Intelangelo Leonardo, Bordachar Diego, Barbosa Alexandre Wesley Carvalho
Department of Physical Therapy, Unidad de Investigación Musculoesquelética - UIM, Instituto Universitario del Gran Rosario - IUGR, Argentina.
Department of Physical Therapy, Unidad de Investigación Musculoesquelética - UIM, Instituto Universitario del Gran Rosario - IUGR, Argentina.
J Bodyw Mov Ther. 2016 Jul;20(3):525-32. doi: 10.1016/j.jbmt.2015.11.014. Epub 2015 Dec 2.
To assess the immediate effects of scapular taping on pain, isometric force, and the level of activation of several scapular girdle muscles in individuals with shoulder pain and scapular dyskinesis.
Ten individuals with shoulder pain during arm elevation and scapular dyskinesis were included and evaluated by using a visual analogue scale (VAS), pressure algometry, dynamometry, and surface electromyography. All assessments were performed before and immediately after the application of scapular taping.
Scapular taping did not change the electromyographic activity of the upper trapezius muscle (p = 0.041, IC95%: -0.8256 to 10.8752). The positive effects of taping application were related to pain reduction (p = 0.025) and improvement in pressure algometry in the middle deltoid muscle (p = 0.020, IC95%:-1.8910 to -0.0490). Maximal isometric force did not change after the application of taping (flexo-abduction p = 0.4136, external rotation p = 0.4261). Significant correlations were noted between the VAS and pressure pain threshold (PPT) for the upper trapezius muscle (r = -0.6643, p = 0.0361) as well as for the PPT measures of the middle deltoid and infraspinatus muscles before (r = 0.9491, p = 0.0001) and after (r = 0.9006, p = 0.0004) the application of taping.
Scapular taping was not effective for inducing changes in the electromyographic activity of the upper trapezius, lower trapezius, and serratus anterior muscles, nor in altering the isometric force of shoulder flexo-abduction and external rotation. However, taping was effective at improving the pressure algometry values of the middle deltoid. Significant correlations between the pressure algometry of the middle deltoid and infraspinatus muscles, both before and after the application of scapular taping, were noted.
评估肩胛贴扎对肩痛和肩胛运动障碍患者疼痛、等长肌力以及几块肩胛带肌肉激活水平的即时影响。
纳入10例手臂上举时出现肩痛且伴有肩胛运动障碍的患者，采用视觉模拟评分法（VAS）、压力痛觉测定法、测力计和表面肌电图进行评估。所有评估均在肩胛贴扎应用前和应用后立即进行。
肩胛贴扎未改变斜方肌上束的肌电活动（p = 0.041，95%置信区间：-0.8256至10.8752）。贴扎应用的积极效果与疼痛减轻（p = 0.025）以及三角肌中部压力痛觉测定的改善有关（p = 0.020，95%置信区间：-1.8910至-0.0490）。贴扎应用后最大等长肌力未改变（屈肘外展p = 0.4136，外旋p = 0.4261）。斜方肌上束的VAS与压力痛阈（PPT）之间以及三角肌中部和冈下肌的PPT测量值在贴扎应用前（r = 0.9491，p = 0.0001）和应用后（r = 0.9006，p = 0.0004）之间存在显著相关性。
肩胛贴扎对于诱导斜方肌上束、斜方肌下束和前锯肌的肌电活动变化无效，也不能改变肩屈肘外展和外旋的等长肌力。然而，贴扎在改善三角肌中部的压力痛觉测定值方面是有效的。在肩胛贴扎应用前后，均注意到三角肌中部和冈下肌的压力痛觉测定之间存在显著相关性。
