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 .
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
45
scapular stabilization exercises 3 times per week for 4 weeks.
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
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).
Mahmoud Ahmed Kashef
Cairo, Cairo Governorate, Egypt
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).
Time frame: 4 weeks
Range Of Motion
assessed By Digital Goniometer
Time frame: 4 weeks
Function
assessed by disability of arm and hand quick questionnaire (quick DASH).
Time frame: 4 weeks
Hand strength
assessed by hand dynamometer.
Time frame: 4 weeks
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