Sports injury and corrective exercises, Faculty of physical education and sports sciences, Kharazmi University, Tehran, Iran.
Department of Physical Education and Sports Sciences, Karaj Branch, Islamic Azad University, Karaj, Iran.
Clin Rehabil. 2021 Apr;35(4):558-567. doi: 10.1177/0269215520971764. Epub 2020 Nov 6.
To investigate if adding Kinesio tape to therapeutic exercise is an effective treatment to improve clinical outcomes compared to therapeutic exercise alone and no intervention, in patients with shoulder impingement syndrome.
Three-arm randomized controlled trial.
Outpatient setting.
One hundred and twenty patients (mean (SD): age 37.8 (5.4)) with shoulder impingement syndrome.
Patients were randomly assigned to eight-weeks therapeutic exercise alone, therapeutic exercise with Kinesio tape, and control group.
Pain was measured with a numerical rating scale and disability and scapular kinematics were measured with a relative questionnaire and motion analysis software respectively, at baseline and after eight-weeks intervention.
There was significant differences in therapeutic exercise with Kinesio tape group vs. therapeutic exercise alone and control group respectively for pain ( = -0.34, = 0.042; and = -1.53, = 0.001), disability ( = -0.46, = 0.024; and = -2.18, = 0.001), scapular upward rotation at sagittal plane ( = 0.33, = 0.033; and = 0.68, = 0.001), scapular plane ( = 0.18, = 0.045; and = 0.43, = 0.001), scapular tilt at sagittal plane ( = 0.55, = 0.043; and d = 1.39, = 0.001), and scapular plane ( = 0.29, = 0.034; and = 0.58, = 0.001). Therapeutic exercise alone was superior over control group in all significant outcomes ( < 0.05).
Although therapeutic exercises alone showed positive effect on clinical outcomes, adding Kinesio tape to therapeutic exercises had more significant effects with larger effect sizes. Adding Kinesio tape to therapeutic exercise may be of some assistance to clinicians in improving clinical outcomes in patients with shoulder impingement syndrome.
研究在治疗性运动的基础上增加肌内效贴布是否比单纯治疗性运动和不干预更能有效改善肩峰下撞击综合征患者的临床结果。
三臂随机对照试验。
门诊环境。
120 名肩峰下撞击综合征患者（平均（标准差）：年龄 37.8（5.4））。
患者被随机分配到 8 周的单纯治疗性运动、治疗性运动加肌内效贴布和对照组。
在基线和 8 周干预后，分别采用数字评分量表评估疼痛，采用相对问卷和运动分析软件评估残疾和肩胛骨运动学。
治疗性运动加肌内效贴布组与单纯治疗性运动组和对照组相比，疼痛分别有显著差异（ = -0.34， = 0.042；和 = -1.53， = 0.001），残疾（ = -0.46， = 0.024；和 = -2.18， = 0.001），矢状面肩胛骨上旋（ = 0.33， = 0.033；和 = 0.68， = 0.001），肩胛骨平面（ = 0.18， = 0.045；和 = 0.43， = 0.001），矢状面肩胛骨倾斜（ = 0.55， = 0.043；和 d = 1.39， = 0.001），肩胛骨平面（ = 0.29， = 0.034；和 = 0.58， = 0.001）。与对照组相比，单纯治疗性运动在所有有意义的结果中均优于对照组（ < 0.05）。
尽管单纯的运动疗法对临床结果有积极的影响，但在运动疗法中加入肌内效贴布有更显著的效果，且效果更大。在治疗性运动中加入肌内效贴布可能有助于临床医生改善肩峰下撞击综合征患者的临床结果。
