Short Term Effect of Kinesiotaping In Patients With Shoulder Impingement Syndrome

NCT04242381 | Completed

• 1 other identifier: HNEAH-KAEK 2016/269
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

We aimed to investigate the effect of kinesiotaping on pain, functionality and ultrasound parameters in patients with shoulder impingement syndrome (SIS).

Conditions

Kinesiotape; Exercise; Ultrasound

Keywords

Kinesiotape; exercise; ultrasound

Outcome Measures

Primary Outcomes (4)

• Pain Level

  The severity of shoulder pain (resting, activity, and night pain) in the patients was evaluated through the VAS score. A VAS score of 0 represented no pain, whereas a score of 10 represented the most severe pain; the patients were asked to mark the average severity of the pain they felt during the past week and the marked point was measured using a centimeter ruler and recorded.

  4 weeks

• Functional Status

  Quick-Disabilities of the Arm, Shoulder and Hand (Q-DASH) questionnaire: This questionnaire comprises three sections. The first section comprises 30 items: 21 items assess the patient's difficulties in performing daily activities, 5 assess symptoms (pain, activity-related pain, tingling, stiffness, and weakness), and each of the remaining 4 items assesses social function, work, sleep, and self-confidence. All items are rated on a 5-point Likert-type scale (1, no difficulty; 2, mild difficulty; 3, moderate difficulty; 4, extreme difficulty; 5, cannot perform at all). The total score possible through this questionnaire ranges from 0 to 100 (0, no disability; 100, maximum disability). Furthermore, Turkish reliability and validity have been performed for this questionnaire.

  4 weeks

• Joint range of motion measurements

  Flexion (FLX), abduction (ABD), internal rotation (IR) and external rotation (ER) were measured using a goniometer (saehan gonıometer - plastıc).

  4 weeks

• Ultrasonography

  US was performed using a 7.5-mHz linear probe in the B mode (Mindray-China). Supraspinatus tendon (SsT) thickness was measured at three different points (10, 15, and 20 mm) lateral to the tendon after identifying the biceps tendon in the transverse section and the average of measurements was recorded. Acromiohumeral distance (AHD) was assessed by linearly measuring the distance between the inferior of the acromion from the anterior of the shoulder and the superior of the humeral head

  4 weeks

Study Arms (3)

Group 1: Cold application, Kinesiotaping treatment

EXPERIMENTAL

Cold application: At the beginning of each treatment session, gel ice packs were wrapped in a damp towel and applied to the patients' shoulder joints for 20 minutes. Kinesiotaping application: KT was applied to the deltoid muscle using the inhibition and mechanical correction technique and to the supraspinatus muscle using the inhibition technique (2 sessions with a 5-day interval).

Other: Cold Application; Other: Kinesiotaping Application

Group 2: Cold application, EX treatment

EXPERIMENTAL

EX treatment was administered for 10 days with 3 sessions/day. A triphasic exercise program was administered to the patients. Exercise was administered twice a week under supervision; however, the patients were advised to exercise at home on the other days with 20 repetitions of each exercise. The patients were followed up via telephone to make sure they were adhering to their exercise programs.

Other: Cold Application; Other: Exercise treatment

Group 3: Cold application, sham-KT treatment

SHAM COMPARATOR

Sham-KT was applied in 10 cm I-shaped stripes on the sagittal plane over the acromioclavicular joint without stretching and on the transverse plane distal to the deltoid area. The kinesiotape was applied twice for five days with 2-day intervals

Other: Cold Application; Other: Sham Kinesio taping application

Interventions

Cold Application OTHER

At the beginning of each treatment session, gel ice packs were wrapped in a damp towel and applied to the patients' shoulder joints for 20 minutes.

Group 1: Cold application, Kinesiotaping treatment; Group 2: Cold application, EX treatment; Group 3: Cold application, sham-KT treatment

Kinesiotaping Application OTHER

KT was applied to the deltoid muscle using the inhibition and mechanical correction technique and to the supraspinatus muscle using the inhibition technique (2 sessions with a 5-day interval)

Group 1: Cold application, Kinesiotaping treatment

Exercise treatment OTHER

EX treatment was administered for 10 days with 3 sessions/day. A triphasic exercise program was administered to the patients. Before starting the exercise program, the patients were instructed to not perform the movements exceeding 90° overhead. The exercise program was initiated using codman pendulum, passive joint motion range (with a 1-m stick), and posterior capsule stretching exercise. Shoulder wheel, finger ladder, and shoulder strengthening exercise with theraband were added to the exercise programs of patients with full or near total range of motion and pain relief. Exercise was administered twice a week under supervision; however, the patients were advised to exercise at home on the other days with 20 repetitions of each exercise. The patients were followed up via telephone to make sure they were adhering to their exercise programs.

Group 2: Cold application, EX treatment

Sham Kinesio taping application OTHER

Sham-KT was applied in 10 cm I-shaped stripes on the sagittal plane over the acromioclavicular joint without stretching and on the transverse plane distal to the deltoid area. The kinesiotape was applied twice for five days with 2-day intervals

Group 3: Cold application, sham-KT treatment

Eligibility Criteria

• Age: 45 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• at least three positive results in the Hawkins-Kennedy, Neer, empty can, drop-arm, and lift-off tests
• magnetic resonance imaging findings
• age between 45 and 70 years

You may not qualify if:

• Patients who received physical therapy for the shoulder region within the past three months or those with a history of injections to the shoulder joint,
• cervical pathologies,
• clinical conditions accompanied by neuromotor or sensory dysfunction,
• history of malignancy,
• pregnancies,
• partial or total rupture in the supraspinatus tendon,
• adhesive capsulitis,
• diabetes or chronic liver, or kidney failure

Sponsors & Collaborators

• Kars State Hospital: lead

Study Sites (1)

Haydarpasa Numune Hospital

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: All participants were assessed by the same clinician (F.B) at the baseline and at the two week after completing the interventions by visual analog scale (VAS), range of motion (ROM) and Disabilities of the Arm, Shoulder and Hand Questionnaire (Q-DASH). KT and sham-KT applications were made by same clinician (N.M). For ultrasnogohraphic (US) measurements, the participants were sent to a clinician (D.G.K) who was blinded to the group allocation.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: A Randomized Sham-Controlled Study

Study Record Dates

• First Submitted: January 20, 2020
• First Posted: January 27, 2020
• Study Start: January 1, 2016
• Primary Completion: January 1, 2017
• Study Completion: February 1, 2017
• Last Updated: January 27, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)