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Research Article|Articles in Press

Mid-term effects of two different Kinesio tape treatments in female patients with subacromial impingement syndrome: Randomized controlled ultrasonographic study

Published:March 12, 2023DOI:https://doi.org/10.1016/j.jht.2022.09.002

      Highlights

      • Kinesio taping is an effective treatment method for increasing the acromiohumeral distance and reducing the supraspinatus tendon thickness in patients with Subacromial Impingement Syndrome.
      • The taping of the anterior and posterior deltoid from its insertion to the origin is effective to improve upper limb function.
      • Regardless of the mode of administration, Kinesio taping treatment provides significant improvement in the clinical findings of the patients.

      ABSTRACT

      Study Design

      Randomized controlled study.

      Purpose of the study

      To evaluate the effect of Kinesio Tape (KT) applied differently in patients diagnosed with Subacromial Impingement Syndrome (SIS) on acromiohumeral distance (AHD) and supraspinatus tendon (SsT) thickness using ultrasound (US) and its effect on pain, upper limb functional status and hand grip muscle strength in the short and mid-term.

      Methods

      The 90 patients diagnosed with unilateral SIS by clinical examination were randomized into 3 groups. In addition to exercise therapy, the deltoid in group 1 and the supraspinatus muscle in group 2 were taped from insertion to origin. Group 3, which was the control group, was applied 9 sessions of sham taping for 3 weeks. Cases were evaluated for AHD and SsT thickness, pain was evaluated with the Visual Analog Scale (VAS), function with the Disabilities of the arm, shoulder and hand (DASH) and the Western Ontario Rotator Cuff Index (WORC), and hand grip strength (HGS) using a dynamometer before, and 3rd week and 3rd month after the KT application.

      Results

      There was a significant improvement in all parameters in the short and mid-term intra group comparisons in Group 1 and 2 after taping (P < .05). In intergroup comparisons, significant improvement was achieved in all parameters in Group 1 and Group 2 in the mid and short term compared to the control group (P < .05). In comparison of Group 1 and Group 2, HGS in the short term (p: 0.07) and the SsT thickness in the short and mid-term (p: 0.36, p: 0.85) did not exhibit any difference. The improvement in all other parameters in group 1 was statistically significant.

      Conclusion

      The findings of our study provide definitive evidence for the effectiveness of KT treatment depending on the method of tape application employed.

      Keywords

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      References

        • Mitchell C.
        • Adebajo A.
        • Hay E.
        • Carr A.
        Shoulder pain: diagnosis and management in primary care.
        BMJ. 2005; 331: 1124-1128
        • Dhillon K.S.
        Subacromial Impingement Syndrome of the Shoulder: A Musculoskeletal Disorder or a Medical Myth?.
        Malays Orthop J. 2019; 13: 1-7
        • Beard D.J.
        • Rees J.L.
        • Cook J.A.
        • et al.
        Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicenter, pragmatic, parallel group, placebo-controlled, three-group, randomized surgical trial.
        The Lancet. 2018; 391: 329-338
        • McFarland E.G.
        • Maffulli N.
        • Del Buono A.
        • Murrell G.A.
        • Garzon-Muvdi J.
        • Petersen S.A.
        Impingement is not impingement: the case for calling it "Rotator Cuff Disease".
        Muscles, Ligaments and Tendons J. 2013; 3: 196-200
        • Razmjou H.
        • Palinkas V.
        • Christakis M.
        • Robarts S.
        • Kennedy D.
        Reduced acromiohumeral distance and increased critical shoulder angle: implications for primary care clinicians.
        The Physician and Sports Med. 2020; 48: 312-319
        • Kibler W.B.
        • Ludewig P.M.
        • McClure P.W.
        • Michener L.A.
        • Bak K.
        • Sciascia A.D.
        Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the 'Scapular Summit.
        Br J Sports Med. 2013; 47: 877-885
        • Timmons M.K.
        • Ericksen J.J.
        • Yesilyaprak S.S.
        • Michener L.A.
        Empty can exercise provokes more pain and has undesirable biomechanics compared with the full can exercise.
        J Shoulder and Elbow Surg. 2016; 25: 548-556
        • McCreesh K.M.
        • Crotty J.M.
        • Lewis J.S.
        Acromiohumeral distance measurement in rotator cuff tendinopathy: is there a reliable, clinically applicable method?.
        Br J Sports Med. 2015; 49: 298
        • Leong HT
        • Tsui S
        • Ying M
        • Leung VY
        • Fu SN.
        Ultrasound measurements on acromio-humeral distance and supraspinatus tendon thickness: test-retest reliability and correlations with shoulder rotational strengths.
        J Sci Med Sport. 2012; 15: 284-291
        • McCreesh K.M.
        • Anjum S.
        • Crott J.M.
        • Lewis J.S.
        Ultrasound measures of supraspinatus tendon thickness and acromiohumeral distance in rotator cuff tendinopathy are reliable.
        J Clin Ultrasound: JCU. 2016; 44: 159-166
        • Navarro-Ledesma S.
        • Struyf F.
        • Falla D.
        • Luque-Suarez A.
        Non-traumatic chronic shoulder pain is not associated with changes in rotator cuff interval tendon thickness.
        Clin Biomech (Bristol, Avon). 2019; 63: 147-152
        • Navarro-Ledesma S
        • Luque-Suarez A.
        Comparison of acromiohumeral distance in symptomatic and asymptomatic patient shoulders and those of healthy controls.
        Clin Biomech (Bristol, Avon). 2018; 53: 101-106
        • Beard D.J.
        • Rees J.L.
        • Cook J.A.
        • et al.
        Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicenter, pragmatic, parallel group, placebo-controlled, three-group, randomized surgical trial.
        Lancet. 2018; 391: 329-338
        • Karjalainen T.V.
        • Jain N.B.
        • Page C.M.
        • et al.
        Subacromial decompression surgery for rotator cuff disease.
        Cochrane Database Syst Rev. 2019; 17CD005619
        • Barreto R.B.
        • Azevedo A.R.
        • Gois M.C.
        • Freire M.
        • Silva D.S.
        • Cardoso J.C.
        Platelet-Rich Plasma and Corticosteroid in the Treatment of Rotator Cuff Impingement Syndrome: Randomized Clinical Trial.
        Revista brasileira de ortopedia. 2019; 54: 636-643
      1. Kase K., Wallis J., Kase T. Clinical therapeutic applications of the Kinesio taping method. Tokyo, Japan: Ken Ikai Co. Ltd. KIC; 2003.

      2. Kase K., Wallis J., Kase T. Clinical therapeutic applications of the Kinesio taping. 3. USA: Kinesio; 2013.

        • Drouin J.L.
        • McAlpine C.T.
        • Primak K.A.
        • Kissel J.
        The effects of Kinesio tape on athletic-based performance outcomes in healthy, active individuals: a literature synthesis.
        The J Canadian Chiropractic Assoc. 2013; 57: 356-365
        • Miccinilli S.
        • Bravi M.
        • Morrone M.
        • et al.
        A Triple Application of Kinesio Taping Supports Rehabilitation Program for Rotator Cuff Tendinopathy: a Randomized Controlled Trial.
        Ortop Traumatol Rehabil. 2018; 31: 499-505
        • 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; 51: 139-144
        • Thelen M.D.
        • Dauber J.A.
        • Stoneman P.D.
        The clinical efficacy of Kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial.
        J Orthop Sports Phys Ther. 2008; 38: 389-395
        • Kaya E.
        • Zinnuroglu M.
        • Tugcu I.
        Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome.
        Clin Rheumatol. 2011; 30: 201-207
        • Lyman K.J.
        • Gange K.N.
        • Hanson T.A.
        • Mellinger C.D.
        Effects of 3 different elastic therapeutic taping methods on the subacromial joint space.
        J Manipulative and Physiological Therapeut. 2017; 40: 494-500
        • Boonstra A.M.
        • Schiphorst Preuper H.R.
        • Reneman M.F.
        • Posthumus J.B.
        • Stewart R.E.
        Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. International journal of rehabilitation research, Internationale Zeitschrift fur Rehabilitationsforschung.
        Revue internationale de recherches de readaptation. 2008; 31: 165-169
        • Angst F.
        • Schwyzer H.K.
        • Aeschlimann A.
        • Simmen B.R.
        • Goldhahn J.
        Measures of adult shoulder function: Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and its short version (QuickDASH), Shoulder Pain and Disability Index (SPADI), American Shoulder and Elbow Surgeons (ASES) Society standardized shoulder assessment form, Constant (Murley) Score (CS), Simple Shoulder Test (SST), Oxford Shoulder Score (OSS), Shoulder Disability Questionnaire (SDQ), and Western Ontario Shoulder Instability Index (WOSI).
        Arthritis Care Res. 2011; 63 (Suppl): 174-188
        • Düger T.
        • Yakut E.
        • Oksüz Ç.
        • et al.
        Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand - DASH) Questionnaire.
        Physiotherapy Rehabil. 2006; 17: 99-107
        • Boudreau N.
        • Gaudreault N.
        • Roy J.S.
        • Bédard S.
        • Balg F.
        The Addition of Glenohumeral Adductor Coactivation toa Rotator Cuff Exercise Program for Rotator Cuff Tendinopathy: A Single-Blind Randomized Controlled Trial.
        J Orthop Sports Phys Ther. 2019; 49: 126-135
        • El O.
        • Bircan C.
        • Gulbahar S.
        • et al.
        The reliability and validity of the Turkish version of the Western Ontario Rotator Cuff Index.
        Rheumatol Int. 2006; 26: 1101-1108
        • Ejazi G.
        • Hamdani N.
        • Kumar S.
        Test-retest reliability of hand grip strength measurement using a jamar hand dynamometer in patients with acute and chronic cervical radiculopathy.
        Internat J Physiotherapy. 2017; 1: 382-388
        • Haidar S.G.
        • Kumar D.
        • Bassi R.S.
        • Deshmukh S.C.
        Average versus maximum grip strength: Which is more consistent.
        J Hand Surg. 2004; 29: 82-84
        • de Oliveira F.
        • de Fontenay B.P.
        • Bouyer L.J.
        • Desmeules F.
        • Roy J.S.
        Effects of kinesiotaping added toa rehabilitation programme for patients with rotator cuff tendinopathy: protocol for a single blind, randomized controlled trial addressing symptoms, functional limitations and underlying deficits.
        BMJ Open. 2017; 24 (7)e017951
        • Desmeules F.
        • Minville L.
        • Riederer B.
        • Côté C.H.
        • Frémont P.
        Acromio-humeral distance variation measured by ultrasonography and its association with the outcome of rehabilitation for shoulder impingement syndrome.
        Clin J Sport Med. 2004; 14: 197-205
        • Djordjevic O.C.
        • Vukicevic D.
        • Katunac L.
        • Jovic S.
        Mobilization with movement and kinesiotaping compared with a supervised exercise program for painful shoulder: results of a clinical trial.
        J. Manipulative Physiol. Ther. 2012; 35: 454-463
        • Fathollahnejad K.
        • Letafatkar A.
        • Hadadnezhad M.
        The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study.
        BMC Musculoskelet Disord. 2019; 20: 86
        • Hunter D.J.
        • Rivett D.A.
        • McKiernan S.
        • Snodgrass S.J.
        Acromiohumeral distance and supraspinatus tendon thickness in people with shoulder impingement syndrome compared to asymptomatic age and gender-matched participants: a case control study.
        BMC Musculoskelet Disord. 2021; 22: 1004
        • Luque-Suarez A.
        • Navarro-Ledesma S.
        • Petocz P.
        • Hancock M.J.
        • Hush J.
        Short term effects of kinesiotaping on acromiohumeral distance in asymptomatic subjects: a randomised controlled trial.
        Man Ther. 2013; 18: 573-577
        • Ahmed Z.K.S.
        • Deepak B.A.
        Effect of therapeutic kinesio-taping in patients with shoulder impingement syndrome: A pilot study.
        Internat J Clin Biochemistry and Res. 2021; 8: 248-252
        • Bdaiwi A.H.
        • Mackenzie T.A.
        • Herrington L.
        • Horlsey I.
        • Cools A.
        The effects of rigid scapular taping on acromiohumeral distance in healthy shoulders: an observational study.
        J Sport Rehabil. 2017; 26: 51-56
        • Harput G.
        • Guney H.
        • Toprak U.
        • Colakoglu F.
        • Baltaci G.
        Acute effects of scapular Kinesio Taping on shoulder rotator strength, ROM and acromiohumeral distance in asymptomatic overhead athletes.
        J Sports Med Phys Fitness. 2017; 57: 1479-1485
        • de Oliveira F.
        • Pairot de Fontenay B.
        • Bouyer L.J.
        • Roy J.S.
        Immediate effects of kinesiotaping on acromiohumeral distance and shoulder proprioception in individuals with symptomatic rotator cuff tendinopathy.
        Clin Biomech (Bristol, Avon). 2019; 61: 16-21
        • Göksu 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; 50: 483-488
        • Alexander C.M.
        • Stynes S.
        • Thomas A.
        • Lewis J.
        • Harrison P.J.
        Does tape facilitate or inhibit the lower fibres of trapezius?.
        Man Ther. 2003; 8: 37-41
        • Cholewinski J.J.
        • Kusz D.J.
        • Wojciechowski P.
        • Cielinski L.S.
        • Zoladz M.P.
        Ultrasound measurement of rotator cuff thickness and acromio-humeral distance in the diagnosis of subacromial impingement syndrome of the shoulder.
        Knee Surg Sports Traumatol Arthrosc. 2008; 16: 408-414
        • Michener L.A.
        • Subasi Yesilyaprak S.S.
        • Seitz A.L.
        • Timmons M.K.
        • Walsworth M.K.
        Supraspinatus tendon and subacromial space parameters measured on ultrasonographic imaging in subacromial impingement syndrome.
        Knee Surg. Sports Traumatol. Arthrosc. 2015; 23: 363-369https://doi.org/10.1007/s00167-013-2542-8
        • Kaya D.O.
        • Baltaci G.
        • Toprak U.
        • Atay A.O.
        The clinical and sonographic effects of kinesiotaping and exercise in comparison with manual therapy and exercise for patients with subacromial impingement syndrome: a preliminary trial.
        J Manipulative Physiol Ther. 2014; 37: 422-432
        • Şahin-Onat Ş.
        • Biçer S.
        • Şahin Z.
        • Küçükali-Türkyilmaz A.
        • Kara M.
        • Özbudak-Demir S
        Effectiveness of Kinesiotaping and Subacromial Corticosteroid Injection in Shoulder Impingement Syndrome.
        Am J Phys Med Rehabil. 2016; 95: 553-560
        • Bandholm T.
        • Rasmussen L.
        • Aagaard P.
        • Diederichsen L.
        • Jensen B.R.
        Effects of experimental muscle pain on shoulder- abduction force steadiness and muscle activity in healthy subjects.
        Eur J Appl Physiol. 2008; 102: 643-650
        • Şimşek H.H.
        • Balki S.
        • Keklik S.S.
        • Öztürk H.
        • Elden
        Does Kinesio taping in addition to exercise therapy improve the outcomes in subacromial impingement syndrome? A randomized, double-blind, controlled clinical trial.
        Acta Orthop Traumatol Turc. 2013; 47: 104-110
        • Vithoulka I.
        • Beneka A.
        • Malliou P.
        • Aggelousis N.
        • Karatsolis K.
        • Daimantopoulos K.
        The effects of Kinesio-Taping on quadriceps strength during isokinetic exercise in healthy non athlete women.
        Isokinet. Exer. Sci. 2010; 18: 1-6
        • Kim H.H.
        • Kim K.H.
        Effects of Kinesio taping with squat exercise on the muscle activity, muscle strength, muscle tension, and dynamic stability of softball players in the lower extremities: a randomized controlled study.
        Int J Environ Res Public Health. 2021; 19: 276
        • Cho H.Y.
        • Kim E.H.
        • Kim J.
        • Yoon Y.W.
        Kinesio taping improves pain, range of motion, and proprioception in older patients with knee osteoarthritis: a randomized controlled trial.
        Am J Phys Med Rehabil. 2015; 94: 192-200