Integrated Neuromuscular Inhibition Technique Versus Kinesiotape on Upper Trapezius Myofascial Trigger Points a Randomized Clinical Trial

Abstract

Background: This study was designed to inspect the effects of integrated neuromuscular inhibition technique (INIT) and kinesiotape (KT) on upper trapezius myofascial trigger points.Methods: Sixty subjects with active trigger points (53 females and seven males) were divided haphazardly into three equal groups. Group "A" received INIT three times/week while group "B" received KT twice per week for four weeks. Group "C" (control group) didn't receive any treatment but follow instructions. Visual Analogue Scale (VAS), Arabic Neck disability index (ANDI) and cervical range of motion (CROM) were used to evaluate subjects at two intervals (pretreatment and post-treatment).Results: Statistical analysis shown that there was a significant change within-group of VAS, ANDI, side bending at both side pre-post treatment at groups A, B and C while (p<0.05). Between-group analysis there was no significant change in pre value of all variables as (p>0.05) while post-treatment there was a significant change in all variables as (p<0.05). Conclusion:INIT and KT are most effective methods in the management of subjects with active trigger points at upper trapezius myofascial trigger points with superiority for INIT.

Evidence for kinesio taping in management of myofascial pain syndrome: a systematic review and meta-analysis

“…A total of 15 trials 7,9,[18][19][20][21][22]24,25,[27][28][29]32,33 involving 700 patients and 7 trials 7,9,10,18,22,27,31 with 346 patients were included to assess the effectiveness of kinesio taping for myofascial pain syndrome in terms of pain intensity at post-intervention and follow-up, respectively.…”

“…A total of 11 studies 9,[17][18][19][20][21][22]24,29,30,32 involving 566 patients and 3 studies 9,18,22 involving 193 patients investigated the post-intervention and follow-up effects of kinesio taping on myofascial pain syndrome in terms of range of motion compared with other treatments, respectively. Significant effects were observed in the meta-analysis of studies assessing range of motion in favour of kinesio taping at post-intervention (SMD = 0.26, 95% CI: 0.09 to 0.43, P = 0.003; I 2 = 44%, P = 0.005; Figure 4) on the basis of the fixed-effects model.…”

“…Based on the random-effects model, the pooled analyses of five trials [17][18][19]21,32 involving 259 patients and three trials 10,18,31 involving 154 patients also showed no significant difference between patients subjected to kinesio taping and those in the control group in terms of decreasing disability at post-intervention (SMD = −0.18, 95% CI: −0.56 to 0.21, P = 0.36; I 2 = 54%, P = 0.07; Supplemental Figure 2) and follow-up (SMD = −0.24, 95% CI: −1.32 to 0.83, P = 0.66; I 2 = 69%, P < 0.0001; Supplemental Figure 2), respectively. Furthermore, the subgroup meta-analyses based on different types of treatment methods also showed no significant difference between kinesio taping and invasive techniques in different periods and between kinesio taping and non-invasive techniques in different periods (P > 0.05).…”

“…A total of 660 articles were identified from the eight electronic databases, the reference lists of the included studies and the relevant reviews for eligible studies (Figure 1). After applying the inclusion and exclusion criteria, 20 RCTs 7,9,10,17–33 that involved 959 patients were eligible and included in the systematic review and meta-analysis. Supplemental Table 1 summarizes the study characteristics of all the included RCTs.…”

Effect of Integrated neuromuscular inhibition technique versus instrument assisted soft tissue mobilization on chronic mechanical neck pain

“…Mechanical Neck Pain (MNP) is mostly well-known muscular disorder [1]. It has no known identified cause and is considered as MNP [2].…”