Effect of Kinesio taping versus mechanical cervical traction combined with physiotherapy program on chronic neck pain in young female university students.
Amany E Abd-Eltawab, Mariam A Ameer
PMID 38577392WHAT IT FOUND
For young female students with chronic neck pain, adding cervical traction to a six-week heat, massage, stretching and strengthening program reduced pain and disability more than adding Kinesio tape or the program alone.
All groups got the program, so traction's benefit is the main point.
Key findings
01Adding cervical traction to the six-week program of infrared heat, massage, stretching and strengthening significantly reduced neck pain intensity, while the same program alone did not.
02After treatment, cervical traction plus the program reduced neck pain more than Kinesio tape plus the program.
03For neck disability, traction plus the program reduced scores more than the program alone (P < 0.001) and more than tape plus the program (P = 0.014), while tape plus the program did not differ from the program alone (P = 0.567).
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only female university students aged 19 to 23 years with chronic mechanical neck pain were studied, so the findings are restricted to women and may not apply to other populations. Participants were a convenience sample from one university physical therapy clinic, so they may not represent other settings or patients. The paper describes sealed-envelope allocation but also lists lack of randomization as a limitation, and it reports both 60 enrolled and 60 chosen from 75, so participant flow and allocation are unclear. The treating physiotherapist knew which intervention was given, and the added treatments were visibly different, so performance bias is possible even though participants and the examining physiotherapist were unaware of group assignment during evaluation. All groups received infrared heat, massage, stretching and strengthening, so the trial cannot show that traction or tape works without that program, nor can it separate which parts of the program mattered. The study followed participants only for 6 weeks, so longer-term effects are unknown. The authors did not compare subgroups of neck pain patients, so it is unclear which subgroup might benefit more from traction or tape.
Declared interests
The authors declared no potential conflicts of interest, and the paper states there was no funding for the research.
The easy way to misread this
Do not conclude that cervical traction alone reduced pain. All groups received a six-week program of infrared heat, massage, stretching and strengthening, so the trial compares adding traction or Kinesio tape to that program, not traction or tape by themselves.