Pain, NeckNCT05019781
The Effectiveness of Kinesio Taping in Violin Players
A study testing Therapeutic tape in people with Pain, Neck and Pain, Joint, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
Trial summary
This study aimed to investigate the effectiveness of Kinesio taping (KT) on playing-related pain, upper extremity and hand function, grip and pinch strength in violin players. One hundred seventeen participants who were professional violinists for at least two years were randomized to receive either therapeutic tape… Read more about this study
- Who is it for?
- Ages 18 to 35 years
- Conditions the study is for
- Pain, Neck, Pain, Joint, Pain, Shoulder
- What is being tested?
- Therapeutic tape
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 117 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Sep 2017to 31 Mar 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- aged between 18 and 35 years;
- professionally playing violin at least for two years;
- having playing-related musculoskeletal pain at neck and upper extremity [Visual Analogue Scale (VAS) ≥3]
- ability to read and write in Turkish; and
- able to follow simple instructions.
Who cannot join
- having significant musculoskeletal, neurologic, or cardiovascular disorders;
- a history of surgery on the upper limbs in the previous six months;
- the initiation of any analgesic intervention for musculoskeletal pain within the previous six weeks;
- known allergies to tape; and
- participation in physiotherapy and rehabilitation program in the last six months.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Istanbul University-Cerrahpasa
Istanbul, Bakırkoy, 34147
About this study
Official title: The Effectiveness of Kinesio Taping on Playing-related Pain, Function and Muscle Strength in Violin Players: a Randomized Controlled Clinical Trial
This study aimed to investigate the effectiveness of Kinesio taping (KT) on playing-related pain, upper extremity and hand function, grip and pinch strength in violin players. One hundred seventeen participants who were professional violinists for at least two years were randomized to receive either therapeutic tape application (KT group), a sham tape application (placebo group) or no application (control group) for one week. The primary outcome was the Disabilities of the Arm, Shoulder and Hand (DASH) in one week. The secondary outcomes were the Visual Analogue Scale (VAS), the Purdue Pegboard Test, grip and pinch strength. Outcome measures were performed at baseline, immediately after the intervention, and one week later (follow-up). Participants were asked to play the "Violin Concerto No.2, Op.35", and pre-and post-performance pain and grip and pinch strength were assessed.
Read the detailed description
Kinesio tape (KT), an alternative taping technique, is a method consisting of a tape with elastic properties and stretching capabilities used to treat pain or prevent injuries in conjunction with exercise.It has been concluded that KT intervention might not be helpful to reduce dystonic patterns or improve playing ability in musicians with focal hand dystonia. However, there is no enough study to conclude the effectiveness of KT application in Playing-related musculoskeletal disorders. Therefore, this study aimed to investigate the effect of KT on playing-related pain, upper extremity and hand function, grip and pinch strength in violin players compared to placebo KT application and control. As a secondary outcome, the investigators explored whether the pre-and post-performance effect of the KT on playing-related pain and grip and pinch strength.
- Being tested
- Therapeutic tape, Placebo tape
- Medical subject headings
- Neck Pain, Arthralgia, Shoulder Pain, Occupational Diseases, Musculoskeletal Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Therapeutic tapeOther
Tape was applied to sternocleidomastoid, upper trapezius, deltoid, flexor palmaris longus muscles as suggested by Kase et al. (Kase, Wallis, Kase, \& Association, 2003). The tape was applied to the left side of the participants while sitting position because the violin is traditionally played by placing it on the left shoulder, balancing the neck using the left hand, and bowing with the right arm.
Placebo tapeOther
The placebo tape was applied transverse to the muscle groups in two levels (a point of 10 cm above to wrist and elbow) with no tension when the participants were sitting position with the shoulder flexed at 90°, and the elbow flexed at 90°.
| Study group | Role | What they receive |
|---|---|---|
| KT group | Experimental | Participants were received single session therapeutic tape application for one week. Receives: Other: Therapeutic tape |
| Placebo group | Placebo comparator | Participants were received single session placebo tape application for one week. Receives: Other: Placebo tape |
| Control group | No intervention | No intervention. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Upper extremity function
The Disabilities of the Arm, Shoulder and Hand score is a self-administered questionnaire designed to evaluate single or multiple disorders and impairment levels in the upper limbs. It comprises 30 core questions and optional eight questions, which are scored on a 5-point Likert scale (no difficulty - unable). The cumulative score is ranged from 0 to 100, where the higher scores indicate an increased degree of disability.
Measured: Baseline
Secondary outcomes (16)
Upper extremity function
The Disabilities of the Arm, Shoulder and Hand score is a self-administered questionnaire designed to evaluate single or multiple disorders and impairment levels in the upper limbs. It comprises 30 core questions and optional eight questions, which are scored on a 5-point Likert scale (no difficulty - unable). The cumulative score is ranged from 0 to 100, where the higher scores indicate an increased degree of disability.
Measured: Follow-up (one week later)
Playing-related pain
Playing-related pain was measured using the Visual Analogue Scale (VAS). The participants were asked to indicate their perceived pain while playing the violin on the 10 cm line between no pain and terrible pain. The score was determined by measuring the distance on a 10 cm line using a ruler.
Measured: Baseline
Playing-related pain
Playing-related pain was measured using the Visual Analogue Scale (VAS). The participants were asked to indicate their perceived pain while playing the violin on the 10 cm line between no pain and terrible pain. The score was determined by measuring the distance on a 10 cm line using a ruler.
Measured: Immediately after the intervention
Playing-related pain
Playing-related pain was measured using the Visual Analogue Scale (VAS). The participants were asked to indicate their perceived pain while playing the violin on the 10 cm line between no pain and terrible pain. The score was determined by measuring the distance on a 10 cm line using a ruler.
Measured: Follow-up (one week later)
Playing-related pain
Playing-related pain was measured using the Visual Analogue Scale (VAS). The participants were asked to indicate their perceived pain while playing the violin on the 10 cm line between no pain and terrible pain. The score was determined by measuring the distance on a 10 cm line using a ruler.
Measured: After one-week intervention (before playing Violin Concerto No.2, Op.35)
Playing-related pain
Playing-related pain was measured using the Visual Analogue Scale (VAS). The participants were asked to indicate their perceived pain while playing the violin on the 10 cm line between no pain and terrible pain. The score was determined by measuring the distance on a 10 cm line using a ruler.
Measured: After one-week intervention (after playing Violin Concerto No.2, Op.35)
Hand function
The Purdue Pegboard Test was used to measure manual dexterity of both dominant and non-dominant hands. Participants were asked to place a pin in a vertical array of holes first with the right hand, then with the left hand, and following with both hands as quickly as possible in 30 s. In the final subtest, participants were asked to assemble a metal pin, washer, collar, and the second washer with both hands with the highest speed possible during 60 s.
Measured: Baseline
Hand function
The Purdue Pegboard Test was used to measure manual dexterity of both dominant and non-dominant hands. Participants were asked to place a pin in a vertical array of holes first with the right hand, then with the left hand, and following with both hands as quickly as possible in 30 s. In the final subtest, participants were asked to assemble a metal pin, washer, collar, and the second washer with both hands with the highest speed possible during 60 s.
Measured: Immediately after the intervention
Hand function
The Purdue Pegboard Test was used to measure manual dexterity of both dominant and non-dominant hands. Participants were asked to place a pin in a vertical array of holes first with the right hand, then with the left hand, and following with both hands as quickly as possible in 30 s. In the final subtest, participants were asked to assemble a metal pin, washer, collar, and the second washer with both hands with the highest speed possible during 60 s.
Measured: Follow-up (one week later)
Hand function
The Purdue Pegboard Test was used to measure manual dexterity of both dominant and non-dominant hands. Participants were asked to place a pin in a vertical array of holes first with the right hand, then with the left hand, and following with both hands as quickly as possible in 30 s. In the final subtest, participants were asked to assemble a metal pin, washer, collar, and the second washer with both hands with the highest speed possible during 60 s.
Measured: After one-week intervention (before playing Violin Concerto No.2, Op.35)
Hand function
The Purdue Pegboard Test was used to measure manual dexterity of both dominant and non-dominant hands. Participants were asked to place a pin in a vertical array of holes first with the right hand, then with the left hand, and following with both hands as quickly as possible in 30 s. In the final subtest, participants were asked to assemble a metal pin, washer, collar, and the second washer with both hands with the highest speed possible during 60 s.
Measured: After one-week intervention (after playing Violin Concerto No.2, Op.35)
Grip and Pinch Strength
A hydraulic hand dynamometer (Baseline Hydraulic Hand Dynamometer) is a practical tool to assess the hand's grip strength and pinch strength. For assessment of grip strength, the handle of the meter was adjusted at the second position. Each participant was instructed to squeeze the dynamometer's handle as hard as possible while positioning with the trunk upright; elbow flexed to 90°, forearm, and wrist in a neutral position. For assessment of pinch strength, the examiner held the distal end of the pinch gauge while the participant was instructed to squeeze the thumb pad according to different types of pinch grips (tip pinch, palmar pinch, key pinch). Assessments were repeated for the dominant and non-dominant hands. The mean values of the three grip strength and pinch strength measurements (kilogram-force) were calculated.
Measured: Baseline
Grip and Pinch Strength
A hydraulic hand dynamometer (Baseline Hydraulic Hand Dynamometer) is a practical tool to assess the hand's grip strength and pinch strength. For assessment of grip strength, the handle of the meter was adjusted at the second position. Each participant was instructed to squeeze the dynamometer's handle as hard as possible while positioning with the trunk upright; elbow flexed to 90°, forearm, and wrist in a neutral position. For assessment of pinch strength, the examiner held the distal end of the pinch gauge while the participant was instructed to squeeze the thumb pad according to different types of pinch grips (tip pinch, palmar pinch, key pinch). Assessments were repeated for the dominant and non-dominant hands. The mean values of the three grip strength and pinch strength measurements (kilogram-force) were calculated.
Measured: Immediately after the intervention
Grip and Pinch Strength
A hydraulic hand dynamometer (Baseline Hydraulic Hand Dynamometer) is a practical tool to assess the hand's grip strength and pinch strength. For assessment of grip strength, the handle of the meter was adjusted at the second position. Each participant was instructed to squeeze the dynamometer's handle as hard as possible while positioning with the trunk upright; elbow flexed to 90°, forearm, and wrist in a neutral position. For assessment of pinch strength, the examiner held the distal end of the pinch gauge while the participant was instructed to squeeze the thumb pad according to different types of pinch grips (tip pinch, palmar pinch, key pinch). Assessments were repeated for the dominant and non-dominant hands. The mean values of the three grip strength and pinch strength measurements (kilogram-force) were calculated.
Measured: Follow up (one week later)
Grip and Pinch Strength
A hydraulic hand dynamometer (Baseline Hydraulic Hand Dynamometer) is a practical tool to assess the hand's grip strength and pinch strength. For assessment of grip strength, the handle of the meter was adjusted at the second position. Each participant was instructed to squeeze the dynamometer's handle as hard as possible while positioning with the trunk upright; elbow flexed to 90°, forearm, and wrist in a neutral position. For assessment of pinch strength, the examiner held the distal end of the pinch gauge while the participant was instructed to squeeze the thumb pad according to different types of pinch grips (tip pinch, palmar pinch, key pinch). Assessments were repeated for the dominant and non-dominant hands. The mean values of the three grip strength and pinch strength measurements (kilogram-force) were calculated.
Measured: After one-week intervention (before playing Violin Concerto No.2, Op.35)
Grip and Pinch Strength
A hydraulic hand dynamometer (Baseline Hydraulic Hand Dynamometer) is a practical tool to assess the hand's grip strength and pinch strength. For assessment of grip strength, the handle of the meter was adjusted at the second position. Each participant was instructed to squeeze the dynamometer's handle as hard as possible while positioning with the trunk upright; elbow flexed to 90°, forearm, and wrist in a neutral position. For assessment of pinch strength, the examiner held the distal end of the pinch gauge while the participant was instructed to squeeze the thumb pad according to different types of pinch grips (tip pinch, palmar pinch, key pinch). Assessments were repeated for the dominant and non-dominant hands. The mean values of the three grip strength and pinch strength measurements (kilogram-force) were calculated.
Measured: After one-week intervention (after playing Violin Concerto No.2, Op.35)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Aug 2021
- Study start1 Sep 2017
- Primary completion1 Nov 2017
- Study completion31 Mar 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pain, NeckStudies of the same condition, open and under way.
- More trials run by Istanbul University - CerrahpasaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 117 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul University - Cerrahpasa
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Tansu Birinci, Istanbul University - Cerrahpasa
- Investigators
- Ebru Kaya Mutlu, PT, PhD, Study chair, Istanbul University - Cerrahpasa
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05019781
- Sponsor's protocol ID
- 15082021
- Status last verified
- Aug 2021
- First submitted
- 15 Aug 2021
- Last updated
- 8 Oct 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effectiveness of Kinesio Taping on Playing-related Pain, Function and Muscle Strength in Violin Players: a Randomized Controlled Clinical Trial
- ClinicalTrials.gov ID
- NCT05019781
- Acronym / sponsor ID
- 15082021
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 117 participants (actual)
- Lead sponsor
- Istanbul University - CerrahpasaUniversity, hospital or other
- Study start
- 1 Sep 2017 (actual)
- Primary completion
- 1 Nov 2017 (actual)
- Study completion
- 31 Mar 2018 (actual)
- First posted
- 25 Aug 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aimed to investigate the effectiveness of Kinesio taping (KT) on playing-related pain, upper extremity and hand function, grip and pinch strength in violin players. One hundred seventeen participants who were professional violinists for at least two years were randomized to receive either therapeutic tape application (KT group), a sham tape application (placebo group) or no application (control group) for one week. The primary outcome was the Disabilities of the Arm, Shoulder and Hand (DASH) in one week. The secondary outcomes were the Visual Analogue Scale (VAS), the Purdue Pegboard Test, grip and pinch strength. Outcome measures were performed at baseline, immediately after the intervention, and one week later (follow-up). Participants were asked to play the "Violin Concerto No.2, Op.35", and pre-and post-performance pain and grip and pinch strength were assessed.
Detailed description
Kinesio tape (KT), an alternative taping technique, is a method consisting of a tape with elastic properties and stretching capabilities used to treat pain or prevent injuries in conjunction with exercise.It has been concluded that KT intervention might not be helpful to reduce dystonic patterns or improve playing ability in musicians with focal hand dystonia. However, there is no enough study to conclude the effectiveness of KT application in Playing-related musculoskeletal disorders. Therefore, this study aimed to investigate the effect of KT on playing-related pain, upper extremity and hand function, grip and pinch strength in violin players compared to placebo KT application and control. As a secondary outcome, the investigators explored whether the pre-and post-performance effect of the KT on playing-related pain and grip and pinch strength.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| KT group | Experimental | Other: Therapeutic tapeParticipants were received single session therapeutic tape application for one week. |
| Placebo group | Placebo comparator | Other: Placebo tapeParticipants were received single session placebo tape application for one week. |
| Control group | No intervention | –No intervention. |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- aged between 18 and 35 years;
- professionally playing violin at least for two years;
- having playing-related musculoskeletal pain at neck and upper extremity [Visual Analogue Scale (VAS) ≥3]
- ability to read and write in Turkish; and
- able to follow simple instructions.
Key exclusion criteria (5 listed)
- having significant musculoskeletal, neurologic, or cardiovascular disorders;
- a history of surgery on the upper limbs in the previous six months;
- the initiation of any analgesic intervention for musculoskeletal pain within the previous six weeks;
- known allergies to tape; and
- participation in physiotherapy and rehabilitation program in the last six months.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Therapeutic tapeTape was applied to sternocleidomastoid, upper trapezius, deltoid, flexor palmaris longus muscles as suggested by Kase et al. (Kase, Wallis, Kase, \& Association, 2003). The tape was applied to the left side of the participants while sitting position because the violin is traditionally played by placing it on the left shoulder, balancing the neck using the left hand, and bowing with the right arm. | Other | KT group |
| Placebo tapeThe placebo tape was applied transverse to the muscle groups in two levels (a point of 10 cm above to wrist and elbow) with no tension when the participants were sitting position with the shoulder flexed at 90°, and the elbow flexed at 90°. | Other | Placebo group |
Primary outcome
Upper extremity function
Time frame: Baseline
The Disabilities of the Arm, Shoulder and Hand score is a self-administered questionnaire designed to evaluate single or multiple disorders and impairment levels in the upper limbs. It comprises 30 core questions and optional eight questions, which are scored on a 5-point Likert scale (no difficulty - unable). The cumulative score is ranged from 0 to 100, where the higher scores indicate an increased degree of disability.
16 secondary outcomes
Upper extremity function
Time frame: Follow-up (one week later)
Playing-related pain
Time frame: Baseline
Playing-related pain
Time frame: Immediately after the intervention
Playing-related pain
Time frame: Follow-up (one week later)
Playing-related pain
Time frame: After one-week intervention (before playing Violin Concerto No.2, Op.35)
Playing-related pain
Time frame: After one-week intervention (after playing Violin Concerto No.2, Op.35)
Hand function
Time frame: Baseline
Hand function
Time frame: Immediately after the intervention
Hand function
Time frame: Follow-up (one week later)
Hand function
Time frame: After one-week intervention (before playing Violin Concerto No.2, Op.35)
Hand function
Time frame: After one-week intervention (after playing Violin Concerto No.2, Op.35)
Grip and Pinch Strength
Time frame: Baseline
Grip and Pinch Strength
Time frame: Immediately after the intervention
Grip and Pinch Strength
Time frame: Follow up (one week later)
Grip and Pinch Strength
Time frame: After one-week intervention (before playing Violin Concerto No.2, Op.35)
Grip and Pinch Strength
Time frame: After one-week intervention (after playing Violin Concerto No.2, Op.35)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Oct 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ebru Kaya Mutlu, PT, PhD study chair
Istanbul University - Cerrahpasa
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Therapeutic tape in people with Pain, Neck and Pain, Joint, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Upper extremity function (time frame: Baseline). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Oct 2024.