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

National Taiwan University Hospital40 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

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

Interventions

kinesio tapingOTHER

Apply exercise and kinesio taping for intervention

exerciseOTHER

Apply only exercise intervention

Eligibility

Sex: ALLMin age: 20 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion criteria: 1. subjects age between 20 and 75 2. Diagnosed with shoulder impingement syndrome 3. 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: 1. Shoulder pain onset due to trauma 2. A history of shoulder fractures or dislocation 3. Cervical radiculopathy 4. Degenerative joint disease of the shoulder 5. Surgical interventions on the shoulder 6. Inflammatory arthropathy

Locations (1)

National Taiwan University Hospital

Taipei, Taiwan

Outcomes

Primary Outcomes

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.

Time frame: 1 year

Acromial distance (AD)

Acromial distance is defined as the distance from table to border of lateral-inferior acromion and measured in centimeter.

Time frame: 1 year

Posterior and anterior shoulder tightness

Flexibility of the posterior and anterior shoulder tissues, measured in degree

Time frame: 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

Time frame: 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.

Time frame: 1 year

Pain score

Severity of pain is measured by Visual Analogue Scale, providing a range of scores from 0-10.

Time frame: 1 year

Data from ClinicalTrials.gov

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