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

Mottin, Debora; Preis, Cássio; Bertassoni Neto, Luiz

doi:10.5935/2595-0118.20180064

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ORIGINAL ARTICLES • BrJP 1 (4) • Oct-Dec 2018 • https://doi.org/10.5935/2595-0118.20180064 copy

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

Authorship SCIMAGO INSTITUTIONS RANKINGS

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

	First application
	Initial evaluation	Post-application evaluation	Post-24 hours evaluation	Value of p
McGill	10.50±6.21	8.75±6.88	3.38±3.34	0.00 ^a a Friedman; ^* * p<0.05.
Numerical scale	5.50±1.41	4.25±1.49	2.75±1.98	0.01 ^b b ANOVA; ^* * p<0.05.
Goniometry
Right shoulder	162.75±14.06	163.88±11.00	160.38±9.02	0.83 ^b b ANOVA;
Left shoulder	159.50±15.21	154.38±13.51	157.75±10.67	0.74 ^b b ANOVA;
Right cervical	27.38±5.60	29.50±5.18	33.13±3.04	0.07 ^b b ANOVA;
Left cervical	30.63±6.93	31.38±5.55	33.50±4.78	0.60 ^b b ANOVA;
	Second application
McGill	6.38±4.66	4.00±3.55	3.50±4.28	0.01 ^a a Friedman; ^* * p<0.05.
Numerical scale	4.13±1.64	3.13±1.36	2.25±1.67	0.03 ^a a Friedman; ^* * p<0.05.
Goniometry
Right shoulder	160.63±12.29	164.38±11.24	164.75±12.14	0.75 ^b b ANOVA;
Left shoulder	155.50±14.07	153.50±15.30	157.75±16.46	0.27 ^a a Friedman;
Right cervical	30.38±5.45	32.25±7.05	34.63±4.21	0.34 ^b b ANOVA;
Left cervical	32.63±5.15	32.25±8.01	35.00±5.68	0.65 ^b b ANOVA;

	First application
	Initial evaluation	Post-application evaluation	Post-24 hours evaluation	Value of p
McGill	10.50±6.21	8.75±6.88	3.38±3.34	0.00 ^a a Friedman; ^* * p<0.05.
Numerical scale	5.50±1.41	4.25±1.49	2.75±1.98	0.01 ^b b ANOVA; ^* * p<0.05.
Goniometry
Right shoulder	162.75±14.06	163.88±11.00	160.38±9.02	0.83 ^b b ANOVA;
Left shoulder	159.50±15.21	154.38±13.51	157.75±10.67	0.74 ^b b ANOVA;
Right cervical	27.38±5.60	29.50±5.18	33.13±3.04	0.07 ^b b ANOVA;
Left cervical	30.63±6.93	31.38±5.55	33.50±4.78	0.60 ^b b ANOVA;
	Second application
McGill	6.38±4.66	4.00±3.55	3.50±4.28	0.01 ^a a Friedman; ^* * p<0.05.
Numerical scale	4.13±1.64	3.13±1.36	2.25±1.67	0.03 ^a a Friedman; ^* * p<0.05.
Goniometry
Right shoulder	160.63±12.29	164.38±11.24	164.75±12.14	0.75 ^b b ANOVA;
Left shoulder	155.50±14.07	153.50±15.30	157.75±16.46	0.27 ^a a Friedman;
Right cervical	30.38±5.45	32.25±7.05	34.63±4.21	0.34 ^b b ANOVA;
Left cervical	32.63±5.15	32.25±8.01	35.00±5.68	0.65 ^b b ANOVA;

	Evaluations	Difference after with the initial			Difference 24h with the initial			Post-24 hours difference
	Evaluations	Group A	Group B	Value of p	Group A	Group B	Value of p	Group A	Group B	Value of p
First application	McGill	-5.50±5.35	-1.75±2.49	0.13 ^a a Mann-Whitney,	-7.625±6.63	-7.125±6.88	0.88 ^b b t-Student for independent samples;	-2.125±5.19	-5.38±7.58	0.15 ^a a Mann-Whitney,
	Numerical scale	-2.12±0.83	-1.25±1.04	0.08 ^b b t-Student for independent samples;	-3.25±1.83	-2.75±2.05	0.62 ^b b t-Student for independent samples;	-1.125±2.17	-1.50±2.14	0.73 ^b b t-Student for independent samples;
	Abduction of the right shoulder	-1.25±8.99	1.13±8.29	0.59 ^b b t-Student for independent samples;	1.88±9.26	-2.375±10.29	0.40 ^b b t-Student for independent samples;	3.13±5.67	-3.5±8.33	0.08 ^b b t-Student for independent samples;
	Abduction of the left shoulder	2.12±11.33	-5.125±8.43	0.17 ^b b t-Student for independent samples;	-0.5±14.05	-1.75±8.28	0.83 ^b b t-Student for independent samples;	-0.5±14.05	-1.75±8.28	0.83 ^b b t-Student for independent samples;
	Right lateral inclination	4.00±4.96	-2.5±3.55	0.01 ^a a Mann-Whitney, ^* * p<0.05.	1.50±5.07	-6.5±6.97	0.02 ^b b t-Student for independent samples; ^* * p<0.05.	-2.5±3.55	-4.00±4.96	0.28^a a Mann-Whitney,
	Left lateral inclination	1.63±3.25	1.63±3.25	1.00 ^b b t-Student for independent samples;	0.13±5.03	0.13±5.03	1.00 ^a a Mann-Whitney,	-1.5±6.52	-1.50±6.52	1.00 ^a a Mann-Whitney,
Second application	McGill	-5.25±6.41	-2.38±3.02	0.41^a a Mann-Whitney,	-7.25±7.01	-2.88±3.00	0.14 ^b b t-Student for independent samples;	-2.00±4.57	-0.50±0.93	0.87 ^a a Mann-Whitney,
	Numerical scale	-2.75±2.43	-1.00±1.07	0.09 ^b b t-Student for independent samples;	-2.75±3.11	-1.88±1.89	0.51 ^b b t-Student for independent samples;	0.00±1.77	-0.88±1.25	0.35 ^a a Mann-Whitney,
	Abduction of the right shoulder	5.88±14.11	3.75±8.21	0.92 ^a a Mann-Whitney,	7.75±10.51	4.13±8.46	0.46 ^b b t-Student for independent samples;	1.88±11.70	0.38±3.25	0.92 ^a a Mann-Whitney,
	Abduction of the left shoulder	2.50±12.54	-2.00±10.64	0.45 ^b b t-Student for independent samples;	1.50±11.66	2.25±11.93	0.90 ^b b t-Student for independent samples;	-1.00±8.65	4.25±5.44	0.17 ^b b t-Student for independent samples;
	Right lateral inclination	2.38±2.97	1.88±6.56	0.53 ^a a Mann-Whitney,	1.13±5.99	4.25±3.01	0.21 ^b b t-Student for independent samples;	-1.25±5.31	2.38±5.53	0.34 ^a a Mann-Whitney,
	Left lateral inclination	-1.88±2.10	-0.38±4.21	0.63 ^a a Mann-Whitney,	1.00±2.39	2.38±3.16	0.34 ^b b t-Student for independent samples;	2.88±2.23	2.75±4.40	0.94 ^b b t-Student for independent samples;

	Evaluations	Difference after with the initial			Difference 24h with the initial			Post-24 hours difference
	Evaluations	Group A	Group B	Value of p	Group A	Group B	Value of p	Group A	Group B	Value of p
Group A	McGill	-5.50±5.35	-2.38±3.02	0.24 ^a	-7.62±6.63	-2.87±3.00	0.09 ^b	-2.12±5.19	-0.50±0.93	0.41 ^b
	Numerical scale	-2.12±0.83	-1.00±1.07	0.03 ^b *	-3.25±1.83	-1.87±1.89	0.16 ^b	-1.12±2.17	-0.87±1.25	0.78 ^b
	Abduction of the right shoulder	-1.25±8.99	3.75±8.21	0.26 ^b	1.87±9.26	4.12±8.46	0.26 ^b	3.13±5.67	0.38±3.25	0.25 ^b
	Abduction of the left shoulder	2.12±11.33	-2.00±10.64	0.46 ^b	-0.50±14.05	2.25±11.93	0.67 ^b	-0.50±14.05	4.25±5.44	0.39 ^b
	Right lateral inclination	4.00±4.96	1.87±6.56	0.48 ^b	1.50±5.07	4.25±3.01	0.21 ^b	-2.50±3.55	2.38±553,	0.07 ^a
	Left lateral inclination	1.63±3.25	-0.37±4.21	0.31 ^b	0.12±5.03	2.38±3.16	0.42 ^a	-1.50±6.52	2.75±4.40	0.28 ^a
Group B	McGill	-5.25±6.41	-1.75±2.49	0.23 ^a	-7.25±7.01	-7.13±6.88	0.97 ^b	-2.00±4.56	-5.38±7.58	0.19 ^a
	Numerical scale	-2.75±2.43	-1.25±1.04	0.14 ^b	-2.75±3.11	-2.75±2.05	1.00 ^b	0.00±1.77	-1.50±2.14	0.17 ^a
	Abduction of the right shoulder	5.88±14.11	1.13±8.29	0.66 ^a	7.75±10.51	-2.38±10.29	0.07 ^b	1.88±4.00	-3.50±8.33	0.29 ^a
	Abduction of the left shoulder	2.50±12.54	-5.13±8.43	0.18 ^b	1.50±2.00	-1.75±8.28	0.53 ^b	-1.00±8.65	-1.75±8.28	0.86^b
	Right lateral inclination	2.38±2.97	-2.50±3.55	0.00 ^a *	1.13±5.99	-6.50±6.97	0.03 ^b *	-1.25±5.31	-4.00±4.96	0.30 ^b
	Left lateral inclination	-1.88±2.10	1.63±3.25	0.03 ^a *	1.00±2.39	0.13±5.03	1.00 ^a	2.88±2.23	-1.50±6.52	0.06 ^a

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[1] Correspondence to: Rua Zacarias de Paula Xavier, 221 – Centro 83414-160 Colombo, PR, Brasil. E-mail: dehmottin@hotmail.com