Ultrasound Versus Kinesiotaping in Shoulder Impingement Syndrome

Study Overview
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Brief Summary
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studying the effect of ultrasound and kinesiotaping in shoulder impingement syndrome in reliefing pain and increase range of motion in subjects with shoulder impingement syndrome .

Detailed Description
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Shoulder pain is a common presenting complaint from patients of all ages in daily clinical practice, affecting approximately one-third of individuals during their lifetime. Such pain may lead to the impairment of shoulder joint function and to severe reduction in quality of life. Shoulder impingement syndrome. Ultrasound (US) is a physical therapy agent that is frequently used as an adjunctive treatment for shoulder pain. US has thermal and biophysical ffects which provide analgesia increases nutrition and increases blood circulation. Kinesio taping method (KT), has been widely used also for many musculoskeletal diseases including shoulder problems. Most of taping methods are aimed to provide a mechanical stimulus for proprioception or to decrease pain by lifting skin and subcutaneous tissues. To investigate the effect of adding ultrasound versus Kinesiotaping to exercise program on pain intensity. To investigate the effect of adding ultrasound versus Kinesiotaping to exercise program on shoulder ROM. To investigate the effect of adding ultrasound versus Kinesiotaping to exercise program on shoulder function. To investigate the effect of adding ultrasound versus Kinesiotaping to exercise program on hand strength.

Official Title
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Ultrasound Versus Kinesiotaping in Relation to Scapular Stabilization Exercises in Shoulder Impingement Syndrome

Conditions
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Shoulder Impingement Syndrome

Intervention / Treatment
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* Behavioral: scapular stabilization exercises
* Device: ultrasound
* Other: Kinesio Tape


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: Patients with shoulder impingement syndrome from both genders their age will be ranged and divided into three groups from 20-50 years. History of shoulder pain for one month. Positive Neer's impingement test and Hawkin's kiennedy test. Provocation of pain above 60 degrees of flexion and abduction. Exclusion criteria: History of Shoulder girdle fracture, dislocation and surgery Diagnosed with frozen shoulder or rotator cuff tear History of cervicobrachial pain Any neuromuscular pain in upper limb and use of corticosteroids or pain subsiding medication

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 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
Interventional Model Description: Patients with shoulder impingement syndrome from both genders will participate in this study after approval of ethical committee of the faculty of physical therapy, Cairo University, and all participants provided written informed consent. Sample size: estimate 45 patients until we measure power analysis The subjects will be arranged into three groups: Group I (control group) will receive scapular stabilization exercises 3 times per week for 4 weeks. Group II will receive scapular stabilization exercises and Kinesiotape 3 times per week for 4 weeks. Group III will receive scapular stabilization exercises and Ultrasound 3 times per week for 4 weeks.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: control group<br>will receive scapular stabilization exercises 3 times per week for 4 weeks. | Behavioral: scapular stabilization exercises<br>* scapular stabilization exercises 3 times per week for 4 weeks.<br>|
| Active Comparator: study group (A)<br>will receive scapular stabilization exercises and Kinesiotape 3 times per week for 4 weeks | Behavioral: scapular stabilization exercises<br>* scapular stabilization exercises 3 times per week for 4 weeks.<br>Other: Kinesio Tape<br>* Kinesiotape 3 times per week for 4 weeks. We will apply taping to two muscles (deltoideus and supraspinatus). A Y' tape was placed over the deltoid muscle using the muscle stimulation (KT strip arms were located by stretching slightly by 15%-25%) and mechanical correction techniques (KT strip arms were located with maximal stretching). Another Y tape was placed over the supraspinatus muscle using the muscle inhibition technique (the starting point of the tape was attached to the sub acromial-greater tubercle with submaximal (75%) stretching and without stretching on strip arms).<br>* Other names: KT;|
| Active Comparator: study group (B)<br>will receive scapular stabilization exercises and Ultrasound 3 times per week for 4 weeks. | Behavioral: scapular stabilization exercises<br>* scapular stabilization exercises 3 times per week for 4 weeks.<br>Device: ultrasound<br>* Ultrasound 3 times per week for 4 weeks.continuous US operated at a frequency of 1 MHz and at an intensity of 1.5 W/cm2 for 5 minutes<br>* Other names: US;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| severity of pain | Assessed By visual analogue scale (VAS) , The most simple VAS is a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured (symptom, pain, health) orientated from the left (worst) to the right (best). | 4 weeks | 
| Range Of Motion | assessed By Digital Goniometer | 4 weeks | 
| Function | assessed by disability of arm and hand quick questionnaire (quick DASH). | 4 weeks | 
| Hand strength | assessed by hand dynamometer. | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ultrasound, kinesiotaping, Shoulder Impingement Syndrome, shoulder pain, shoulder range of motion