| Summary: | 碩士 === 國立臺東大學 === 進修部運動休閒管理碩(假日) === 105 === Recently, the use of electronic products and changes in the type of work, neck pain is also more and more common. The incidence of neck pain in 1 year was between 10.4% and 21.3%, while office and computer workers had a higher incidence of neck pain, and the prevalence of high-income countries was higher than that of low- and middle-income countries. The city area is higher than the rural area. Neckache of the high prevalence rate, more than 5% of patients will have daily life and functional activities will be limited.
Taping is often used in the prevention of sports injuries and rehabilitation therapy, which by the cloth with breathable, extended and appropriate adhesion, can be up to 3-5 days in the human body, the human skin to be pulled, and to improve muscle contraction capacity, improve blood and lymph circulation, adjust the muscle, fascia and joint abnormal arrangement. Studies have shown that intramuscular attachment for acute neck pain can improve the neck rotation angle and pain index. And whether the different intramuscular effect of taping intervention is effective, in different patients have the same effect, it is worth to explore the problem.
This study was randomized-control designed to explore the epidermis, dermis and fascia taping method for the treatment of neck pain and to understand the taping difference between acute and chronic neck pain. In this study, 22 patients with neck pain were recruited and randomly assigned into 2 groups: taping group and control groups. By means of different attachment methods, the epidermal dermis and fascia group were combined with general rehabilitation therapy. Basic data, and neck disability index are collected before taped. Self-reported pain (100mm VAS), disability , cervical range of motion and pressure pain threshold(PPT) were measured before taped, taped immediately and 48 hours after intervention.
The pressure pain threshold (PPT) was 3.0 ± 0.8 kg / cm2 in the taping group and 2.2 ± 0.6 kg / cm2 in the control group after 48 hours. The taping group increased the tolerance to the pressure (p = 0.015). The increase of the neck flexion angle of the control group was 43.6 ± 6.5 degrees, the taping group increased to 36.5 ± 3.9 degrees, and the statistical difference was significant (p = 0.004). The Self-reported pain scale had improvement in taping group 30.2±19.3, no improvement in control group 43.1±20.9 (P = 0.150), there was no significant difference between the two groups (p = 0.150). The Global Rating of Changes Scales (GRCS) had improvement of the taping group was significantly different from the control group (Taping group excellent 46%, good 46%, poor 8% , control group good 44%, poor 56%, p = 0.004).
Epidermis, dermis and fascia taping methods, in patients with symptoms of more than a week of non-acute neck pain, can be effective within 48 hours to improve the pressure pain threshold (PPT), and in the global rating of changes scales (GRCS), although the self-reported pain and some neck range of motion did not achieve the desired results, but the paste treatment is a kind of no need to spend a lot of manpower, material and time of treatment, it is recommended to use the "epidermis, dermis and fascia taping method" treatment of cervical muscle fascia pain patients.
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