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By
Aliaa Mohamed El-Abd
• Prof. Dr.
Do kinesio taping and/or postural correction
exercises have an effect on severity of pain, neck disability
cervical spine curvature, cervical muscles activation
amplitudes, and frequencies in patients with mechanical
neck dysfunction?
The purpose of this study was to determine the
effect of kinesio taping and postural correction
exercises on neck pain level, neck disability, cervical
spine curvature, cervical muscles activation
amplitudes and frequencies in patients with
mechanical neck dysfunction.
• There was no statistical significant effect of applyingkinesio taping on pain level, function level, cervicalspine curvature, cervical muscles activities in patientswith mechanical neck dysfunction.
•There was no statistical significant effect of postural correction exercises on pain level, function level, cervical spine curvature, and cervical muscles activities in patients with mechanical neck dysfunction.
• There was no statistical significant effect ofcombined kinesio taping and postural correctionexercises on pain level, function level, cervicalspine curvature, cervical muscles activities inpatients with mechanical neck dysfunction.
• A pre and post treatment test experimental studydesign was used.
Forty five patients diagnosed by orthopedist withmechanical neck dysfunction of both sexes (35females and 10 males) with age ranging from 20-35 years participated in this study.
•chronic mechanical neck pain (<3months duration)
•The neck disability index is above 15
•cervical lordotic curve less than 34°
cervical disc problems or cervical spondylosis, ankylosing
spondylitis, osteoporosis, cervical rib, post-surgical neck
conditions, and subjects allergic to kinesio tape.
After voluntarily signing a consent form, subjects were
equally and randomly assigned in to 3 groups
Group A: 15 Patients received kinesio tape.
postural correction received Patients 15 Group B:exercises
Group C:15 Patients received both kinesio tape and postural correction exercises.
Visual Analogue Scale (VAS)
Neck Disability Index (NDI)
kinesiological Electromyography (EMG)
Flexible ruler (flexicurve)
Delsys Myomonitor Portable EMG System.(a)Main unit, (b) Reference electrode, (c) Docking module, (d) Input module,(e) wireless USB adaptor, (f) reference electrode cable, (g) Input module cable & (h) Sensor (active electrode)
electrodes positions
Assessment of MVIC of RT upper trapezius
Analysis of EMG data:
• Normalized RMS %=EMGamplitude during writingtask / (average of the 3 trialsEMG MAX)*100
• Midian frequency wascalculated from the raw EMGsignal.
writing task
flexible ruler against patient,s cervical spine
Measurement of cervical curve:
Treatment procedures
Application of kinesio tape
Cervical Retraction Exercise Scapular Retraction Exercise
6.07
3.07
6.07
3.47
6.13
2.4
0
1
2
3
4
5
6
7
8
Mea
n va
lue
Group A Group B Group C
Pre-treatment Post-treatment
mean values of VAS in the three studied groups measured pre- and post-treatment.
mean values of NDI in the three studied groups measured pre- and post-treatment.
26.94
15.07
30.74
20.05
31.25
14.78
0
5
10
15
20
25
30
35
40
Mea
n va
lue
Group A Group B Group C
Pre-treatment Post-treatment
mean values of cervical curve in the three studied groups measured pre- and post-treatment.
23.81
34.55
24.15
32.01
20.75
32.53
05
1015
20253035
4045
Mea
n va
lue
Group A Group B Group C
Pre-treatment Post-treatment
mean values of upper trapezius normalized RMS in the three studied groups measured pre- and post-treatment.
11.07
4.79
11.8
6.87
10.85
3.53
0
2
4
6
8
10
12
14
Mea
n va
lue
Group A Group B Group C
Pre-treatment Post-treatment
mean values of upper trapezius MDF in the three studied groups measured pre- and post-treatment.
61.59
76.12
57.27
75.61
60.41
88.29
0102030405060708090
100
Mea
n va
lue
Group A Group B Group C
Pre-treatment Post-treatment
mean values of levator scapula normalized RMS in the three studied groups measured pre- and post-treatment.
17.24
11.56
15.98
7.87
15.58
7.67
02468
101214161820
Mea
n va
lue
Group A Group B Group C
Pre-treatment Post-treatment
mean values of levator scapula MDF in the three studied groups measured pre- and post-treatment.
52.63
67.28
56.16
78.19
58.27
80.46
0102030405060708090
100
Mea
n va
lue
Group A Group B Group C
Pre-treatment Post-treatment
Kinesio taping is an effective treatment modality for MND.
Postural correction exercises program is an effective
treatment modality for MND.
Combination of kinesio taping and postural correction
exercises program has better effect than application of
each modality alone
comparing between kinesio taping and other types oftapes
Replication of the study for evaluating the long termeffect of all groups
investigating combination of KT and other treatmentmodalities
Investigating combination of postural correctionexercises and other treatment modalities
