Effects of KT and Scapular Stabilization Exercises.

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.

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.

Eligibility Criteria:
Inclusion Criteria:

Participants with age between 18 to 55 years. Participants with pain on the anterolateral side of the shoulder for ≥3 months. Participants diagnosed with ≥3 positive clinical signs of SIS, such as the Neer or Hawkins-Kennedy test, a painful arc by a sports physical therapist.

Mild or Moderate pain on resisted external rotation, or the Empty Can test.

Exclusion Criteria:

Diagnosis of cervical radiculopathy. Participants with 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. Corticosteroid injection into the shoulder joint in the previous 12 months.