Miyofasiyal ağrı sendromlu hastalarda kinezyo bantlama ve kuru iğnelemenin plasebo etkisinin karşılaştırılması
Abstract
Amaç: "Bu çalışma, orofasiyal bölgede miyofasyal ağrı sendromu (MPS) olan hastalar için uygun maliyetli ve kolay uygulanabilir tedavi yöntemleri olan kinezyolojik bantlama ve kuru iğnelemenin etkinliğini değerlendirmiştir.
Gereç ve Yöntem: Miyofasiyal ağrı sendromu tanısı almış toplam 46 hasta rastgele üç gruba ayrılmıştır: kinezyo bantlama (n=15), kuru iğneleme (n=16) ve yalancı kuru iğneleme (n=15). Değerlendirmeler tedavi öncesi, tedaviden sonra 1. gün, 3. hafta ve 3. ayda yapılmıştır. Ağrı düzeyi Görsel Analog Skala ile, ağız açıklığı gonyometrik ölçüm ile, depresyon düzeyi Beck Depresyon Ölçeği ile ve yaşam kalitesi 36 Maddelik Kısa Form Sağlık Anketi ile değerlendirilmiştir.
Bulgular: Tüm gruplarda zamanla ağrı düzeyinde azalma gözlenmiştir. Görsel Analog Skala puanları kinezyo bantlama grubunda 6.26’dan 4.42’ye, kuru iğneleme grubunda 6.10’dan 4.14’e, yalancı kuru iğneleme grubunda ise 5.75’ten 4.20’ye düşmüştür. Ağız açıklığında her üç grupta da artış izlenmiştir ancak gruplar arası fark istatistiksel olarak anlamlı bulunmamıştır. Üçüncü haftada, tedavi gruplarında 36 Maddelik Kısa Form Sağlık Anketi fiziksel işlev puanlarında anlamlı iyileşme saptanmıştır). Beck Depresyon Ölçeği skorları kinezyo bantlama grubunda anlamlı bir artış göstermiştir (53.86’dan 65.46’ya).
Sonuç: Kinezyo bantlama ve kuru iğneleme, miyofasiyal ağrı sendromu hastalarında ağrının azaltılması, yaşam kalitesinin artırılması ve fiziksel işlevin iyileştirilmesi açısından etkili yöntemlerdir. Ancak kuru iğneleme, tedavi sonrası depresyon düzeylerinde daha düşük artışla ilişkilendirilmiştir. Bu bulgular, her iki tedavi yönteminin de klinik uygulamalarda değerlendirilebileceğini göstermektedir.
References
- Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Med Clin North Am. 2007;91:229–39.
- Liu F, Steinkeler A. Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am. 2013;57:465–79.
- Vázquez Delgado E, Cascos-Romero J, Gay Escoda C. Myofascial pain associated to trigger points: a literature review. Part 2: differential diagnosis and treatment. Med Oral Patol Oral Cir Bucal. 2010;15:e639–43.
- Malanga GA, Colon EJC. Myofascial low back pain: a review. Phys Med Rehabil Clin N Am. 2010;21:711–24.
- Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Pract Res Clin Rheumatol. 2011;25:185–98.
- Yılmaz E. Comparison of the effectiveness of trigger point injection alone and combined with kinesio taping in myofascial pain syndrome. Bozok Med J. 2021;11:13–21.
- Tüzün F. Soft tissue rheumatism. In: Tüzün F, Eryavuz M, Akarırırmak B, eds. Diseases of the Musculoskeletal System. Istanbul: Nobel Med; 1997:159–73.
- Uyar M, Aydın Ö. Myofascial pain syndrome and other musculoskeletal pain origins. In: Pain. 3rd ed (Ed S Erdine):476-92. Istanbul, Nobel Med, 2007:476–92.
- Amasyalı SY, Dıraçoğlu D. Current perspectives in the pathophysiology of myofascial pain syndrome. Nobel Medicus. 2014;10:5–11.
- Özgül A, Adıgüzel E. Non-inflammatory pain in muscle tissue. Turk Klin J Phys Med Rehabil Spec Top. 2014;7:15–23.
- Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual. Vol. 2. Philadelphia: Lippincott Williams & Wilkins; 1983.
- Dohrenwend BP, Raphael KG, Marbach JJ, Gallagher RM. Why is depression comorbid with chronic myofascial face pain? A family study test of alternative hypotheses. Pain. 1999;83:183–92.
- Şendur ÖF, Kahvecioğlu F. Painful muscle syndromes. In: Sarıfakıoğlu B, ed. Medical Rehabilitation. 3rd ed. Istanbul: Nobel Med; 2015:1011–24.
- Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Pract Res Clin Rheumatol. 2011;25:185–98.
- Yalçın P, Yıldızlar D. Myofascial pain syndromes. In: Ataman Ş, Yalçın P, eds. Rheumatology. 1st ed. Ankara: MN Med & Nobel Med; 2012:777–89.
- Borman P, Zinnuroğlu M. Kinesio taping in musculoskeletal system disorders. Ankara: Türkiye Klinikleri; 2017:1–18.
- Kase K. Clinical therapeutic applications of the kinesio taping method. Albuquerque: Kinesio Taping Assoc. 2003.
- Çeliker R, Güven Z, Aydoğ T, Bağiş S, Atalay A, Çağlar Yağcı H, Korkmaz NK. Kinesiology taping technique and its areas of application. J Phys Med Rehabil Sci. 2011;14.
- Słupik A, Dwornik M, Białoszewski D, Zych E. Effect of kinesio taping on bioelectrical activity of the vastus medialis muscle: preliminary report. Ortop Traumatol Rehabil. 2007;9:644–51.
- Cummings TM, White AR. Needling therapies in the management of myofascial trigger point pain: a systematic review. Arch Phys Med Rehabil. 2001;82:986–92.
- Borg-Stein J, Simons DG. Myofascial pain. Arch Phys Med Rehabil. 2002;83:40–7.
- Özgül A. Dry needling: pathophysiological basis and its use in myofascial pain. Turk Klin J Phys Med Rehabil Spec Top. 2014;7:37–47.
- Ziaeifar M, Arab AM, Karimi N, Nourbakhsh MR. The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle. J Bodyw Mov Ther. 2014;18:298–305.
- Lewit K. The needle effect in the relief of myofascial pain. Pain. 1979;6:83–90.
- Shah JP, Danoff JV, Desai MJ, Parikh S, Nakamura LY, Phillips TM, Gerber LH. Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points. Arch Phys Med Rehabil. 2008;89:16–23.
- Ziaeifar M, Arab AM, Karimi N, Nourbakhsh MR. The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle. J Bodyw Mov Ther. 2014;18:298–305.
- Akgül O, Gökçe E. Validity and reliability of the Turkish version of the visual analog scale in musculoskeletal disorders. Turk J Phys Med Rehabil. 2009;55:91-5.
- Güneri P, İlhan B, Çankaya H. Evaluation of mouth opening in the Turkish population: normal values and relationship with TMD. Turk Dishek Derg. 2010;61:73-8.
- Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Reliability and validity of the Turkish version of the short form-36 (SF-36). Ilac Tedavi Derg. 1999;12:102-6.
- Hisli N. Beck depresyon envanterinin geçerliliği üzerine bir çalışma. Psikoloji Dergisi. 1989;7:3-13.
- Öztürk G, Külcü DG, Mesci N, Şilte AD, Aydoğ E. Efficacy of kinesio tape application on pain and muscle strength in patients with myofascial pain syndrome: a placebo-controlled trial. J Phys Ther Sci. 2016;28:1074-9.
- Jaroń A, Preuss O, Konkol B, Trybek G. Quality of life of patients after kinesio tape applications following impacted mandibular third molar surgeries. J Clin Med. 2021;10:2197.
- Tekin L, Akarsu S, Durmuş O, Çakar E, Dinçer U, Kiralp MZ. The effect of dry needling in the treatment of myofascial pain syndrome: a randomized double-blinded placebo-controlled trial. Clin Rheumatol. 2013;32:309-15.
- Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006;6:247.
- Yılmaz M, Günaydın R, Aydin T, Polat M. Comparison of kinesio taping and dry needling in the treatment of cervical myofascial pain syndrome. J Musculoskelet Pain. 2022;30:55-62.
- Keskinruzgar A, Kucuk AO, Yavuz GY, Koparal M, Caliskan ZG, Utkun M. Comparison of kinesio taping and occlusal splint in the management of myofascial pain in patients with sleep bruxism. J Back Musculoskelet Rehabil. 2019;32:1-6.
- Wang Y, Zhu X, Guo J, Sun J. Can kinesio taping improve discomfort after mandibular third molar surgery? A systematic review and meta-analysis. Clin Oral Investig. 2021;25:5139-48.
Comparison of the placebo effect of kinesio taping and dry needling in patients with myofascial pain syndrome
Abstract
Purpose: This study assessed the effectiveness of affordable, easy-to-apply kinesiology taping and dry needling for myofascial pain syndrome (MPS) in the orofacial region.
Materials and Methods: Forty-six patients diagnosed with MPS were randomly assigned to one of three groups: kinesiology taping (n = 15), dry needling (n = 16), or sham dry needling (n = 15). Evaluations were conducted at baseline, Day 1, Week 3, and Month 3. Assessment tools included the Visual Analog Scale (VAS), goniometric mouth opening, Beck Depression Inventory (BDI), and the 36-Item Short Form Survey (SF-36).
Results: All groups demonstrated a reduction in pain over time. VAS scores decreased from 6.26 to 4.42 in the kinesiology taping group, from 6.10 to 4.14 in the dry needling group, and from 5.75 to 4.20 in the sham group. Maximum mouth opening increased in all groups by Month 3. For example, the kinesiology group improved from 29.53 mm to 31.40 mm. However, the intergroup differences were not statistically significant. Significant improvement was observed in SF-36 physical function scores in both treatment groups compared to the sham group at Week 3. Depression levels (BDI scores) increased significantly in the kinesiology taping group, rising from 53.86 to 65.46. In contrast, the dry needling and sham groups showed more stable scores.
Conclusion: Both kinesiology taping and dry needling were effective in reducing pain. They also improved quality of life and physical function in patients with MPS. However, dry needling was associated with a smaller increase in depression levels following treatment. These findings support the clinical use of both techniques as viable treatment options for MPS.
Ethical Statement
This study was approved by the Clinical Research Ethics Committee of Hatay Mustafa Kemal University, Tayfur Ata Sokmen Faculty of Medicine on June 24, 2021, with protocol number 2021/79 (Decision No: 15). Written informed consent was obtained from all participants involved in the study
Supporting Institution
Hatay Mustafa Kemal University, Faculty of Dentıstry, Oral of Maxıllofascıal Surgery
References
- Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Med Clin North Am. 2007;91:229–39.
- Liu F, Steinkeler A. Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am. 2013;57:465–79.
- Vázquez Delgado E, Cascos-Romero J, Gay Escoda C. Myofascial pain associated to trigger points: a literature review. Part 2: differential diagnosis and treatment. Med Oral Patol Oral Cir Bucal. 2010;15:e639–43.
- Malanga GA, Colon EJC. Myofascial low back pain: a review. Phys Med Rehabil Clin N Am. 2010;21:711–24.
- Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Pract Res Clin Rheumatol. 2011;25:185–98.
- Yılmaz E. Comparison of the effectiveness of trigger point injection alone and combined with kinesio taping in myofascial pain syndrome. Bozok Med J. 2021;11:13–21.
- Tüzün F. Soft tissue rheumatism. In: Tüzün F, Eryavuz M, Akarırırmak B, eds. Diseases of the Musculoskeletal System. Istanbul: Nobel Med; 1997:159–73.
- Uyar M, Aydın Ö. Myofascial pain syndrome and other musculoskeletal pain origins. In: Pain. 3rd ed (Ed S Erdine):476-92. Istanbul, Nobel Med, 2007:476–92.
- Amasyalı SY, Dıraçoğlu D. Current perspectives in the pathophysiology of myofascial pain syndrome. Nobel Medicus. 2014;10:5–11.
- Özgül A, Adıgüzel E. Non-inflammatory pain in muscle tissue. Turk Klin J Phys Med Rehabil Spec Top. 2014;7:15–23.
- Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual. Vol. 2. Philadelphia: Lippincott Williams & Wilkins; 1983.
- Dohrenwend BP, Raphael KG, Marbach JJ, Gallagher RM. Why is depression comorbid with chronic myofascial face pain? A family study test of alternative hypotheses. Pain. 1999;83:183–92.
- Şendur ÖF, Kahvecioğlu F. Painful muscle syndromes. In: Sarıfakıoğlu B, ed. Medical Rehabilitation. 3rd ed. Istanbul: Nobel Med; 2015:1011–24.
- Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Pract Res Clin Rheumatol. 2011;25:185–98.
- Yalçın P, Yıldızlar D. Myofascial pain syndromes. In: Ataman Ş, Yalçın P, eds. Rheumatology. 1st ed. Ankara: MN Med & Nobel Med; 2012:777–89.
- Borman P, Zinnuroğlu M. Kinesio taping in musculoskeletal system disorders. Ankara: Türkiye Klinikleri; 2017:1–18.
- Kase K. Clinical therapeutic applications of the kinesio taping method. Albuquerque: Kinesio Taping Assoc. 2003.
- Çeliker R, Güven Z, Aydoğ T, Bağiş S, Atalay A, Çağlar Yağcı H, Korkmaz NK. Kinesiology taping technique and its areas of application. J Phys Med Rehabil Sci. 2011;14.
- Słupik A, Dwornik M, Białoszewski D, Zych E. Effect of kinesio taping on bioelectrical activity of the vastus medialis muscle: preliminary report. Ortop Traumatol Rehabil. 2007;9:644–51.
- Cummings TM, White AR. Needling therapies in the management of myofascial trigger point pain: a systematic review. Arch Phys Med Rehabil. 2001;82:986–92.
- Borg-Stein J, Simons DG. Myofascial pain. Arch Phys Med Rehabil. 2002;83:40–7.
- Özgül A. Dry needling: pathophysiological basis and its use in myofascial pain. Turk Klin J Phys Med Rehabil Spec Top. 2014;7:37–47.
- Ziaeifar M, Arab AM, Karimi N, Nourbakhsh MR. The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle. J Bodyw Mov Ther. 2014;18:298–305.
- Lewit K. The needle effect in the relief of myofascial pain. Pain. 1979;6:83–90.
- Shah JP, Danoff JV, Desai MJ, Parikh S, Nakamura LY, Phillips TM, Gerber LH. Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points. Arch Phys Med Rehabil. 2008;89:16–23.
- Ziaeifar M, Arab AM, Karimi N, Nourbakhsh MR. The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle. J Bodyw Mov Ther. 2014;18:298–305.
- Akgül O, Gökçe E. Validity and reliability of the Turkish version of the visual analog scale in musculoskeletal disorders. Turk J Phys Med Rehabil. 2009;55:91-5.
- Güneri P, İlhan B, Çankaya H. Evaluation of mouth opening in the Turkish population: normal values and relationship with TMD. Turk Dishek Derg. 2010;61:73-8.
- Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Reliability and validity of the Turkish version of the short form-36 (SF-36). Ilac Tedavi Derg. 1999;12:102-6.
- Hisli N. Beck depresyon envanterinin geçerliliği üzerine bir çalışma. Psikoloji Dergisi. 1989;7:3-13.
- Öztürk G, Külcü DG, Mesci N, Şilte AD, Aydoğ E. Efficacy of kinesio tape application on pain and muscle strength in patients with myofascial pain syndrome: a placebo-controlled trial. J Phys Ther Sci. 2016;28:1074-9.
- Jaroń A, Preuss O, Konkol B, Trybek G. Quality of life of patients after kinesio tape applications following impacted mandibular third molar surgeries. J Clin Med. 2021;10:2197.
- Tekin L, Akarsu S, Durmuş O, Çakar E, Dinçer U, Kiralp MZ. The effect of dry needling in the treatment of myofascial pain syndrome: a randomized double-blinded placebo-controlled trial. Clin Rheumatol. 2013;32:309-15.
- Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006;6:247.
- Yılmaz M, Günaydın R, Aydin T, Polat M. Comparison of kinesio taping and dry needling in the treatment of cervical myofascial pain syndrome. J Musculoskelet Pain. 2022;30:55-62.
- Keskinruzgar A, Kucuk AO, Yavuz GY, Koparal M, Caliskan ZG, Utkun M. Comparison of kinesio taping and occlusal splint in the management of myofascial pain in patients with sleep bruxism. J Back Musculoskelet Rehabil. 2019;32:1-6.
- Wang Y, Zhu X, Guo J, Sun J. Can kinesio taping improve discomfort after mandibular third molar surgery? A systematic review and meta-analysis. Clin Oral Investig. 2021;25:5139-48.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery (Other) |
| Journal Section | Research |
| Authors | |
| Publication Date | June 30, 2025 |
| Submission Date | May 9, 2025 |
| Acceptance Date | June 10, 2025 |
| Published in Issue | Year 2025 Volume: 50 Issue: 2 |
