Kinesio Taping Compared to Exercise Intervention for Round Shoulder Subjects With Impingement Syndrome

Study Overview
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Brief Summary
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To compare the effect between the exercise intervention (strengthening exercise and stretching exercise) and exercise intervention with taping on decreasing round shoulder posture and improving symptoms in subjects with shoulder impingement syndrome/round shoulder syndrome.

Detailed Description
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Background: Poor posture and abnormal scapular kinematics have been suggested as possible primary factors in developing Shoulder impingement syndrome (SIS) and also as secondary observed phenomena of SIS. Round shoulder posture (RSP) is major and common posture contributing to increase the potential for subacromial impingement or exaggerate the symptoms of SIS. Objective: To compare the effect between the exercise intervention (strengthening exercise and stretching exercise) and exercise intervention with taping on decreasing RSP and improving symptoms in subjects with SIS/RSP. Methods: Forty subjects with impingement age between 20 and 75 are recruited and measured on acromial distance, pectoralis minor index (PMI), posterior and anterior shoulder tightness, distance of scapular medial border, pain score and flexilevel scale of shoulder function (FLEX-SF). Clinical significance: Shoulder impingement syndrome (SIS) have been identified as the majority of reported shoulder complaints. The project will provide an effective intervention for subjects with SIS/RSP.

Official Title
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Kinesio Taping Compared to Exercise Intervention for Round Shoulder Subjects With Impingement Syndrome

Conditions
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Shoulder Impingement Syndrome (SIS); Round Shoulder Posture (RSP)

Intervention / Treatment
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* Other: kinesio taping
* Other: exercise


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: subjects age between 20 and 75 Diagnosed with shoulder impingement syndrome At least three positive of five tests, including Neer's test, Hawkin's test, Empty can test, tenderness in tendon of rotator cuff Exclusion criteria: Shoulder pain onset due to trauma A history of shoulder fractures or dislocation Cervical radiculopathy Degenerative joint disease of the shoulder Surgical interventions on the shoulder Inflammatory arthropathy

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Kinesio taping<br>subject with shoulder impingement syndrome | Other: kinesio taping<br>* Apply exercise and kinesio taping for intervention<br>|
| Active Comparator: Exercise<br>subject with shoulder impingement syndrome | Other: exercise<br>* Apply only exercise intervention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Length of the pectoralis minor | The Pectoralis minor index (PMI) is calculated by dividing the resting muscle length by the subject's height and multiplying by 100. | 1 year | 
| Acromial distance (AD) | Acromial distance is defined as the distance from table to border of lateral-inferior acromion and measured in centimeter. | 1 year | 
| Posterior and anterior shoulder tightness | Flexibility of the posterior and anterior shoulder tissues, measured in degree | 1 year | 
| Distance of scapular medial border | The distance from the root of the spine (ROS) and the inferior angle (INF) of the scapula to the thoracic wall in millimeter respectively | 1 year | 
| Self-reported flexilevel scale of shoulder function (FLEX-SF) | FLEX-SF is used to assess shoulder function and disability. Scores will be recorded from 1, with the most limited function, to 50, without any limited function in the subject. | 1 year | 
| Pain score | Severity of pain is measured by Visual Analogue Scale, providing a range of scores from 0-10. | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Shoulder impingement syndrome, Kinesio tape, Round shoulder posture