Clinical trial NCT06559124: Effect of Kinesio Tape on Pain, Muscle Strength, Functionality and Kinesiophobia in Shoulder Impingement Syndrome
Official title: Effect of Kinesio Tape on Pain, Muscle Strength, Functionality and Kinesiophobia in Shoulder Impingement Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Physiotherapy
Kinesiotaping
Keywords: Impingement syndrome
functionality
kinesiophobia
Lead sponsor: University of Beykent
Sponsor class: OTHER
First posted: 2024-08-19
Enrollment: 60
Sex: ALL
Minimum age (years): 45
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: PARALLEL
Intervention model description: After giving the necessary verbal and written information about the study, patients with informed consent will be randomized and divided into 3 groups of 20 people each. The randomization and treatment of the cases will be done by the same researchers. The evaluation will be carried out before and after the treatment by another researcher who is blind to which group the participants are in.

After the initial evaluations are completed, Group 1 will receive 15 sessions of traditional physiotherapy + placebo kinesiotape every day for 3 weeks. In the 2nd group, kinesiotape will be applied with traditional physiotherapy + facilitation method. In the third group, kinesiotape will be applied with traditional physiotherapy + inhibition method.
Primary purpose: TREATMENT

Brief summary: The aim of the study is to compare the effects of different kinesiotape applications in addition to traditional physiotherapy on shoulder pain, joint range of motion, muscle strength, functionality and kinesiophobia in patients diagnosed with shoulder impingement syndrome within and between groups.

Subacromial space; At the bottom, it is the region limited by the humeral head and tuberculum major, acromion (anterior 1/3 of the acromion), coracoacromial ligament, coracoid process and acromioclavicular joint and acromioclavicular ligament. The rotator cuff muscles pass through this area and move within it. In anteroposterior radiographs taken with the shoulder in 0° abduction, the distance between the acromion and the humeral head is approximately 1.1 cm (1.0-1.5 cm). Between these two structures are the rotator cuff (mostly the supraspinatus tendon), the long head of the biceps muscle, the bursa, and the coracoacromial ligament.

When incompatibility is observed between the mentioned bone structures, it causes pressure on the subacromial structures. Subacromial impingement syndrome is one of the most common causes of shoulder pain. The complaint of the majority of patients is pain radiating to the shoulder and arm, especially during overhead movements.

Examples of overhead activities in these people include hanging curtains, reaching on a shelf, combing hair, or lifting an object. Subacromial impingement syndrome is a complex disease that occurs not only as a result of compression of the rotator cuff muscles under the acromion, but also due to a combination of external and internal causes. While the diagnosis of the disease can be made with a good history and physical examination, the diagnosis must also be supported by imaging methods.

Detailed description: When applied to the skin and muscle, kinesiology tape affects the mechanoreceptors sensitive to tension, loading, pressure and shear forces by changing the length of the skin and superficial fascia and the tension of the muscle fibers.

This can lead to significant changes in muscle movement and tone. In particular, slow pressure stimulation on connective tissue alters the effect on mechanoreceptors and may affect gamma motor neuron firing and muscle tone regulation. Kinesio tape can be effective in increasing proprioceptive ability, especially in the middle of movement. In this range, muscle receptors are active while ligament mechanoreceptors are inactive. Understanding joint movement and position can be effective in improving proprioception by stimulating sensory afferent transmission.

Inhibition techniques are divided into two; Autogenic and reciprocal inhibition. It occurs when the contraction of certain muscles is inhibited due to activation of the Golgi tendon and muscle spindle. These two myotendinous proprioceptors, located in and around joints and muscles, help manage muscle control and coordination by responding to changes in muscle tension and length.

Although there are studies in the literature on traditional physiotherapy and kinesio taping in patients with shoulder impingement syndrome, no study has been found that includes different kinesio taping techniques and all evaluation parameters.

Eligibility criteria: Inclusion Criteria:

* Diagnosed with subacromial impingement syndrome,
* Between the ages of 45-65, without a history of shoulder injury other than subacromial impingement and/or shoulder symptoms requiring treatment for the last 1 year,
* Those who have not had any shoulder surgery before,
* Patients who agree to participate in the study will be included in the study.

Exclusion Criteria:

* Those who do not meet the inclusion criteria and have a history of shoulder fracture, dislocation and/or cervical radiculopathy,
* Presence of frozen shoulder, previous shoulder surgery,
* Having received local corticosteroid injection/treatment to the shoulder joint in the last 3 months,
* Presence of neuromuscular disease, pregnancy,
* Those with a history of cancer, unstable angina, systemic inflammatory joint disease,
* Situations where exercise is contraindicated,
* Patients with orthopedic, rheumatic or congenital disease in the affected upper extremity and communication problems will be excluded from the study.

Primary outcomes:
measure: Visuel Analog Scale (VAS)
timeFrame: 3 weeks
measure: Joint Range of Motion (ROM)
timeFrame: 3 weeks
measure: Muscle Strength
timeFrame: 3 weeks
measure: Disabilities of the Arm, Shoulder and Hand (DASH)
timeFrame: 3 weeks
measure: Tampa Kinesiophobia Scale (TKS)
timeFrame: 3 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: İstanbul
country: Turkey
facility: Yasemin ŞAHBAZ
Study officials:
affiliation: Beykent University
name: Yasemin ŞAHBAZ, Lecturer
role: PRINCIPAL_INVESTIGATOR
References:
citation: Poppen NK, Walker PS. Forces at the glenohumeral joint in abduction. Clin Orthop Relat Res. 1978 Sep;(135):165-70.
citation: Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972 Jan;54(1):41-50. No abstract available.
citation: Neer CS 2nd. Impingement lesions. Clin Orthop Relat Res. 1983 Mar;(173):70-7. No abstract available.
citation: Winter JA, Allen TJ, Proske U. Muscle spindle signals combine with the sense of effort to indicate limb position. J Physiol. 2005 Nov 1;568(Pt 3):1035-46. doi: 10.1113/jphysiol.2005.092619. Epub 2005 Aug 18.
citation: Visscher CM, Ohrbach R, van Wijk AJ, Wilkosz M, Naeije M. The Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD). Pain. 2010 Sep;150(3):492-500. doi: 10.1016/j.pain.2010.06.002. Epub 2010 Jul 3.