NCT06559124

Effect of Kinesio Tape on Pain, Muscle Strength, Functionality and Kinesiophobia in Shoulder Impingement Syndrome

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (actual)
• Sponsor: University of Beykent · Academic / Other
• Sex: All
• Age: 45 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

The aim of the study is to compare the effects of different kinesiotape applications in addition to traditional physiotherapy on shoulder pain, joint range of motion, muscle strength, functionality and kinesiophobia in patients diagnosed with shoulder impingement syndrome within and between groups. Subacromial space; At the bottom, it is the region limited by the humeral head and tuberculum major, acromion (anterior 1/3 of the acromion), coracoacromial ligament, coracoid process and acromioclavicular joint and acromioclavicular ligament. The rotator cuff muscles pass through this area and move within it. In anteroposterior radiographs taken with the shoulder in 0° abduction, the distance between the acromion and the humeral head is approximately 1.1 cm (1.0-1.5 cm). Between these two structures are the rotator cuff (mostly the supraspinatus tendon), the long head of the biceps muscle, the bursa, and the coracoacromial ligament. When incompatibility is observed between the mentioned bone structures, it causes pressure on the subacromial structures. Subacromial impingement syndrome is one of the most common causes of shoulder pain. The complaint of the majority of patients is pain radiating to the shoulder and arm, especially during overhead movements. Examples of overhead activities in these people include hanging curtains, reaching on a shelf, combing hair, or lifting an object. Subacromial impingement syndrome is a complex disease that occurs not only as a result of compression of the rotator cuff muscles under the acromion, but also due to a combination of external and internal causes. While the diagnosis of the disease can be made with a good history and physical examination, the diagnosis must also be supported by imaging methods.

Detailed description

When applied to the skin and muscle, kinesiology tape affects the mechanoreceptors sensitive to tension, loading, pressure and shear forces by changing the length of the skin and superficial fascia and the tension of the muscle fibers. This can lead to significant changes in muscle movement and tone. In particular, slow pressure stimulation on connective tissue alters the effect on mechanoreceptors and may affect gamma motor neuron firing and muscle tone regulation. Kinesio tape can be effective in increasing proprioceptive ability, especially in the middle of movement. In this range, muscle receptors are active while ligament mechanoreceptors are inactive. Understanding joint movement and position can be effective in improving proprioception by stimulating sensory afferent transmission. Inhibition techniques are divided into two; Autogenic and reciprocal inhibition. It occurs when the contraction of certain muscles is inhibited due to activation of the Golgi tendon and muscle spindle. These two myotendinous proprioceptors, located in and around joints and muscles, help manage muscle control and coordination by responding to changes in muscle tension and length. Although there are studies in the literature on traditional physiotherapy and kinesio taping in patients with shoulder impingement syndrome, no study has been found that includes different kinesio taping techniques and all evaluation parameters.

Conditions

• Physiotherapy
• Kinesiotaping

Interventions

Type	Name	Description
OTHER	Traditional Physiotherapy + Sham Kinesiotape	As exercise training, joint range of motion, flexion and abduction external cycle will be practiced with the gymnasts. Circumference measurements will be taken for shoulder bone swelling and for atrophy. Shoulder joint mobilizations will be applied (posterior cutting for flexion limitation, downward shifting and scapular mobilizations for abduction limitation). Flexion and abduction will be stretched externally. Friction massage will be applied. Strengthening exercises for flexion, abduction and external rotation in the lower and upper segments of the shoulder with dumbbells and theraband, shoulder wheel and finger ladder will be practiced. Codman exercises and staff exercises will be practiced.
OTHER	Kinesiotape with Facilitation Method + Traditional Physiotherapy	Kinesio tape will be applied with 0 tension at the starting point when the arm is in a relaxed position and will be slightly heated. Since the deltoid muscle is a three-headed muscle, it will be applied with 0 tension in the flexed position at the elbow, for the front part, the arm with the elbow in full extension, and for the middle part of the deltoid, the I tape will be applied along the muscle without applying tension.
OTHER	Kinesiotape with Inhibition Method + Traditional Physiotherapy	The Y-shaped kinesio tape will be placed on the deltoid muscle with inhibition and mechanical correction technique, and the Y-shaped kinesio tape will be placed on the supraspinatus muscle with inhibition technique, 3 cm below the humerus tuberculum deltoidea without tension. The Y tape will be applied along the outer edge of the anterior deltoid of the forearm with 15-25% light tension, and the posterior arm will be applied along the outer edge of the posterior deltoid with 15-25% light tension up to the lateral acromion. The last 3-5 cm of the tails will be applied to their permanent locations without tension. The shoulder will be held in maximum transverse extension and external rotation for the forearm of the Y support, and in 45 degrees transverse flexion and horizontal adduction for the posterior arm of the Y support. In addition, ultrasound, electrotherapy and cold application will be applied to the participants depending on their tolerance.

Timeline

• Start date: 2024-08-15
• Primary completion: 2024-09-25
• Completion: 2024-09-30
• First posted: 2024-08-19
• Last updated: 2025-03-05

Locations

1 site across 1 country: Turkey (Türkiye)