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Not yet recruitingNCT07790042Updated Sep 23, 2026

Kinesio Taping for Upper Trapezius Myofascial Trigger Points

An interventional study of Kinesio Taping (muscle inhibition technique) and Sham Kinesio Taping in Myofascial Pain Syndromes, Myofascial Trigger Point Pain and Neck Pain, sponsored by Pamukkale University. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by Pamukkale University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 81 studies in Myofascial Pain Syndromes with a site in Turkey — 12 open to participants now, 12 under way, none of them phase 3. Myofascial Pain Syndromes · Turkey.

Planned enrollment
50th of 67
40 · median 60
Started
2026
with 7 others
No phase
62 of 81
8 open now
Primary completion
2026-10
later than 6 of 11 live
Registered
76th of 81
by date

Among the 81 studies in Myofascial Pain Syndromes with a site in Turkey, this one is the 50th largest by planned enrollment of the 67 interventional ones, is one of 8 that started in 2026, is one of 62 with no phase, reaches primary completion later than 6 of the 11 other live ones, and was the 76th registered.

By phase

81 studies; the count open now beside each. This study's row is marked.

No phasethis study62 · 8 open
Observational14 · 2 open
Phase 45 · 2 open

By the year they started

First in 2005; this study’s year is marked. 8 started in 2026.

Size and results

Median enrollment 60 across the 67 interventional studies, 110 across the 14 observational. Of the 64 that completed or were terminated, 1 (2%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 81 studies in Myofascial Pain Syndromes with a site in Turkey, or all of them as a file.
02

Study summary

Myofascial pain syndrome is one of the most common causes of musculoskeletal pain, and the upper trapezius is the muscle most frequently affected in the neck and shoulder region. Kinesio taping is a non-invasive, painless and low-cost method that is increasingly used in the treatment of myofascial trigger points, but its true therapeutic effect beyond placebo has not been clearly established.

The purpose of this randomized, sham-controlled trial is to evaluate the effectiveness of kinesio taping applied with the muscle inhibition technique on myofascial trigger points of the upper trapezius muscle. Forty patients with an active myofascial trigger point in the upper trapezius will be randomly assigned in a 1:1 ratio to receive either therapeutic kinesio taping or sham taping (20 patients per group). Both groups will receive four applications over two weeks (twice weekly). The primary outcome is the pressure pain threshold measured with a digital algometer. Secondary outcomes are pain intensity, trapezius muscle thickness measured by B-mode ultrasonography, and muscle stiffness assessed by strain elastography. All outcomes are assessed at baseline, on day 3, and at the end of the two-week treatment period.

Read the detailed description

Myofascial pain syndrome is characterized by hyperirritable nodules located within taut bands of skeletal muscle, known as myofascial trigger points. The upper trapezius is the most commonly involved muscle in the neck and shoulder girdle, and trigger points in this region are an important cause of neck pain, restricted mobility and loss of productivity.

Kinesio taping has become increasingly popular in the management of myofascial trigger points because it is non-invasive, painless, inexpensive and has few adverse effects. Systematic reviews and meta-analyses suggest that kinesio taping reduces pain intensity and improves pressure pain threshold and range of motion in myofascial pain syndrome. However, the taping techniques used across studies differ substantially. Two techniques predominate: the space correction technique, in which strips are applied over the trigger point in a star-shaped pattern, and the muscle inhibition technique, in which a single I-strip is applied along the muscle fibres from insertion to origin with low tension. A trial directly comparing these two techniques found no significant difference between them, whereas a sham-controlled trial found that the space correction technique was not superior to sham at 72 hours. Studies using the inhibition technique have reported significant improvements in pressure pain threshold. Because the inhibition technique is mechanistically aimed at reducing muscle tone and is supported by stronger evidence, it was selected for this trial.

In addition, outcome measures in previous studies have been largely subjective. Pressure algometry provides a quantitative measure of the mechanical sensitivity of the trigger point, while B-mode ultrasonography allows measurement of muscle thickness and ultrasound elastography allows objective assessment of tissue stiffness. Strain elastography with calculation of the strain ratio has shown good reliability in patients with upper trapezius myofascial pain syndrome and can differentiate active trigger points, latent trigger points and control sites.

To the best of our knowledge, no sham-controlled randomized trial has evaluated kinesio taping of upper trapezius myofascial trigger points using pressure pain threshold as the primary outcome together with muscle thickness and strain elastography as objective secondary outcomes. A sham-controlled design was chosen because sham taping alone may produce a substantial placebo response, and only a sham comparator can isolate the true therapeutic effect.

In the intervention group, a single I-shaped kinesio tape strip will be applied from insertion to origin along the upper trapezius with 15-25% tension while the muscle is held in a stretched position. In the sham group, an identical tape of the same brand, colour and size will be applied to the same region without therapeutic tension and with the neck in a neutral position, so that the skin convolutions responsible for the therapeutic effect are not produced. Both groups will receive four applications over two weeks (twice weekly); at each session the existing tape is removed and a new tape applied, so the tape remains on the skin continuously throughout the treatment period.

Patients will be randomly allocated in a 1:1 ratio using a computer-generated random number list. The study is single-blind: the practitioner applying the tape cannot be blinded due to the nature of the intervention and therefore takes no part in any assessment. All pain, pressure pain threshold and ultrasonographic measurements will be performed by a researcher blinded to group allocation, after tape removal.

03

Conditions studied

  • Myofascial Pain Syndromes
  • Myofascial Trigger Point Pain
  • Neck Pain

Keywords

  • kinesio taping
  • upper trapezius
  • myofascial trigger point
  • algometry
  • strain elastography
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age between 18 and 65 years
  • At least one active myofascial trigger point in the upper trapezius muscle diagnosed on clinical examination according to the criteria of Travell and Simons
  • Neck and/or shoulder pain lasting at least 3 months
  • Able to understand the procedures, benefits and possible adverse effects
  • Able to provide written

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of fibromyalgia syndrome
  • Cervical disc herniation, radiculopathy or myelopathy
  • History of cervical or shoulder surgery
  • History of trauma, fracture or structural deformity of the neck region
  • Inflammatory rheumatic disease, or serious systemic disease
  • Neurological disease or peripheral neuropathy
  • Kinesio taping to the trigger point, injection, dry needling or physical therapy to the neck region within the previous 6 months
  • Use of analgesics, muscle relaxants or non-steroidal anti-inflammatory drugs within the previous week
  • Active skin lesion, wound, dermatological disease or known allergy to tape at the application site
  • Pregnancy or lactation
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Kinesio Taping

    Therapeutic kinesio taping applied to the myofascial trigger point of the upper trapezius using the muscle inhibition technique. A single I-shaped strip is applied from insertion to origin along the muscle fibres with 15-25% tension while the muscle is held in a stretched position (shoulder depressed, neck in contralateral lateral flexion and rotation). Four applications over two weeks (twice weekly).

    Other: Kinesio Taping (muscle inhibition technique)

  • Sham comparator
    Sham Kinesio Taping

    Sham taping using tape of identical brand, colour and size, applied by the same practitioner to the same anatomical region, with no therapeutic tension (0% tension) and with the neck in a neutral position, so that no skin convolutions are produced. Four applications over two weeks (twice weekly), identical in frequency and duration to the intervention group.

    Other: Sham Kinesio Taping

Interventions

  • OtherKinesio Taping (muscle inhibition technique)

    Elastic therapeutic tape applied over the upper trapezius myofascial trigger point using the muscle inhibition technique. A single I-shaped strip is applied from insertion to origin along the muscle fibres with 15-25% tension while the muscle is held in a stretched position. The tape is renewed at each session and remains on the skin continuously throughout the two-week treatment period (four applications, twice weekly).

  • OtherSham Kinesio Taping

    Tape of identical brand, colour and size applied over the same anatomical region without therapeutic tension (0% tension) and with the neck in a neutral position, so that the skin convolutions responsible for the therapeutic effect are not produced. The tape is renewed at each session and remains on the skin continuously throughout the two-week treatment period (four applications, twice weekly).

06

What researchers measure

Primary outcomes

  1. Change in Pressure Pain Threshold (PPT) of the upper trapezius trigger point

    Pressure pain threshold measured over the marked trigger point with a digital algometer with the participant prone and the muscle relaxed. The probe is applied perpendicular to the trigger point and pressure is increased at approximately 1 kg/cm2/s. The participant reports verbally when the pressure first becomes painful. The mean of three measurements taken at least 30 seconds apart is used. An increase indicates reduced trigger point sensitivity.

    Time frame: Baseline, day 3, and end of week 2

Secondary outcomes

  1. Change in pain intensity measured by Visual Analogue Scale (VAS)

    Pain intensity assessed on a 10 cm horizontal visual analogue scale anchored at 0 (no pain) and 10 (unbearable pain). The marked distance is measured with a ruler.

    Time frame: Baseline, day 3, and end of week 2

  2. Change in upper trapezius muscle thickness measured by B-mode ultrasonography

    Muscle thickness measured with a diagnostic ultrasound device using an 8-13 MHz linear probe placed parallel to the muscle fibres over the marked region. On a clear longitudinal image of the upper trapezius, the shortest vertical distance between the superior and inferior hyperechoic borders of the muscle at the centre of the image is recorded.

    Time frame: Baseline, day 3, and end of week 2

  3. Change in muscle stiffness measured by strain elastography (strain ratio)

    Strain elastography performed with the participant prone and the probe parallel to the muscle fibres at the midpoint between the C7 spinous process and the acromion. Constant light probe pressure is maintained using the pressure feedback indicator. Two regions of interest are placed: a reference region in subcutaneous fat (approximately 2x5 mm) and a target region over the trigger point (approximately 3x8 mm). The strain ratio is calculated as the muscle region value divided by the fat region value and is inversely related to tissue stiffness. The mean of three measurements recorded at end-expiration is used.

    Time frame: Baseline, day 3, and end of week 2

07

Study locations

1 site
08

References and documents

Publications

  • Halski T, Ptaszkowski K, Slupska L, Paprocka-Borowicz M, Dymarek R, Taradaj J, Bidzinska G, Marczynski D, Cynarska A, Rosinczuk J. Short-Term Effects of Kinesio Taping and Cross Taping Application in the Treatment of Latent Upper Trapezius Trigger Points: A Prospective, Single-Blind, Randomized, Sham-Controlled Trial. Evid Based Complement Alternat Med. 2015;2015:191925. doi: 10.1155/2015/191925. Epub 2015 Sep 29. PubMed 26491458 ↗
  • Zhang XF, Liu L, Wang BB, Liu X, Li P. Evidence for kinesio taping in management of myofascial pain syndrome: a systematic review and meta-analysis. Clin Rehabil. 2019 May;33(5):865-874. doi: 10.1177/0269215519826267. Epub 2019 Feb 4. PubMed 30712369 ↗
  • Ay S, Konak HE, Evcik D, Kibar S. The effectiveness of Kinesio Taping on pain and disability in cervical myofascial pain syndrome. Rev Bras Reumatol Engl Ed. 2017 Mar-Apr;57(2):93-99. doi: 10.1016/j.rbre.2016.03.012. Epub 2016 May 10. English, Portuguese. PubMed 28343625 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Oct 2026, 1 month later.

Of 202 non-industry interventional studies with no phase under Myofascial Pain Syndromes, half reached primary completion within 5 months of starting (the median), counting those still running; a quarter within 2 and three quarters within 12. This study's planned 1 month is below that.

Counting every sponsor, half of 204 studies reached it within 5 months; a quarter within 2 and three quarters within 13.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 24, 2026
First posted
Aug 27, 2026
StartEst.
Sep 2026
Primary completionEst.
Oct 2026
CompletionEst.
Oct 2026
Last update
Sep 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07790042
Responsible party
Alev Atıgan (Assistant Professor, Pamukkale University) — Principal investigator
First posted
Aug 27, 2026
Start date
Sep 2026 (estimated)
Primary completion
Oct 2026 (estimated)
Completion
Oct 2026 (estimated)
Last update
Sep 23, 2026

Study contacts

Yusuf YOLCU, MD
Contact
dr.yusufyolcu@gmail.com
+90 2582961602
Alev ATIGAN, Assistant Professor
principal investigator · Pamukkale University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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