There is lot of evidences available on immediate effect of kinesiotape but very few studies done on long term effectiveness.Materials and Method: 50 healthy asymptomatic young individuals within the age group of 18 -30 years having forward head posture were taken using random sampling. Cervical core muscle endurance was assessed by calculating activation score (mm Hg) using modified sphygmomanometer before and immediately after appllication of kinesiotape and the mean was recorded. On the 3 rd day the tape was removed and subject was reassessed for cervical muscle endurance and mean was recorded again. Repeated measure analysis was done for next 24 hours, 48 hours, 72 hours and 96 hours. The data recorded was used for statistical anlaysis.Results: There was significant statistical difference in the activation score pre and post application of kinesiotape using wilcoxon signed rank test (p <0.05). Thereafter, to analyse the long term effect of kinesiotape after its removal on 3 rd day (0 hours) onwards till next consecutive 4 days Bonferroni method for repeated measure analysis was used. It was found that there was no significant statistical difference between repeated measure analysis between 0-24 hours , 0-48hours, 24-48hours, 48-72hours, 72-96hours, 48-96hours (p> 0.05), but there is a significant reduction between 0-72hours (3 rd -6 th day), 0-96 hours (3 rd -7 th day), 24-96 hours (4 th -7 th day) (p <0.05).Conclusion: Thus our study to determine the immediate and long term effect of kinesiotaping on cervical core in forward head posture :one week follow up study concluded that there was no significant difference in the activation score (mm Hg) after the removal of kinesio tape post 24 hours, 48 hours and 72 hours but there was a significant reduction seen in activation score after 72 hours for next two consecutive days.

Efficacy of head postural correction program on craniovertebral angle, scapular position, and dominant hand grip strength in forward head posture subjects: A randomized controlled trial

“…Phone self‐reporting and direct supervision during clinic sessions are commonly used strategies for promoting exercise adherence (Falla et al., 2007; Hall et al., 2018). For the taping, tape replacement timing was based on manufacturer guidelines and studies of tape longevity (Sawant et al., 2017; Yoshida & Kahanov, 2007). Self‐monitoring tape condition and researcher notification for replacement are validated adherence methods (Parreira et al., 2014).…”

“…Then, the taped area was exposed, shaved and cleaned with alcohol. We replaced the tape every 3 days during the intervention or as needed based on adhesion and skin tolerance (Sawant et al., 2017).…”

“…At each in‐clinic session, exercise technique was monitored by the treating therapist to ensure proper form and provide progression as needed (Kashyap et al., 2018). For the taping component, the tape was replaced as needed based on adhesion status and participant tolerance (Sawant et al., 2017).…”

Correlation between Static Balance and Core Endurance among College Student with Forward Head Posture

“…Forward head posture leads to extension of atlanto occipital joint and upper cervical vertebrae as well as exaggerated anterior curve in the lower cervical vertebra and exaggerated posterior curve in upper thoracic vertebra to maintain balance 5 . This posture is also called "Scholar's neck", "Wearsie neck", "Reading neck" or "Turtle neck" 6,5 . FHP was identified by measuring craniovertebral angle.…”