Effectiveness of Kinesiologic Taping and Dry Needling in the Treatment of Subacromial Pain Syndrome

Официальное название

The Comparison of the Effectiveness of Kinesiologic Taping and Dry Needling in the Treatment of Subacromial Pain Syndrome: a Randomize Trial

Обзор

This study aims to compare the effectiveness of two common physiotherapy methods, Kinesiologic Taping (KT) and Dry Needling (DN), in the treatment of Subacromial Pain Syndrome (SAPS), a frequent cause of shoulder pain. The trial also investigates whether using KT and DN together provides greater benefits than using them separately. The main goal is to determine which treatment approach is more effective in reducing pain and improving shoulder function in patients with SAPS.

Вмешательства

• Другое Kinesio Taping
  Participants received Kinesio Taping (KT) applied to the affected shoulder using standard 5-cm Kinesio Tex tape. Before application, an allergy test was performed by placing a small patch of tape on the contralateral forearm for 15 minutes. The taping procedure included three regions: supraspinatus muscle, deltoid muscle, and glenohumeral joint. Application technique: Supraspinatus: Y-strip applied from insertion on the greater tubercle along the muscle to its origin with 20-25% stretch. Delt
• Другое Dry Needling
  Participants received dry needling (DN) applied with sterile, disposable stainless-steel needles (0.30 mm × 50 mm). Target muscles included the supraspinatus, deltoideus, infraspinatus, subscapularis, and pectoralis major. Technique: The "fast-in, fast-out" method (Hong technique) was used. After cleaning the skin with alcohol, the needle was inserted into a palpable taut band until the first local twitch response (LTR) was elicited. The needle was moved vertically (5-10 mm) at \~1 Hz for 25-30
• Поведенческое Exercise Program
  All participants were instructed in a standardized home-based exercise program designed to improve shoulder mobility and stability. Content: Exercises included active range-of-motion movements, scapular stabilization, and strengthening of rotator cuff and periscapular muscles. Ergonomic advice and posture correction were also provided. Delivery: Participants were taught the program in person and instructed to perform the exercises at home. Schedule: Exercises were performed daily for 3 weeks,
• Устройство Conventional Physical Therapy (TENS/Ultrasound/Heat pack)
  Participants in this arm received conventional physical therapy modalities commonly used for the management of subacromial pain syndrome. Modalities: Transcutaneous electrical nerve stimulation (TENS), therapeutic ultrasound, or superficial heat pack were applied based on standard clinical practice. Additional care: Sessions also included passive mobilization of the shoulder into end range, scapular stabilization exercises, and ergonomic/postural advice. Schedule: One-hour treatment sessions,

Первичные конечные точки

• Pain intensity (Visual Analogue Scale, VAS) [Срок оценки: Baseline, immediately after first treatment, 1 week after first treatment, and at the end of week 3.]

Вторичные конечные точки (2)

• Shoulder function (Quick-DASH questionnaire) [Срок оценки: Baseline, 1 week after first treatment, and at the end of week 3.]
• Kinesiophobia (Tampa Scale of Kinesiophobia, TSK-19) [Срок оценки: Baseline, 1 week after first treatment, and at the end of week 3.]

Критерии участия

Критерии включения

Age 18-65 years

Pain in the upper, outer arm, especially during shoulder elevation

Shoulder pain lasting more than 6 weeks with or without partial rotator cuff tear

At least three of the following findings:

Painful arc during flexion or abduction

Positive Neer test

Positive Hawkins-Kennedy test

Painful resisted external rotation

Positive Jobe's test

Diagnosis confirmed by MRI evaluation when indicated

Критерии исключения

Participation in a physical therapy program or receipt of injection therapy within the past 3 months

Previous shoulder surgery

Presence of joint contracture

Complete tendon rupture

Cervical radiculopathy

Systemic inflammatory disease (e.g., rheumatoid arthritis, ankylosing spondylitis)

Known allergy to tape or materials used in interventions

Bleeding disorders

Local infection or open wound in the treatment area

Cognitive dysfunction that prevents cooperation

History of malignancy

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

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07190768 · 2025-3

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗