scholarly journals Effect of therapeutic kinesio-taping in patients with shoulder impingement syndrome: A pilot study

2022 ◽  
Vol 8 (4) ◽  
pp. 248-252
Author(s):  
Zoya Khatoon Shamim Ahmed ◽  
Deepak B Anap
Keyword(s):  
Range Of Motion ◽  
Functional Disability ◽  
Impingement Syndrome ◽  
Control Group ◽  
Ultrasound Therapy ◽  
Shoulder Impingement Syndrome ◽  
Shoulder Impingement ◽  
Kinesio Taping ◽  
Shoulder Range Of Motion ◽  
Shoulder Range

Kinesio-taping is widely used in sports rehabilitation for prevention and treatment of sports-related injuries. The role of Kinesio-taping has recently received renewed interest in patients with shoulder problems like shoulder impingement or rotator cuff tendinopathy.This pilot study was undertaken to check the effect of therapeutic kinesio-taping versus placebo kinesio-taping on shoulder pain, acromio-humeral distance (AHD), mobility and disability in patients with shoulder impingement syndrome.8 patients diagnosed with shoulder impingement syndrome were included in the study and they were allocated into the experimental and control group. The patients in experimental group received ultrasound therapy for 8 minutes followed by application of therapeutic kinesio-taping and in control group patients received ultrasound therapy for 8 minutes followed by application of placebo kinesio-taping. Outcome measure were pain intensity by NPRS, shoulder range of motion by goniometry, acromio-humeral distance (AHD) using ultrasonography and functional disability by SPADI assessed at baseline, immediate after taping application and 3 days post intervention. Data analyzed with Kruskal-Wallis H test and p value less than 0.05 consider as significant.Therapeutic kinesio-taping group showed significant change in AHD (p=0.04), pain.(p=0.0001), shoulder range of motion including abduction (p=0.04), internal rotation (p=0.001) and functional disability (0.04), whereas placebo kinesio-taping showed no significant improvement in outcomes. Therapeutic kinesio-taping found to be effective in increasing AHD, range of motion, decreasing pain and functional disability when compare with placebo kinesio-taping. It can be used as adjunct treatment option in patient with shoulder impingement.

scholarly journals Shoulder Function and 3-Dimensional Scapular Kinematics in People With and Without Shoulder Impingement Syndrome

2006 ◽  
Vol 86 (8) ◽  
pp. 1075-1090 ◽  
Author(s):  
Philip W McClure ◽  
Lori A Michener ◽  
Andrew R Karduna
Keyword(s):  
Range Of Motion ◽  
Muscle Force ◽  
External Rotation ◽  
Impingement Syndrome ◽  
Control Group ◽  
Shoulder Impingement Syndrome ◽  
Shoulder Impingement ◽  
3 Dimensional ◽  
Scapular Kinematics ◽  
Shoulder Range Of Motion

Abstract Background and Purpose. Several factors such as posture, muscle force, range of motion, and scapular dysfunction are commonly believed to contribute to shoulder impingement. The purpose of this study was to compare 3-dimensional scapular kinematics, shoulder range of motion, shoulder muscle force, and posture in subjects with and without primary shoulder impingement syndrome. Subjects. Forty-five subjects with impingement syndrome were recruited and compared with 45 subjects without known pathology or impairments matched by age, sex, and hand dominance. Methods. Shoulder motion and thoracic spine posture were measured goniometrically, and force was measured with a dynamometer. An electromagnetic motion analysis system was used to capture shoulder kinematics during active elevation in both the sagittal and scapular planes as well as during external rotation with the arm at 90 degrees of elevation in the frontal plane. Results. The impingement group demonstrated slightly greater scapular upward rotation and clavicular elevation during flexion and slightly greater scapular posterior tilt and clavicular retraction during scapular-plane elevation compared with the control group. The impingement group demonstrated less range of motion and force in all directions compared with the control group. There were no differences in resting posture between the groups. Discussion and Conclusion. The kinematic differences found in subjects with impingement may represent scapulothoracic compensatory strategies for glenohumeral weakness or motion loss. The decreased range of motion and force found in subjects with impingement support rehabilitation approaches that focus on strengthening and restoring flexibility.

scholarly journals EFEK PENAMBAHAN MOBILISASI SCAPULA PADA MOBILISASI END-RANGE TERHADAP PENDERITA FROZEN SHOULDER DI RUMAH SAKIT TADJUDDIN CHALID MAKASSAR

2020 ◽  
Vol 15 (2) ◽  
pp. 174
Author(s):  
Sudaryanto Sudaryanto ◽  
Hermiati Hermiati
Keyword(s):  
Range Of Motion ◽  
Frozen Shoulder ◽  
Control Group ◽  
Ultrasound Therapy ◽  
Paired Sample ◽  
Shoulder Range Of Motion ◽  
Post Test ◽  
Randomized Control ◽  
Shoulder Range

ABSTRAK Latar Belakang : Frozen shoulder atau capsulitis adhesive, adalah kondisi bahu yang ditandai dengan nyeri gerak yang hebat dan hilangnya gerakan aktif dan pasif shoulder, umumnya disebabkan oleh inflamasi dan kontraktur kapsul sendi shoulder sehingga menyebabkan keterbatasan gerak terutama eksorotasi shoulder. Metode : Penelitian ini adalah penelitian ekspirimen dengan desain randomized control group pre test-post test, bertujuan untuk mengetahui efektifitas penambahan mobilisasi scapula pada mobilisasi end-range yang dikombinasikan dengan ultrasound therapy terhadap perubahan ROM dan disabilitas shoulder pada penderita frozen shoulder, dilaksanakan di Poli Fisioterapi RS. Dr. Tadjuddin Chalid Makassar dengan sampel sebanyak 14 orang, dibagi secara acak kedalam 2 kelompok yaitu kelompok perlakuan yang diberikan Ultrasound Therapy, Mobilisasi End-range dan Mobilisasi Scapula, dan kelompok kontrol diberikan Ultrasound Therapy dan Mobilisasi End-range. Hasil: Berdasarkan analisis uji paired sample t pada kelompok perlakuan dan kontrol diperolah nilai p=0,000 (ROM eksorotasi, endorotasi dan SPADI) dan p=0,002 (abduksi) untuk kelompok perlakuan, nilai p=0,000 (ROM eksorotasi dan SPADI), p=0,002 (ROM abduksi), p=0,012 (ROM endorotasi) untuk kelompok kontrol, yang berarti ada pengaruh yang signifikan pada kelompok perlakuan dan kontrol terhadap peningkatan ROM Eksorotasi, Abduksi dan Endorotasi serta perbaikan disabilitas shoulder. Hasil uji independent sampel t  diperoleh nilai p=0,782 (ROM eksorotasi), p=0,918 (ROM abduksi), p=0,049 (ROM endorotasi), p=0,061 (SPADI) yang berarti bahwa tidak ada perbedaan yang signifikan antara kedua kelompok sampel. Kesimpulan : Kombinasi Ultrasound, Mobilisasi End-range dan Mobilisasi scapula tidak lebih efektif daripada kombinasi Ultrasound dan Mobilisasi End-range terhadap perubahan ROM (Eksorotasi, Abduksi, Endorotasi) dan disabilitas shoulder pada penderita Frozen Shulder. Kata Kunci : Mobilisasi End-range, Mobilisasi Scapula, Ultrasound Therapy, Frozen Shoulder. Range Of Motion, Disabilitas

scholarly journals The Effectiveness Of Routine Physiotherapy With And Without Neuromobilization In Patients With Shoulder Impingement Syndrome On Pain And Functional Disability; A Randomized Control Clinical Trial

2019 ◽  
Author(s):  
Muhammad Akhtar ◽  
Hossein Kirimi ◽  
Syed Amir Gilani ◽  
Ashfaq Ahmad ◽  
Asim Raza
Keyword(s):  
Functional Disability ◽  
Control Clinical Trial ◽  
Impingement Syndrome ◽  
Control Group ◽  
Shoulder Impingement Syndrome ◽  
Disability Score ◽  
Shoulder Impingement ◽  
Randomized Control ◽  
Experimental Group

Abstract Background: Neuromobilization (NM) includes neurophysiological parameters that vary between clinicians. This randomized controlled trial aimed to investigate the NM on the outcomes of participants with shoulder impingement syndrome (SIS) following treatment sessions (base line to follow up). Study design: Single blinded randomized control clinical trial. Methods: Patients (80) with shoulder impingement syndrome (SIS) were asked to participate in this trial. At the first session, participants were randomly assigned to either control group (40) or experimental group (40). After the baseline assessment routine physiotherapy was executed for both groups, while NM was provided to experimental group. Pain and functional disability score were evaluated on baseline, post treatment and after follow up. Pain was considered as primary out come and functional disability score as secondary outcome. Improvement was evaluated at post treatment and follow up. Differences in outcome between groups were evaluated with clinical improvement. Results: The experimental group compared with control group at 11th week had lower mean pain score 2.15(1.66-2.64) vs 4.90(4.41-5.40); between group difference, 1.82; 95% (CI), -2.38 to -1.25; P ˂ 0.001 and Partial ƞ2=0.33, similarly functional disability score 28.58(27.32-29.83) vs 20.10(18.84-21.36); between group difference ,5.62; 95%CI,(4.32-6.92); P˂ 0.001 and Partial ƞ2=0.49. Over all pain and functional disability score were improved among experimental group relative to control group at 11th week. Conclusion: In an experimental setting, the delivery of neuromobilization leads to significantly different outcomes in participants than in control group. Studies are still required to explore the mechanisms underlying neuromobilization effects. Trial registration: IRCT20190121042445N1, Registered 19 February 2019. Key words: shoulder impingement, neuromobilization, functional disability.

scholarly journals Pain Intensity and Function Improvement in Shoulder Impingement Syndrome with Kinesio Taping without Specific Technique

2017 ◽  
Vol 6 (01) ◽  
pp. 25
Author(s):  
Andhitya Dwi Ananda ◽  
Tirza Z. Tamin ◽  
I Nyoman Murdana
Keyword(s):  
Pain Intensity ◽  
Range Of Motion ◽  
Visual Analog Scale ◽  
Impingement Syndrome ◽  
Shoulder Abduction ◽  
Dash Score ◽  
Shoulder Impingement Syndrome ◽  
Analog Scale ◽  
Shoulder Impingement ◽  
Kinesio Taping

Background: Shoulder Impingement Syndrome (SIS) can occur in three age groups according to the stage ofits disease. The First stage of SIS mostly occurs in below 25 years old, while the second stage occurs in 25-40years old and third stage occur above 40 years old. The effectiveness of Kinesio Taping in SIS using Kaze’stechnique or modification of the technique has been proven to have positive benefits according to the previousstudies. However, the Kinesio taping have some challenges, like it has to replaced after some days application,it cannot apply by the patient, and it has some contraindications like an infection in the affected area, deep veinthrombosis, allergy to the tape, wound, and some other conditionsMethods: This study used pre and post-trial without control on subjects with SIS. The “sham” Kinesio Tapingapplication consists of three I-strips that applied with no tension for one week, with reapplication in three days.The outcomes were Pain intensity that was measured by Visual Analog Scale (VAS), flexion, abduction, andscaption range of motion, and quality of life that scored by the Quick Disability of Arm, Shoulder, and Hand(DASH) measurement tool.Result: Study subjects were 16 people with mean age is 59-year-old. There was a significant improvement in painintensity, both with movement and nocturnal pain (p<0.05). The range of motion also showed significant improvementin all three measurements: pain-free shoulder abduction, flexion, and scaption compared to the pre-test values(p<0.05).Quick DASH score also showed significant improvement compared to the pre-test values (p<0.05).Conclusion: Kinesio Taping may represent a useful adjunct therapy in the management of SIS. Results of thepresent study may challenge the suggested mechanisms for the effectiveness of Kinesio Taping.Keywords: Kinesio taping, Kaze technique, Shoulder impingement syndrome(SIS), allergy, deep vein thrombosis,Visual Analog Scale (VAS), Quick Disability of Arm, Shoulder, and Hand (DASH)

Comparing the effects of no intervention with therapeutic exercise, and exercise with additional Kinesio tape in patients with shoulder impingement syndrome. A three-arm randomized controlled trial

2020 ◽  
pp. 026921552097176
Author(s):  
Amir Letafatkar ◽  
Pouya Rabiei ◽  
Sarvenaz Kazempour ◽  
Samaneh Alaei-Parapari
Keyword(s):  
Clinical Outcomes ◽  
Sagittal Plane ◽  
Controlled Trial ◽  
Impingement Syndrome ◽  
Control Group ◽  
Shoulder Impingement Syndrome ◽  
Therapeutic Exercise ◽  
Kinesio Tape ◽  
Shoulder Impingement ◽  
Therapeutic Exercises

Objective: To investigate if adding Kinesio tape to therapeutic exercise is an effective treatment to improve clinical outcomes compared to therapeutic exercise alone and no intervention, in patients with shoulder impingement syndrome. Design: Three-arm randomized controlled trial Setting: Outpatient setting Subjects: One hundred and twenty patients (mean (SD): age 37.8 (5.4)) with shoulder impingement syndrome. Intervention: Patients were randomly assigned to eight-weeks therapeutic exercise alone, therapeutic exercise with Kinesio tape, and control group. Main measures: Pain was measured with a numerical rating scale and disability and scapular kinematics were measured with a relative questionnaire and motion analysis software respectively, at baseline and after eight-weeks intervention. Results: There was significant differences in therapeutic exercise with Kinesio tape group vs. therapeutic exercise alone and control group respectively for pain ( d = –0.34, P = 0.042; and d = –1.53, P = 0.001), disability ( d = –0.46, P = 0.024; and d = –2.18, P = 0.001), scapular upward rotation at sagittal plane ( d = 0.33, P = 0.033; and d = 0.68, P = 0.001), scapular plane ( d = 0.18, P = 0.045; and d = 0.43, P = 0.001), scapular tilt at sagittal plane ( d = 0.55, P = 0.043; and d = 1.39, P = 0.001), and scapular plane ( d = 0.29, P = 0.034; and d = 0.58, P = 0.001). Therapeutic exercise alone was superior over control group in all significant outcomes ( P < 0.05). Conclusion: Although therapeutic exercises alone showed positive effect on clinical outcomes, adding Kinesio tape to therapeutic exercises had more significant effects with larger effect sizes. Adding Kinesio tape to therapeutic exercise may be of some assistance to clinicians in improving clinical outcomes in patients with shoulder impingement syndrome.

Shoulder Range of Motion Deficits in Baseball Players With an Ulnar Collateral Ligament Tear

2012 ◽  
Vol 40 (11) ◽  
pp. 2597-2603 ◽  
Author(s):  
J. Craig Garrison ◽  
Mollie A. Cole ◽  
John E. Conway ◽  
Michael J. Macko ◽  
Charles Thigpen ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Ulnar Collateral Ligament ◽  
Control Group ◽  
Elbow Extension ◽  
Collateral Ligament ◽  
Baseball Players ◽  
Elbow Injury ◽  
Shoulder Range Of Motion ◽  
Shoulder Range

Background: Shoulder range of motion (ROM) deficits are associated with elbow injury in baseball players. Purpose: To compare the ROM characteristics of baseball players with a diagnosed ulnar collateral ligament (UCL) tear with those of a group of age-, activity-, and position-matched healthy controls. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Sixty male competitive high school and collegiate baseball players participated. Thirty athletes (age [mean ± standard deviation], 18.20 ± 1.56 years) with a diagnosed UCL tear were compared with 30 (age, 18.57 ± 0.86 years) age-, activity-, and position-matched players without a UCL injury. Of the 60 participants, there were 44 pitchers, 4 catchers, 5 infielders, and 7 outfielders. Participants were measured for shoulder internal rotation (IR), external rotation (ER), and horizontal adduction (HA) at 90° of shoulder elevation. Participants were also measured for elbow extension in a seated position. Group comparisons were made between participants with and without a UCL injury using independent t tests with an α level set at P < .05. All measurements were taken bilaterally, and the differences (involved to uninvolved) were used to calculate means for all variables, including glenohumeral internal rotation deficit (GIRD), total rotational motion (TRM), HA, and elbow extension. Results: Baseball players with a UCL tear (UCLInj) exhibited significantly greater deficits in TRM compared with the control group of healthy baseball players (NUCLInj) (UCLInj = −6.67° ± 11.82°, NUCLInj = 0.93° ± 9.91°; P = .009). No group differences were present for GIRD (UCLInj = −12.53° ± 5.98°, NUCLInj = −13.63° ± 5.90°; P = .476), HA (UCLInj = −3.00° ± 5.01°, NUCLInj = −3.23° ± 5.15°; P = .860), or elbow extension (UCLInj = −2.63° ± 7.86°, NUCLInj = −1.17° ± 2.76°; P = .339). Pitchers with a UCL tear had significantly greater deficits in TRM (UCLInjPitch = −6.96° ± 11.20°, NUCLInjPitch = 1.29° ± 8.33°; P = .0087) and dominant shoulder ER (UCLInjPitch = 112.04° ± 14.35°, NUCLInjPitch = 121.85° ± 9.46°; P = .011) than pitchers without a UCL tear. Conclusion: A deficit in TRM is associated with a UCL tear in baseball players. Although GIRD may be prevalent in throwers, it may not be associated with a UCL injury. When examining ROM in baseball players, it is important to assess both TRM and GIRD.

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