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CTRI Number  CTRI/2025/09/094418 [Registered on: 08/09/2025] Trial Registered Prospectively
Last Modified On: 04/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effects of two different modalities on neck pain  
Scientific Title of Study   Short term effects of Laser therapy and Kinesio Taping on Myofascial trigger points of upper trapezius in Young adults - A Randomised Controlled trial  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Misba Bagban 
Designation  Postgraduate student 
Affiliation  SDM College of Physiotherapy 
Address  OPD No. 5 Ortho Physiotherapy Department, SDM College of Physiotherapy, Sattur
SDM College of Medical Sciences, Manjushree Nagar, Sattur
Dharwad
KARNATAKA
580009
India 
Phone  09740173874  
Fax    
Email  misbabagaban6595@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Misba Bagban 
Designation  Postgraduate student 
Affiliation  SDM College of Physiotherapy 
Address  OPD No. 5 Ortho Physiotherapy Department, SDM College of Physiotherapy, Sattur
SDM College of Medical Sciences, Manjushree Nagar, Sattur

KARNATAKA
580009
India 
Phone  09740173874  
Fax    
Email  misbabagaban6595@gmail.com  
 
Details of Contact Person
Public Query  
Name  Dr Ravi Savadatti 
Designation  Professor and PG guide , SDM College of Physiotherapy 
Affiliation  SDM College of Physiotherapy 
Address  OPD No. 5 Ortho Physiotherapy Department, SDM College of Physiotherapy, Sattur
SDM College of Medical Sciences, Manjushree Nagar, Sattur
Dharwad
KARNATAKA
580009
India 
Phone  09740173874  
Fax    
Email  raviraj09199@gmail.com  
 
Source of Monetary or Material Support  
SDM College of Medical sciences and hospital SDM College Physiotherapy Manjushree Nagar Sattur Dharwad Karnataka 580009 India 
 
Primary Sponsor  
Name  Misba Bagban 
Address  SDM College of Medical sciences and hospital SDM College Physiotherapy Manjushree Nagar Sattur Dharwad Karnataka 580009 India 
Type of Sponsor  Other [self ] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Misba Bagban  Shri Dharmasthala Manjunatheshwar Hospital  OPD No. 5 Ortho Physiotherapy Department, SDM College of Physiotherapy, Sattur SDM College of Medical Sciences, Manjushree Nagar, Sattur Dharwad
Dharwad
KARNATAKA 		 09740173874

misbabagaban6595@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SDM College of Medical Sciences and Hospital Institutional Ethics Commitee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M62||Other disorders of muscle,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Laser therapy  Group a is the laser therapy group. Patient position is prone lying with hands on forehead and head tilted to other side affected area to be exposed. Both the patient and the therapist will be using protective eyewear. Calculation of laser dose will be done. The dose of laser therapy will be determined by the area to be treated. The target dose is 10 joules per centimeter square. Mode of laser used will be stochastic mode. Technique of application is laser probe will be held perpendicular to the skin surface. Contact method of application will be used. Group b laser therapy and additional to that kinesio taping will be done. Laser therapy procedure will be same as mentioned above. Followed by laser therapy application kinesio taping will be done by certified taping therapist. Kinesio taping star taping technique will be used. Patient position will be comfortable sitting on chair. Four i-shaped bands will be taken, all of the tapes corners will be given round forms throughout the procedure. This is done to prevent the tape from lifting off the edges when the person is dressing, undressing or moving around. The same length i bands, between 15 and 20 cm, will be taped on top of the trigger point. After the first i tape is adhered, the second i tape will be adhered at 90 degrees. Then, the 3rd and 4th i bands will adhered at 45 degrees to obtain a star appearance. The tapes will be applied with the patient in the resting position without tension at the ends. Dosage is the intervention program will be given of total 4 sessions with 2 days gap between each session, for 2 weeks, in physiotherapy outpatient department. Pre and post evaluation will be done for pain, cervical range of motion and disability using visual analogue scale, universal goniometer and neck disability index scale respectively.  
Intervention  Laser therapy  Group a is the laser therapy group. Patient position is prone lying with hands on forehead and head tilted to other side affected area to be exposed. Both the patient and the therapist will be using protective eyewear. Calculation of laser dose will be done. The dose of laser therapy will be determined by the area to be treated. The target dose is 10 joules per centimeter square. Mode of laser used will be stochastic mode. Technique of application is laser probe will be held perpendicular to the skin surface. Contact method of application will be used. Group b laser therapy and additional to that kinesio taping will be done. Laser therapy procedure will be same as mentioned above. Followed by laser therapy application kinesio taping will be done by certified taping therapist. Kinesio taping star taping technique will be used. Patient position will be comfortable sitting on chair. Four i-shaped bands will be taken, all of the tapes corners will be given round forms throughout the procedure. This is done to prevent the tape from lifting off the edges when the person is dressing, undressing or moving around. The same length i bands, between 15 and 20 cm, will be taped on top of the trigger point. After the first i tape is adhered, the second i tape will be adhered at 90 degrees. Then, the 3rd and 4th i bands will adhered at 45 degrees to obtain a star appearance. The tapes will be applied with the patient in the resting position without tension at the ends. Dosage is the intervention program will be given of total 4 sessions with 2 days gap between each session, for 2 weeks, in physiotherapy outpatient department. Pre and post evaluation will be done for pain, cervical range of motion and disability using visual analogue scale, universal goniometer and neck disability index scale respectively. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  1.Age group 18 to 35 years.
2.Symptoms persisting more than 3 months.
3.Presence of atleast 1 trigger point in upper trapezius.
4.Pain intensity more than 4 on visual analogue scale.
5.Painful and sensitive points in
muscle at 25 newton per centimeter square. 
 
ExclusionCriteria 
Details  1.Presence of any neurological condition (sensory
abnormalities, spinal root compression, cervical
spondylosis, cervical stenosis).
2.Cervical radiculopathy.
3.Cervical canal stenosis.
4.Local anesthetics, or steroid injections into the trigger point within last 6 months.
5.Cervical spine surgery.
6.Malignancy.
7.Fibromyalgia syndrome.
8.Pregnancy.
9.Any shoulder pathologies.
10.Presence of kyphosis or scoliosis.
11.Patient on anticoagulant drug.
12.Patients allergic to kinesio tape.
13.Patients unwilling to participate. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Visual analogue scale(VAS)
2.Range of motion with goniometer
3.Neck disability index (NDI) 		 At 0th day and 2nd week  
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   25/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Neck pain is one of the most common musculoskeletal disorders. It is characterized by localized or referred pain, tenderness at specific points, and limited Cervical range of Motion (CROM). Chronic neck pain (CNP) persists for over 3 months, significantly affecting quality of life. The primary cause is often myofascial pain in the upper trapezius. Simons defined myofascial pain syndrome as a complex of sensory, motor and autonomic symptoms that are caused by myofascial trigger points. It often results from prolonged poor posture, repetitive strain, and muscle overuse, leading to functional limitations and decreased quality of life. The myofascial trigger points are more commonly observed in the postural muscles, especially the upper trapezius muscle.
Need of the study while various technique exists, there is growing interest in non-invasive and patient friendly care. Class 4 diode laser is a high-power laser that penetrates deeper into tissues, promoting anti- inflammatory effects, improved circulation, and pain relief. While kinesio tape support soft tissue structures, reduces the local pressure, and improves lymph drainage. Class 4 diode laser therapy (high-power laser) has gained attention for its deep tissue penetration, anti-inflammatory effects, pain modulation, and enhanced microcirculation, promoting muscle healing and relaxation. Kinesiology taping, on the other hand, is widely used to provide proprioceptive feedback, support soft tissue structures, reduce muscle strain, and improve circulation. While Class 4 laser can help in reducing pain and inflammation at a cellular level, kinesiology taping can provide mechanical support and facilitate muscle function.
Novelty our study includes both subjective (VAS for pain) and objective measures (PPT, cervical ROM), it enhances the novelty by providing quantifiable data on impact of intervention. This research is unique in its focus on young adults aged 18-35 years, a demographic often overlooked in prior studies. 
Null hypothesis laser therapy with kinesio tape will not show any significant difference on pain, cervical range of motion and disability in young adults with myofascial trigger points in upper trapezius.
Alternate hypothesis laser therapy with kinesio tape will show significant difference on pain, cervical range of motion and disability in young adults with myofascial trigger points in upper trapezius.
Primary objective to evaluate the effects of laser therapy and kinesio taping on pain in myofascial trigger points of upper trapezius in young adults, to determine the effects of laser therapy and kinesio taping on cervical range of motion in myofascial trigger points of upper trapezius in young adults, to determine the effects of laser therapy and kinesio taping on disability in myofascial trigger points of upper trapezius in young adults. 
Methodology 36 participants will be selected based on inclusion and exclusion criteria mentioned above. Participants will be randomly allocated to 2 groups, group a laser therapy and group b taping additional to laser therapy will be given. Outcomes will be measured pre and post intervention on 0th day and end of 4th session will be taken,  pain will be taken on visual analogue scale, range of motion on universal goniometer and disability with neck disability index.
Data analysis descriptive data will be analyzed by mean, standard deviation, frequencies and percentage. Paired t-test will be administered to compare within the groups. Independent t-test will be administered to compare between the groups. p value significance will be less than 0.05.
 
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