THE CLINICAL EFFECTIVENESS OF RIGID OR KINESIO TAPING AND MANUAL THERAPY ON PAIN AND FUNCTION IN PATIENTS WITH SHOULDER IMPINGEMENT SYNDROME

Reduction in isometric strength of the scapulohumeral muscles is a commonly seen impairment in overhead athletes afflicted with shoulder impingement syndrome (SIS). The purpose of this study was to compare the effects of two different treatment programs: progressive resistance exercises plus manual therapy (PRE plus MT) and motor control exercises (MCE), on isometric strength of upper trapezius (UT), middle trapezius (MTr), lower trapezius (LT), serratus anterior (SA), supraspinatus (Supr.), anterior deltoid (A.D), and latissimus dorsi (LD). 80 male university-level overhead athletes clinically diagnosed with SIS were randomly allocated into either of the two groups: PRE plus MT and MCE group. Athletes in the PRE plus MT group underwent graduated exercises with resistance elastic band, stretching exercises, and mobilization of the thoracic and shoulder joints. MCE group was submitted to motor control exercises in varied planar positions. Athletes in both groups underwent management 3 times a week for 8 weeks. Isometric strength of UT, MTr, LT, Supr, A.D, SA, and LD was measured at three-time points: baseline, 4th week, and 8th week. Relative to baseline, both interventions were found to be effective in increasing and optimizing the isometric strength of muscles ( p < 0.05 ) except for supraspinatus in the MCE group ( p > 0.05 ). However, athletes in PRE plus MT group presented a more pronounced increase in isometric strength than those in the MCE group. Between groups analysis found the largest isometric strength improvement in PRE plus MT group for A.D, followed by Supr. and UT muscles ( p < 0.05 ; effect size: 0.39 to 0.40). The study concluded that compared to MCE, PRE plus MT provides greater improvement in the isometric strength of scapulohumeral muscles.

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Effects of ’’Throwers Ten’’ Exercise Program on Pain and Function in Shoulder Impingement Syndrome

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967114s00153 ◽

2014 ◽

Vol 2 (11_suppl3) ◽

pp. 2325967114S0015

Author(s):

Zeynep Hazar ◽

Gul Baltacı

Keyword(s):

Exercise Program ◽

Impingement Syndrome ◽

Wilcoxon Test ◽

Control Group ◽

Dash Score ◽

Shoulder Impingement Syndrome ◽

Physical Treatment ◽

Shoulder Impingement ◽

And Function ◽

Experimental Group

Objectives: The purpose of this study was to examine the effects of Throwers Ten (T10) exercise program on pain and function in patients with shoulder impingement syndrome. Methods: Twenty subjects who were assigned by random sampling to an experimental group (n=10) to which Throwers Ten (T10) exercise and a control group (n=10) to which ordinary physical treatment were applied. A 100 mm visual analogue scale (VAS) was used to evaluate the degree of pain. The Disability of Arm, Hand, and Shoulder (DASH) score was used to assess the functions of the upper extremity. To determine the range of motion, a universal goniometer was used to measure range of shoulder motion. Wilcoxon test was employed to examine differences in pain and function of the experimental group and the control group before and after the treatment. Results: There were significant differences in function and pain of the experimental group (p<0.05). The therapeutic effect in the experimental and control groups revealed significant differences in flexion, abduction, VAS and the DASH (p< 0.05); respectively. Conclusion: The results of this study suggest that Throwers Ten (T10) exercise would be positively affected pain alleviation and functional recovery in shoulder impingement patients.

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