J Sport Rehabil. 2019 Mar 1;28(3):250-255. doi: 10.1123/jsr.2017-0287. Epub 2018 Dec 5.
Reduction of the subacromial space (SAS) during arm elevation may contribute to rotator cuff (RC) tendinopathy. The effects of scapular taping on the SAS in athletes with and without RC tendinopathy are unknown.
To investigate the immediate effects of scapular taping on the SAS in athletes with and without RC tendinopathy.
Randomized controlled study with repeated measures.
University laboratory.
A total of 43 male volleyball players (17 asymptomatic and 26 with RC tendinopathy, mean age = 22.9 [3.5] y) participated in the study.
Three scapular taping protocols-no taping (control), taping with tension (therapeutic taping), and taping without tension (sham taping).
Ultrasound measurements of the SAS with the arm at 0° and 60° of shoulder abduction, and the change in the SAS between 0° and 60° of shoulder abduction (SAS) were calculated.
Athletes with RC tendinopathy demonstrated larger SAS with therapeutic taping at 60° of shoulder abduction (6.9 [1.9] mm vs 5.8 [1.7] mm, mean difference = 1.1 mm, 95% confidence interval, -1.80 to -0.39, P = .002) when compared with the no taping condition. The tendinopathy group also showed less reduction in the SAS with therapeutic taping during SAS (2.0 [1.4] mm vs 2.8 [1.4] mm, P = .02) when compared with the no taping condition. When tape was applied to the scapula in asymptomatic athletes, our results showed a relatively small increase in the SAS with therapeutic taping during arm resting at 0° of abduction when compared with the no taping condition (8.7 [0.9] mm vs 8.3 [0.8] mm, mean difference = 0.4 mm, 95% confidence interval, -0.71 to -0.11, P = .01).
Athletes with RC tendinopathy demonstrated less reduction of the SAS with rigid scapular taping during early arm abduction. Such observation was not evidenced in asymptomatic athletes.
在手臂抬高过程中，肩峰下空间（SAS）的减小可能导致肩袖（RC）肌腱病。尚不清楚肩胛带贴扎对 RC 肌腱病患者和无 RC 肌腱病患者的 SAS 的影响。
研究肩胛带贴扎对 RC 肌腱病患者和无 RC 肌腱病患者的 SAS 的即刻影响。
随机对照研究，重复测量。
大学实验室。
共有 43 名男性排球运动员（17 名无症状和 26 名 RC 肌腱病患者，平均年龄 22.9[3.5]岁）参加了这项研究。
三种肩胛带贴扎方案 - 不贴扎（对照组）、有张力贴扎（治疗性贴扎）和无张力贴扎（假性贴扎）。
采用超声测量肩关节外展 0°和 60°时的 SAS，计算肩关节外展 0°至 60°时的 SAS 变化（SAS）。
RC 肌腱病患者在肩关节外展 60°时，与不贴扎相比，治疗性贴扎的 SAS 更大（6.9[1.9]mm 比 5.8[1.7]mm，平均差值 1.1mm，95%置信区间-1.80 至-0.39，P=0.002）。与不贴扎相比，肌腱病组在治疗性贴扎时 SAS 的减少也较少（2.0[1.4]mm 比 2.8[1.4]mm，P=0.02）。当将胶带贴在无症状运动员的肩胛带上时，与不贴扎相比，在肩关节外展 0°时，胶带的治疗性应用使 SAS 略有增加（8.7[0.9]mm 比 8.3[0.8]mm，平均差值 0.4mm，95%置信区间-0.71 至-0.11，P=0.01）。
RC 肌腱病患者在早期手臂外展时，使用刚性肩胛带贴扎时 SAS 的减少幅度较小。在无症状运动员中没有观察到这种现象。
