Acute Effect of Myofascial Release and Kinesiology Taping

Istanbul University - Cerrahpasa (IUC)

Status: Completed

Conditions: Kinesio Taping; Myofascial Release Technique; Low Back Pain

Treatments: Other: Myofascial Release Technique and Kinesiology Taping

Study type: Interventional

Funder types: Other

Identifiers

NCT05319184

003

Details and patient eligibility

About

Chronic low back pain (LBP) is one of the leading causes of activity limitation and disability. The prevalence of chronic CBA among young adults is known to increase, and a recent epidemiological study reported a rate of 42.4% per year among young adults. Studies show that changes in the paravertebral muscles have an important relationship with the formation of Chronic LBP, and therefore, evaluation of the mechanical properties of the paravertebral muscles is of great importance for the clinical diagnosis and treatment of Chronic LBP.

Mechanical properties of the muscle, such as muscle stiffness and tone, are considered essential for maintaining efficient muscle contraction. Abnormally high muscle tone blocks blood flow, leading to faster muscle fatigue and slower muscle recovery. When there is abnormally high muscle stiffness, stretching the stiffened antagonist muscles requires more effort, resulting in lower exercise efficiency. Muscle stiffness is one of the critical indicators of energy storage of the muscle-tendon unit, which has a significant effect on the control of joint movement. Altered tone and stiffness in the lumbar myofascial region have been described in association with underlying pathologies and symptoms in people with Chronic LBP. Rehabilitation interventions such as manual therapy or therapeutic exercises are common techniques for the treatment of chronic Chronic LBP because of their benefits in altering muscle tone and stiffness by reducing paraspinal muscle activity.

Although the effectiveness of the myofascial release technique in individuals with Chronic LBP is supported in the literature, the long-term use of the therapist's hand support creates difficulties in practice in the clinical setting. The KT technique, on the other hand, seems to be a method that can be used as an alternative to myofascial release technique in the treatment of Chronic LBP, since it is an easy-to-use and time-consuming approach. When the studies conducted to date are examined, no study has been found that compares the effectiveness of myofascial release and kinesiology taping applied to individuals with Chronic LBP. The aim of our study is to compare the acute effect of myofascial release and kinesiology taping in individuals with Chronic LBP.

Enrollment: 60 patients

Sex: All

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being between the ages of 18-45
• Being diagnosed with nonspecific chronic low back pain (lasting longer than 3 months)
• Volunteering to participate in the study

Exclusion criteria

• Those who have had major surgery or trauma related to the musculoskeletal system, especially the lumbar region
• Those with neurological disease
• Those with rheumatic disease in the active period
• Those with systemic diseases (Diabetes, hypothyroidism, infection, malignancy...)
• Those with serious psychological problems (BDI score of 30 and above)
• Those with kinesiology tape allergies
• Those with contraindications to myofascial release therapy (acute inflammations, viral and bacterial infections, infectious diseases, fever, deep vein thrombosis, active malignant disease, aneurysms)
• Those who received physiotherapeutic intervention to the lumbar region in the last 6 months
• Obesity (BMI≥30 kg/m2)
• Pregnancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 3 patient groups

Myofascial Release Group

Experimental group

Description:

The application will be made with the patient in the prone position. By applying a few grams of constant force to the lumbar paravertebral muscles bilaterally with the hand of the physiotherapist in the direction of restriction for 3-5 minutes, the fascia will be stretched and allow the tissue to relax on its own. Thus, it is aimed to decrease the tone and stiffness of the paravertebral muscles.

Treatment:

Other: Myofascial Release Technique and Kinesiology Taping

Kinesiology Taping Group

Experimental group

Description:

During the application, the participants will be positioned standing and facing backwards due to the ease of application. While taping the lumbar region, the kinesiology tape cut as a long strip (I tape) will be applied paravertebrally to the right and left sides of the spine. Rounded corners will be created to prevent premature loosening and unwanted bends in the belt. The patient will be asked to perform maximum trunk flexion and 2 I-shaped pieces will be taped with 10-15% tension from the lumbar region to the thoracic region. The tape will remain on the patient's skin for 30 minutes.

Treatment:

Other: Myofascial Release Technique and Kinesiology Taping

Control Group

No Intervention group

Description:

No intervention.