School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.
J Hand Ther. 2019 Jul-Sep;32(3):345-352. doi: 10.1016/j.jht.2017.10.012. Epub 2017 Nov 28.
Crossover repeated-measure design.
Scapular dyskinesis rehabilitation programs that focus on inhibiting upper trapezius (UT) and activating the lower trapezius (LT) may assist in restoring scapular movements. We hypothesized that taping may be able to normalize scapular movements and associated muscular recruitment.
The purpose of this study was to investigate the immediate effects of kinesio taping over trapezius on scapular kinematics and muscular activation in different dyskinesis patterns. We expected that taping can improve scapular kinematics and muscular activation in subjects with dyskinesis.
Fifty-four participants with inferior angle prominence (pattern I), medial border prominence (pattern II), and mixed pattern (pattern I + II) were recruited. Kinesio taping was applied over 3 parts of trapezius muscles, including UT, middle trapezius (MT), and LT. The scapular kinematics and electromyographic data of trapezius and serratus anterior were collected during scapular plane elevation without taping and after each taping application.
UT taping decreased UT activity (5%-7%; P = .001-.003) in 72% of participants with pattern II and pattern I + II dyskinesis, with increased posterior tipping (2.2°-2.5°; P = .003) in pattern II dyskinesis. MT taping increased UT activity (3%; P = .003) in 48% of participants with pattern II dyskinesis.
The taping over the trapezius muscle may help to restore coordinated scapular muscle balance and increased upward rotation of the scapula, especially in pattern II dyskinesis. Although no electromyography or kinematic difference was found with LT taping in each dyskinesis pattern, methods of applying LT taping need to be further investigated.
Reduced UT muscle activity and scapular posterior tipping are appropriate when applying taping over UT muscle in patterns II and I + II dyskinesis. Caution should be taken when applying taping over MT and LT muscles in terms of increased UT activity, especially in pattern II dyskinesis.
交叉重复测量设计。
专注于抑制上斜方肌（UT）并激活下斜方肌（LT）的肩胛骨运动障碍康复计划可能有助于恢复肩胛骨运动。我们假设贴扎可能能够使肩胛骨运动和相关肌肉募集正常化。
本研究旨在探讨在不同运动障碍模式下，在上斜方肌上贴扎带对肩胛骨运动学和肌肉激活的即时影响。我们预计贴扎带可以改善运动障碍患者的肩胛骨运动学和肌肉激活。
招募了 54 名下斜角突出（模式 I）、内侧缘突出（模式 II）和混合模式（模式 I+II）的参与者。在肩胛骨平面抬高过程中，对斜方肌的 3 个部分（UT、中斜方肌（MT）和 LT）进行 Kinesio 贴扎。在没有贴扎和每次贴扎应用后，收集斜方肌和前锯肌的肩胛骨运动学和肌电图数据。
UT 贴扎减少了 72%的模式 II 和模式 I+II 运动障碍患者的 UT 活动（5%-7%；P=.001-.003），并增加了模式 II 运动障碍患者的后倾（2.2°-2.5°；P=.003）。MT 贴扎增加了 48%的模式 II 运动障碍患者的 UT 活动（3%；P=.003）。
在上斜方肌上贴扎可能有助于恢复协调的肩胛骨肌肉平衡和增加肩胛骨的上旋，尤其是在模式 II 运动障碍中。虽然在每种运动障碍模式中，LT 贴扎在肌电图或运动学上都没有差异，但需要进一步研究 LT 贴扎的应用方法。
在模式 II 和 I+II 运动障碍中，在 UT 肌肉上贴扎带时，UT 肌肉活动减少和肩胛骨后倾是合适的。在上斜方肌和 LT 肌肉上贴扎带时，应注意 UT 活动增加，尤其是在模式 II 运动障碍中。
