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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