Effects of KT and Scapular Stabilization Exercises.

Официальное название

Effects of Kinesio Taping and Scapular Stabilization Exercises on ROM, Pain and Function in Badminton Players With Subacromial Impingement Syndrome

Обзор

The distance between the acromion bone and the head of the humerus narrows in subacromial impingement syndrome. This narrowing leads to the compression of sensitive structures and results in pain and decreased functional performance.While taping and scapular stabilizing exercises are commonly used in the treatment of subacromial impingement syndrome, no comparisons were conducted previously between their effectiveness. This randomized clinical trial will be conducted at Punjab Sports Board, Lahore.This study will include patients with age group ≥18 years; pain located on the anterolateral side of the shoulder for ≥3 months with positive clinical signs. Group A will receive Kinesiotaping protocol and Group B will receive Scapular Stabilization exercises protocol.

Подробное описание

The distance between the acromion bone and the head of the humerus narrows in subacromial impingement syndrome. This narrowing leads to the compression of sensitive structures and results in pain and decreased functional performance. Subacromial Impingement syndrome can be Primary and Secondary, both types could present patterns of postural deviation, painful arc, and altered biomechanics of muscles.While taping and scapular stabilizing exercises are commonly used in the treatment of subacromial impingement syndrome, no comparisons were conducted previously between their effectiveness.

This randomized clinical trial will be conducted at Punjab Sports Board, Lahore. This study will include patients with age group ≥18 years; pain located on the anterolateral side of the shoulder for ≥3 months with positive clinical signs of SIS, such as the Neer or Hawkins-Kennedy test, a painful arc, pain on resisted external rotation, or the Empty Can test after exclusion of cervical radiculopathy, osteoarthritis in the acromioclavicular or glenohumeral joint, calcific tendinitis, adhesive capsulitis, glenohumeral instability or a partial or full-thickness rotator cuff tear, clinical history of acute trauma, previous surgery or previous fracture in the affected shoulder; or corticosteroid injection into the shoulder joint in the previous 12 months.Participants will be divided into two groups. Group A will receive Kinesio-taping protocol and Group B will receive Scapular Stabilization exercises protocol.Patients will be assessed Shoulder Pain And Disability Index (SPADI). Changes in upper limb function Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Pain intensity {Visual Analog Scale (VAS) Kinesiophobia {Tampa Scale of Kinesiophobia (TSK)}. The findings can contribute to the growing evidence based supporting whether the use of Kinesio taping or scapular stabilization Exercises improve ROM, 5 Pain and function in patients with Subacromial impingement syndrome. Analysis will be done by statistical package for social sciences SPSS 29.

Вмешательства

• Другое Kinesio Taping treatment
  Therapeutic KT application administered to patients in group A. The KT treatment was completed in compliance with Kase's recommended methodology for rotator cuff tendinitis/impingement. Initially, an inhibitory approach was used to apply a supraspinatus Y-strip from its insertion to its origin. The measurement of the strip's length was taken from the acromion to the scapular spine. The base of the strip was later applied to the tuberculum major while the patient was seated; the superior tale of
• Другое Scapular Stabilization Exercises
  Participants in Group B engage in a twice-weekly, supervised SSE exercise program that is based on the clinical decision algorithm that has been recommended by an expert panel. The goal of scapular orientation training was to normalize the scapula's resting posture and enhance proprioception. Subsequently, three scapular control exercises were executed: a closed kinetic chain exercise known as the "unilateral bench press," bilateral shoulder flexion up to 60°, and a scapular control exercise inc

Первичные конечные точки

• Shoulder Pain And Disability Index (SPADI). [Срок оценки: 1 week]
• Changes in upper limb function Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire [Срок оценки: 1 week]
• Pain intensity {Visual Analog Scale (NPRS). [Срок оценки: 1 week]
• Kinesiophobia {Tampa Scale of Kinesiophobia (TSK) [Срок оценки: 1 week]
• Standard Goniometer [Срок оценки: 1 week]

Критерии участия

Критерии включения

Participants with age between 18 to 55 years. Participants with pain on the anterolateral side of the shoulder for ≥3 months. Participants diagnosed with ≥3 positive clinical signs of SIS, such as the Neer or Hawkins-Kennedy test, a painful arc by a sports physical therapist.

Mild or Moderate pain on resisted external rotation, or the Empty Can test.

Критерии исключения

Diagnosis of cervical radiculopathy. Participants with osteoarthritis in the acromioclavicular or glenohumeral joint.

Calcific tendinitis, adhesive capsulitis, glenohumeral instability or a partial or full-thickness rotator cuff tear, clinical history of acute trauma, previous surgery or previous fracture in the affected shoulder. Corticosteroid injection into the shoulder joint in the previous 12 months.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Riphah International University — Lahore

Публикации

• Goksu H, Tuncay F, Borman P. The comparative efficacy of kinesio taping and local injection therapy in patients with subacromial impingement syndrome. Acta Orthop Traumatol Turc. 2016 Oct;50(5):483-488. doi: 10.1016/j.aott.2016.08.015. Epub 2016 Sep 23. PMID 27670388
• Kul A, Ugur M. Comparison of the Efficacy of Conventional Physical Therapy Modalities and Kinesio Taping Treatments in Shoulder Impingement Syndrome. Eurasian J Med. 2019 Jun;51(2):139-144. doi: 10.5152/eurasianjmed.2018.17421. Epub 2018 Nov 30. PMID 31258353
• Ravichandran H, Janakiraman B, Gelaw AY, Fisseha B, Sundaram S, Sharma HR. Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review. J Exerc Rehabil. 2020 Jun 30;16(3):216-226. doi: 10.12965/jer.2040256.128. eCollection 2020 Jun. PMID 32724778
• Sharma S, Ghrouz AK, Hussain ME, Sharma S, Aldabbas M, Ansari S. Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial. Biomed Res Int. 2021 Jun 30;2021:9945775. doi: 10.1155/2021/9945775. eCollection 2021. PMID 34307681

Идентификаторы

NCT: NCT06688214 · REC/RCR&AHS/24/0424

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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