Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180064
Brazilian Journal of Pain
Original Article

Comparison of the application of elastic bandage and medical tape in pain reduction in primary and secondary teachers

Comparação da aplicação de bandagem elástica e esparadrapo na redução da dor em professores de ensino fundamental e médio

Debora Mottin; Cássio Preis; Luiz Bertassoni Neto

Downloads: 0
Views: 210

Abstract

BACKGROUND AND OBJECTIVES: The convolutions generated on the patient’s skin with the application of the elastic bandage reduce the pressure on the mechanoreceptors and thus, the nociceptive stimulus. The objective of this study was to compare the effect of the elastic bandage application with the application of the medical tape in myofascial pain in the region of the upper fibers of the trapezius muscle in teachers.

METHODS: Participants were assessed using the McGill-Melzack Pain questionnaire and the numeric pain rating scale, palpation for the detection of trigger points, goniometry for shoulder abduction and lateral neck flexion, and the upper trapezius muscle strength test. Participants were randomly divided into two groups. In the first moment, the participants of group A received an application of elastic bandage, with the “Y” technique, and those belonging to group B received the application of the same technique, however, using the medical tape. Both groups were reassessed after teaching class and after 24 hours. Two weeks later, there was the inversion of the materials used.

RESULTS: The sample consisted of 16 teachers. Group A had a significant statistical pain reduction, according to the numeric pain rating scale, between the initial assessment and post-application at the first moment (p=0.00) and at the second moment (p=0.02). A similar result was found in group B, according to the numeric pain rating scale, both at the first moment (p=0.01) and at the second moment (p=0.03). In both groups, there was pain attenuation with no significance on the effect of the elastic bandage or the medical tape.

CONCLUSION: The application of elastic bandage has the same effect that the medical tape in reducing pain.

Keywords

Faculty, Myofascial pain syndromes, Pain, Physical therapy, Physical therapy modalities

Resumo

JUSTIFICATIVA E OBJETIVOS: As circunvoluções geradas na pele do paciente com a aplicação da bandagem elástica reduzem a pressão dos mecanorreceptores e assim, o estímulo nociceptivo. O objetivo deste estudo foi comparar o efeito da aplicação da bandagem elástica com a aplicação de esparadrapo na dor miofascial na região das fibras superiores do músculo trapézio de professores.

MÉTODOS: Os participantes foram avaliados através do questionário da dor de McGill-Melzack e a escala numérica, palpação para detecção de pontos-gatilho, goniometria de abdução do ombro e láteroflexão de cervical e teste de força no músculo trapézio superior. Aleatoriamente foram divididos em dois grupos. No primeiro momento, os participantes do grupo A, receberam a aplicação de bandagem elástica, com a técnica em “Y” e, os pertencentes ao grupo B, receberam a aplicação da mesma técnica, entretanto com esparadrapo. Ambos os grupos foram reavaliados após ministrar aula e após 24 horas. Duas semanas após, ocorreu a inversão dos materiais utilizados.

RESULTADOS: A amostra foi constituída por 16 professores. O grupo A apresentou redução estatisticamente significativa da dor na escala numérica entre a avaliação inicial e pós-aplicação no primeiro momento (p=0,00) e no segundo momento (p=0,02). Resultado semelhante foi encontrado no grupo B na escala numérica, tanto no primeiro momento (p=0,01) quanto no segundo momento (p=0,03). Em ambos os grupos a dor atenuou sem haver significância para o efeito da bandagem elástica ou esparadrapo.

CONCLUSÃO: A aplicação de bandagem elástica apresenta o mesmo efeito da aplicação de esparadrapo para a redução do quadro álgico.

Palavras-chave

Dor, Fisioterapia, Modalidades de fisioterapia, Professores, Síndromes da dor miofascial

References

Bae Y. Change the myofascial pain and range of motion of the temporomandibular joint following kinesio taping of latent myofascial trigger points in the sternocleidomastoid muscle. J Phys Ther Sci. 2014;26(9):1321-4.

Wu WT, Hong CZ, Chou LW. The kinesio taping method for myofascial pain control. Evid Based Complement Alternat Med. 2015;2015:950519.

Cardoso JP, Araújo TM, Carvalho FM, Oliveira NF, Reis EJ. Psychosocial work-related factors and Musculoskeletal pain among schoolteachers. Cad Saude Publica. 2011;27(8):1498-506.

Erick PN, Smith DR. A systematic review of musculoskeletal disorders among school teachers. BMC Musculoskeletal Disord. 2011;12(260):1-11.

Jung-Ho L, Min-Sik Y, Bong-Jun K, Jin-Sang K. The effect of stabilization exercises combined with taping therapy on pain and function of patients with myofascial pain syndrome. J Phys Ther Sci. 2012;24(12):1283-7.

Luz Júnior MA, Sousa MV, Neves LA, Cezar AA, Costa LO. Kinesio Taping(r) is not better than placebo in reducing pain and disability in patients with chronic non-specific low back pain: a randomized controlled trial. Braz J Phys Ther. 2015;19(6):482-90.

González-Iglesias J, Fernández-de-Las-Peñas C, Cleland JA, Huijbregts P, Del Rosario Gutierrez-Vega M. Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. J Orthop Sports Phys Ther. 2009;39(7):515-21.

Sijmonsma J. TNM Manual da Banda Neuromuscular. 2000.

Taylor RL, O'Brien L, Brown T. A scoping review of the use of elastic therapeutic tape for neck or upper extremity conditions. J Hand Ther. 2014;27(3):235-46.

Castro-Sánchez AM, Lara-Palomo IC, Matarán-Peñarrocha GA, Fernández-Sánchez M, Sánchez-Labraca N, Arroyo-Morales M. Kinesio Taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial. J Physiother. 2012;58(2):89-95.

Kachanathu SJ, Alenazi AM, Seif HE, Hafez AR, Alroumim MA. Comparison between Kinesio Taping and a Traditional Physical Therapy program in treatment of nonspecific low back pain. J Phys Ther Sci. 2014;26(8):1185-8.

Paoloni M, Bernetti A, Fratocchi G, Mangone M, Parrinello L, Del Pilar Cooper M. Kinesio Taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehabil Med. 2011;47(2):237-44.

Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesiotape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther. 2008;38(7):389-95.

Montalvo AM, Cara EL, Myer GD. Effect of kinesiology taping on pain in individuals with musculoskeletal injuries: systematic review and meta-analysis. Phys Sportsmed. 2014;42(2):48-57.

Parreira P do C, Costa Lda C, Takahashi R, Hespanhol Junior LC, Luz Junior MA, Silva TM. Kinesio taping to generate skin convolutions is not better than sham taping for people with chronic non-specific low back pain: a randomised trial. J Physiother. 2014;60(2):90-6.

Kalron A, Bar-Sela S. A systematic review of the effectiveness of Kinesio Taping--fact or fashion?. Eur J Phys Rehabil Med. 2013;49(5):699-709.

Ossipov MH, Dussor GO, Porreca F. Central modulation of pain. J Clin Invest. 2010;120(11):3779-87.

Magee DJ. Avaliação musculoesquelética. 2010.

Kendall FP, McCreary EK, Provance PG, Rodgers M, Romani WI. Músculos: provas e funções. 2007.

Moraska AF, Hickner RC, Kohrt WM, Brewer A. Changes in blood flow and cellular metabolism at a myofascial trigger point with trigger point release (ischemic compression): a proof-of-principle pilot study. Arch Phys Med Rehabil. 2013;94(1):196-200.

Zhang Y, Ge HY, Yue SW, Kimura Y, Arendt-Nielsen L. Attenuated skin blood flow response to nociceptive stimulation of latent myofascial trigger points. Arch Phys Med Rehabil. 2009;90(2):325-32.

Lim EC, Tay MG. Kinesio taping in musculoskeletal pain and disability that lasts for more than 4 weeks: is it time to peel off the tape and throw it out with the sweat? A systematic review with meta-analysis focused on pain and also methods of tape application. Br J Sports Med. 2015;49(24):1558-66.

Saavedra-Hernández M, Castro-Sánchez AM, Arroyo-Morales M, Cleland JA, Lara-Palomo IC, Fernández-de-las-Penas C. Short term effects of kinesiotaping versus cervical thrust manipulation in patients with mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2012;42(8):724-30.

Artioli DP, Bertolini GR. Kinesio Taping: aplicação e seus resultados sobre a dor. Fisioter Pesq. 2014;21(1):94-9.

Ge HY, Arendt-Nielsen L. Latent myofascial trigger points. Curr Pain Headache Rep. 2011;15(5):386-92.

Lee SH, Chen CC, Lee CS, Lin TC, Chan RC. Effects of needle electrical intramuscular stimulation on shoulder and cervical myofascial pain syndrome and microcirculation. J Chin Med Assoc. 2008;71(4):200-6.

Aranha MF, Müller CE, Gavião MB. Pain intensity and cervical range of motion in women with myofascial pain treated with acupuncture and electroacupuncture: a double-blinded, randomized clinical trial. Braz J Phys Ther. 2015;19(1):34-43.


Submitted date:
05/01/2018

Accepted date:
09/17/2018

5f1f89a60e8825e514dc677c brjp Articles

BrJP

Share this page
Page Sections