NCT06688214

Effects of KT and Scapular Stabilization Exercises.

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

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 34 (estimated)
• Sponsor: Sehat Medical Complex · Academic / Other
• Sex: All
• Age: 18 Years – 55 Years
• Healthy volunteers: Accepted

Summary

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.

Detailed description

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.

Conditions

• Subacromial Impingement Syndrome

Interventions

Type	Name	Description
OTHER	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 the Y-strip was then terminated at the superomedial angle of the scapula, passing between the middle and superior fibers of the trapezius with light tension (% 15-25); the shoulder was then extended, adducted, and internally rotated with cervical contralateral bending; the final portion of the tape (2.5-5 cm) was applied painlessly.
OTHER	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 including bilateral shoulder retraction and extension in the prone position. There was no discomfort involved in performing the exercises, and each session may consist of no more than four exercises. The dosage and progressions were based on the objectives of each exercise; each exercise was performed 8-10 times with a 5- to 10-second hold in between, and there was a 30-to 1-minute rest period.

Timeline

• Start date: 2024-11-30
• Primary completion: 2025-05-25
• Completion: 2025-05-30
• First posted: 2024-11-14
• Last updated: 2025-01-22

Locations

1 site across 1 country: Pakistan