EFFECT   OF   KINESIO   TAPING   ON   NECK   FLEXORS   AND   CRANIOVERTEBRAL   ANGLE   IN   SUBJECTS   WITH   FORWARD   HEAD   POSTURE:   A RANDOMISED CONTROLLED TRIAL Peeyoosha Gurudut * 1 ,  Sweta V Gauns 2 . *1   Assistant Professor Department of Orthopedic Physiotherapy, KLEU Institute of Physiotherapy, Belagavi, Karnataka, India. 2  Department of Orthopedic Physiotherapy, KLEU Institute of Physiotherapy, Belagavi, Karnataka, India. Correspondence to: Dr Peeyoosha Gurudut, Assistant Professor Department of Orthopedic Physiotherapy, KLEU Institute of Physiotherapy, JNMC Campus, Nehrunagar, Belagavi, Karnataka- India 590010 E-Mail: sweta.swtlife09@gmail.com/peeoo.123@yahoo.com Abstract: Background:    A   pilot   study   on   effect   of   kinesio   taping   has   proved   its   effectiveness   in   subjects   with   forward   head   posture.   However,   there   is   need   to   conduct a controlled study by comparing it with placebo kinesio taping to prove its effectiveness. Objective:    To   compare   the   effects   of   kinesio   and   placebo   kinesio   taping   on   endurance   of   neck   flexors   and   craniovertebral   angle   in   subjects   with   forward head posture. Materials   and   Methods:    30   participants   with   forward   head   posture   were   recruited   in   the   study   and   were   randomly   assigned   into   2   groups:   Kinesio   taping group   and   Placebo   kinesio   taping   group.   Outcome   measures   were   assessed   before   and   after   6days   of   treatment   by   the   assessor   who   was   blinded   to   the treatment groups. Results:    Pre   and   post   treatment   values   showed   statistically   significant   result   for   both   the   groups   in   terms   of   pain,   craniovertebral   angle   and   isometric   neck flexor endurance score. Also when comparison was made, both the groups showed equally significant results. Conclusion:    Kinesio   taping   appears   to   be   effective   in   improving   forward   head   posture.   But   when   compared   with   Placebo   kinesio   taping,   it   did   not   prove   to be superior in treating forward head posture. KEY WORDS: Forward head posture, Craniovertebral angle, Kinesio taping, Neck flexor endurance. References 1 . America     Pink.     Forward     Head     Posture     [internet].     America     Pink;     [cited     2January2016].     Available     from     http://america.pink/forward-head- posture_1589659.html 2 . Hanten WP, Lucio RM, Russell JL, Brunt D. Assessment of total head excursion and resting head posture. Arch Phys Med Rehabil 1991;72:877–80 3 . Kendall FP and McCreary EK. Muscles testing and function. (3rd ed.).Baltimore: Williams and Wilkins.1983 pp. 271, 294,298-300. 4 . Darnell MW. A proposed chronology of events for forward head posture.Journal of craniomandibular practice. 1983; 1: 50-54. 5 . Rocabado M. Arthrokinematics of temporomandibular joint. Dental clinics of North America.1983; 27:573-594. 6 . Correcting   Neck   Posture:   A   Key   To   Pain   Relief   [internet].   Neck   solutions;   [cited   3January2016].      Available   from   http://www.necksolutions.com/neck- posture.html 7 . Kapandji, Physiology of Joints, Vol. 3 8 . Lee   KJ,   Han   HY,   Cheon   SH,   Park   SH,   Yong   MS.   The   effect   of   forward   head   posture   on   muscle   activity   during   neck   protraction   and   retraction.   Journal   of physical therapy science. 2015;27(3):977-9. 9 . Thangavelu   K,   Moorthy   AS.   Effect   of   craniocervical   flexor   training   and   cervical   flexor   training   on   sitting   neck   posture   in   patients   with   chronic   neck   pain; comparative study. Indian Journal of Physical Therapy. 2014 Jul 1;2(1). 1 0 . 10. GORE DR, SEPIC SB, GARDNER GM. Roentgenographic findings of the cervical spine in asymptomatic people. Spine. 1986 Jul 1;11(6):521-4. 1 1 . Grimmer K. Measuring the endurance capacity of the cervical short flexor muscle group. Australian Journal of Physiotherapy. 1994 Dec 31;40(4):251-4. 1 2 . Postural Assessment  [internet]; [cited 6January2016]. Available from www.kau.edu.sa/Files/0053044/Files/73332_7a.Postural%20Assessment.doc 1 3 . Salahzadeh   Z,   Maroufi   N, Ahmadi A,   Behtash   H,   Razmjoo A,   Gohari   M,   Parnianpour   M. Assessment   of   forward   head   posture   in   females:   observational and photogrammetry methods. Journal of back and musculoskeletal rehabilitation. 2014 Jan 1;27(2):131-9. 1 4 . Harman   K,   Hubley-Kozey   CL,   Butler   H.   Effectiveness   of   an   exercise   program   to   improve   forward   head   posture   in   normal   adults:   a   randomized, controlled 10-week trial. Journal of Manual & Manipulative Therapy. 2005 Jul 1;13(3):163-76. 1 5 . ALI MF, EL-WARDANY SH, ALDURAIBI SK. Effect of Kinesio Taping in Patients with Mechanical Neck Dysfunction. 1 6 . KASE K., TATSUYUKI H. and TOMOKI O.: Develop-ment of Kinesiotape. Kinesio taping Perfect Manual, 1996. 1 7 . Chiu   CN,   Lee   YC,   Guo   LY.   The   effects   of   kinesio   taping   on   muscular   endurance   of   deep   neck   flexors   for   subjects   with   forward   head   posture:   a   pilot   study. InISBS-Conference Proceedings Archive 2013 Sep 5 (Vol. 1, No. 1). 1 8 . Yoo   WG.   Effect   of   the   Neck   Retraction   Taping   (NRT)   on   forward   head   posture   and   the   upper   trapezius   muscle   during   computer   work.   Journal   of   physical therapy science. 2013;25(5):581-2. 1 9 . Nam   SH,   Son   SM,   Kwon   JW,   Lee   NK.   The   intra-and   inter-rater   reliabilities   of   the   forward   head   posture   assessment   of   normal   healthy   subjects.   Journal   of physical therapy science. 2013;25(6):737-9. 2 0 . Bijur   PE,   Latimer   CT,   Gallagher   EJ.   Validation   of   a   verbally   administered   numerical   rating   scale   of   acute   pain   for   use   in   the   emergency   department. Academic Emergency Medicine. 2003 Apr 1;10(4):390-2. 2 1 . Hazar Z, Karabicak GO, Tiftikci U. Reliability of photographic posture analysis of adolescents. Journal of physical therapy science. 2015 Oct;27(10):3123. 2 2 . Olson   LE,   Millar   AL,   Dunker   J,   Hicks   J,   Glanz   D.   Reliability   of   a   clinical   test   for   deep   cervical   flexor   endurance.   Journal   of   manipulative   and   physiological therapeutics. 2006 Feb 28;29(2):134-8. 2 3 . Grimmer-Somers   K,   Milanese   S,   Louw   Q.   Measurement   of   cervical   posture   in   the   sagittal   plane.   Journal   of   manipulative   and   physiological   therapeutics. 2008 Sep 30;31(7):509-17. 2 4 . Edmondston   SJ,   Wallumrød   ME,   MacLéid   F,   Kvamme   LS,   Joebges   S,   Brabham   GC.   Reliability   of   isometric   muscle   endurance   tests   in   subjects   with   postural neck pain. Journal of manipulative and physiological therapeutics. 2008 Jun 30;31(5):348-54. 2 5 . Sk Koushik.Nadakuduti“Correlation Between Forward Head Posture And Position Of Scapula”. 2 6 . Hajibashi   A,   Amiri   A,   Sarrafzadeh   J,   Maroufi   N,   Jalae   S.   Effect   of   Kinesiotaping   and   Stretching   Exercise   on   Forward   Shoulder   Angle   in   Females   with Rounded Shoulder Posture. Journal of Rehabilitation Sciences and Research. 2015 May 31;1(4):78-83. 2 7 . Lee   KJ,   Han   HY,   Cheon   SH,   Park   SH,   Yong   MS.   The   effect   of   forward   head   posture   on   muscle   activity   during   neck   protraction   and   retraction.   Journal   of physical therapy science. 2015 Mar;27(3):977. 2 8 . Falla   D,   Jull   G,   Russell   T,   Vicenzino   B,   Hodges   P.   Effect   of   neck   exercise   on   sitting   posture   in   patients   with   chronic   neck   pain.   Physical   therapy.   2007   Apr 1;87(4):408-17. 2 9 . Kang   JH,   Park   RY,   Lee   SJ,   Kim   JY,   Yoon   SR,   Jung   KI.   The   effect   of   the   forward   head   posture   on   postural   balance   in   long   time   computer   based   worker. Annals of rehabilitation medicine. 2012 Feb 1;36(1):98-104. 3 0 . (pdf )              Numeric             Pain             Rating             Scale              [internet];             cited             on             18             December             2015,             available             on http://www.va.gov/PAINMANAGEMENT/docs/Pain_Numberic_Rating_Scale.pdf  ) 3 1 . Parreira   PD,   Costa   LD,   Junior   LC,   Lopes   AD,   Costa   LO.   Current   evidence   does   not   support   the   use   of   Kinesio   Taping   in   clinical   practice:   a   systematic review. Journal of physiotherapy. 2014 Mar 31;60(1):31-9. 3 2 . Kase K, Wallis J, Kase T (2003) Clinical therapeutic Applications of Kinesio taping method. Tokyo, Japan: Ken’i-kai Information 3 3 . Slupik   A,   Dwornik      M,   Bialoszewski   D,   Zych,   E.   Effect   of   kinesio   taping   on   bioelectrical   activity   of   Vastus   Medialis   muscle.   Preliminary   report.   Orto   Traum Rehab. 2007;9(6):644-651. 3 4 . Kaya   E,   Zinnuroglu   M,   Tugcu   I.   Kinesio   taping   compared   to   Physical   therapy   modalities   for   the   treatment   of   shourlder   impingeent   syndrome.   Clinical rheumatology. 2011 Feb 1;30(2):201-7 .   3 5 . Halseth   T,   McChesney   JW,   DeBeliso   M,   Vaughn   R,   Lien   J.   The   effects   of   kinesio   taping   on   proprioception   at   the   ankle.   J   Sports   Sci   Med.   2004   Mar 1;3(1):1-7 3 6 . Fu   TC,   Wong   AM,   Pei   YC,   Wu   KP.   Chou   SW,   Lin   YC,   Effect   of   kinesio   taping   on   muscle   strength   in   athletes-   a   pilot   study.   Journal   of   Science   and   Medicine in Sport. 2008 Apr 30;11(2):198-201. 3 7 . Murray H, Husk L. Effect of kinesio taping on proprioception in the ankle. J Orthop Sports Phys Ther. 2001;31(1):A-37. 3 8 . Chiu   TT,   Ku   WY,   Lee   MH,   Sum   WK,   Wan   MP,   Wong   CY,   Yuen   CK.   A   study   on   the   prevalence   of   and   risk   factors   for   neck   pain   among   university   academc staff in Hong Kong. Journal of occupational rehabilitation. 2002 Jun 1;12(2):77-91 3 9 . Briggs   A,   Sraker   L,   Greig   A.   Upper   quadrant   postural   changes   of   school   children   in   response   to   interaction   with   different   information   technologies. Ergonomics. 2004;47(7):790-819 4 0 . Cho    C    Y.    Survy    of    faulty    postures    and    associated    factors    among    Chinese    adolescents.    Journal    of    Manipulative    and    Physiological    Therapeutics 2008;31(3):224-9 [PubMed]