The Effects of Rigid Scapular Taping on the Subacromial Space in Athletes With and Without Rotator Cuff Tendinopathy: A Randomized Controlled Study

2019 ◽  
Vol 28 (3) ◽  
pp. 250-255 ◽  
Author(s):  
Hio Teng Leong ◽  
Siu Ngor Fu
Keyword(s):  
Rotator Cuff ◽  
Confidence Interval ◽  
Repeated Measures ◽  
Mean Difference ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Shoulder Abduction ◽  
Subacromial Space ◽  
Randomized Controlled ◽  
University Laboratory

Context:Reduction of the subacromial space (SAS) during arm elevation may contribute to rotator cuff (RC) tendinopathy. The effects of scapular taping on the SAS in athletes with and without RC tendinopathy are unknown.Objective:To investigate the immediate effects of scapular taping on the SAS in athletes with and without RC tendinopathy.Design:Randomized controlled study with repeated measures.Setting:University laboratory.Participants:A total of 43 male volleyball players (17 asymptomatic and 26 with RC tendinopathy, mean age = 22.9 [3.5] y) participated in the study.Intervention:Three scapular taping protocols—no taping (control), taping with tension (therapeutic taping), and taping without tension (sham taping).Main Outcome Measures:Ultrasound measurements of the SAS with the arm at 0° and 60° of shoulder abduction, and the change in the SAS between 0° and 60° of shoulder abduction (SAS0°–60°) were calculated.Results:Athletes with RC tendinopathy demonstrated larger SAS with therapeutic taping at 60° of shoulder abduction (6.9 [1.9] mm vs 5.8 [1.7] mm, mean difference = 1.1 mm, 95% confidence interval, −1.80 to −0.39,P = .002) when compared with the no taping condition. The tendinopathy group also showed less reduction in the SAS with therapeutic taping during SAS0°–60°(2.0 [1.4] mm vs 2.8 [1.4] mm,P = .02) when compared with the no taping condition. When tape was applied to the scapula in asymptomatic athletes, our results showed a relatively small increase in the SAS with therapeutic taping during arm resting at 0° of abduction when compared with the no taping condition (8.7 [0.9] mm vs 8.3 [0.8] mm, mean difference = 0.4 mm, 95% confidence interval, −0.71 to −0.11,P = .01).Conclusions:Athletes with RC tendinopathy demonstrated less reduction of the SAS with rigid scapular taping during early arm abduction. Such observation was not evidenced in asymptomatic athletes.

Abstract WP326: Randomized-Controlled Study on the Effects of Hand Bathing on Stroke Patients in Convalescence - Subjective Improvements in Hand Movement and Increased Positiveness in Talking

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Rika Yano ◽  
Miki Haseyama
Keyword(s):  
Repeated Measures ◽  
Hand Movement ◽  
Well Being ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Average Score ◽  
Stroke Patients ◽  
Randomized Controlled ◽  
Convalescent Phase ◽  
Significant Difference

Background and Purpose: Depressed stroke patients are more likely to drop out of rehabilitation. Hand bathing is a term used to describe a uniquely Japanese hygiene care in which a nurse washes and stimulates the patient’s hands in warm water while talking to each other. The purpose of this study was to verify, by a randomized-controlled study, the hypothesis indicated in the author’s preliminary studies that hand bathing makes stroke patients more conscious of their hand movement on the affected side and talk more positively. Methods: Stroke patients in convalescent phase in the Brunnstrom stages I to V were randomly allocated to the hand-bathed group (23 patients) or the control (21 patients). Both groups received a 15-minute intervention four times within a week. Before and after each intervention, the visual analogue scale (VAS) was assessed for hand movement, edema, and numbness/pain, the tip palm distance was measured, and the QOL was assessed using the QUIK-R. The t-test and repeated measures ANOVA were used to analyze the data. A verbatim record of all conversation was subjected to morphological analysis, TF-IDF, and TF analysis of nouns and adjectives. Results: The hand-bathed group felt improved hand movement significantly more after the first and fourth interventions (F=4.41,p=.013). No significant difference was detected between the two groups in the VAS for edema, numbness/pain, and heavy feeling in hands. Positive adjectives were used more often by the hand-bathed group after the second, third and fourth interventions (F=3.58, p=.016). In the hand-bathed group, the average score of QOL questions on socializing and sense of contentment/well-being improved significantly after interventions (p=.003) Conclusions: The finding supported the said hypothesis in that hand bathing leads to subjective improvement in hand movement of stroke patients in convalescent phase and makes them talk more positively. It has additionally been indicated that hand bathing also helps them become more sociable and have a better sense of contentment and well-being.

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