Comparison of Kinesiotaping, Exercise and Subacromial Injection Treatments on Functionality and Life Quality in Shoulder Impingement Syndrome: A Randomized Controlled Study.

Autor: Vergili O; Department of Physiotherapy and Rehabilitation, School of Health Sciences, Kirikkale University, Arapalikcukuru Mah. No:1, Yahsihan, Kirikkale Turkey., Oktas B; Department of Orthopedics and Traumatology, School of Medicine, Kirikkale University, Yurtkur Cad. No:4 Yenisehir, Ankara Yolu 7.Km., Kırıkkale Universitesi Kampusu, 71450 Yahsihan, Kirikkale Turkey., Canbeyli ID; Department of Orthopedics and Traumatology, School of Medicine, Kirikkale University, Yurtkur Cad. No:4 Yenisehir, Ankara Yolu 7.Km., Kırıkkale Universitesi Kampusu, 71450 Yahsihan, Kirikkale Turkey.
Jazyk: angličtina
Zdroj: Indian journal of orthopaedics [Indian J Orthop] 2020 Jun 11; Vol. 55 (1), pp. 195-202. Date of Electronic Publication: 2020 Jun 11 (Print Publication: 2021).
DOI: 10.1007/s43465-020-00167-7
Abstrakt: Purpose: Disturbance of scapulohumeral rhythm has been shown to play a major role in subacromial impingement syndrome. Exercise, taping and subacromial injection are first ray conservative treatment modalities. We aimed to correct scapulohumeral rhythm with kinesio taping and exercise program via focusing on especially periscapular muscles not on glenohumeral structures to achieve scapulothorasic stabilization.
Material and Methods: Seventy five patients were divided into three groups randomly with different treatment modalities which are only exercise group (Group 1), kinesiotaping + exercise group (Group 2), and injection + exercise group (Group 3). Western Ontario Rotator Cuff Index (WORCI), Quick Disability of arm, shoulder, hand (Q-DASH), Constant- Murley Scores (CMS) were evaluated for each patient at the beginning, 15th and 60th days and compared in time and technique manner. Scores were analyzed statistically with One-way ANOVA and Chi-square tests.
Results: All the three groups had better results in short and long term follow ups as compared to initial admission. But in the second group 15th and 60th day results were superior to other groups significantly ( p  < 0,001).
Conclusions: Most of recent studies using kinesio taping were focused on mechanical correction of humerus which will be an impaired treatment to correct the main cause of impingement. Not only mechanical correction of periscapular muscles and also stabilization of scapulae will help to gain scapulohumeral rhythm.
Competing Interests: Conflict of interestThere is not any conflict of interests regarding the submission and publication of this manuscript and its’ potential implications. Manuscript has been read and approved by all the authors. All authors declare that this study represents our honest work. The authors certify that they have obtained all appropriate patient consent forms. In the form the patients have given their consent for their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
(© Indian Orthopaedics Association 2020.)
Databáze: MEDLINE