Demircioğlu Gamze, Genç Hazal
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Atlas University, Istanbul, Turkiye.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bahçeşehir University, Istanbul, Turkiye.
Medicine (Baltimore). 2024 Dec 13;103(50):e40498. doi: 10.1097/MD.0000000000040498.
Round shoulder posture (RSP), characterized by forward shoulder positioning from weakened and tense muscles, disrupts normal biomechanics and can cause Subacromial impingement syndrome (SIS), resulting in pain during specific movements or positions. This study examines the immediate effects of Kinesio taping (KT) on pain, proprioception, and posture in individuals in round shoulder individuals with SIS.
The study involved 114 patients diagnosed with RSP and SIS. Pain intensity was assessed using a Visual Analog Scale (VAS), proprioception was measured with an inclinometer, and posture was evaluated using The New York Posture Rating Chart (NYPRC). Participants were randomly assigned to experimental group (EG) (n = 57), which received KT application, or to sham group (SG) (n = 57), which underwent a sham procedure. KT was applied to the affected shoulder and scapular regions. Assessments were conducted both before and after the application of Kinesio tape.
According to the study results, the differences in VAS scores (P = .002), proprioception abduction (P = .023) and NYPRC scores (P = .04), were statistically significant in the EG compared to the SG (P < .05). However, there was no significant difference in proprioception flexion between the groups (P > .05).
KT demonstrates immediate benefits in reducing pain and improving scapular alignment in individuals with RSP and chronic shoulder pain. These findings underscore its potential effectiveness as a therapeutic intervention for managing symptoms associated with RSP and impingement syndrome, particularly in terms of pain relief and posture enhancement.
圆肩姿势(RSP)的特征是由于肌肉虚弱和紧张导致肩部向前定位,破坏了正常的生物力学,可引起肩峰下撞击综合征(SIS),导致特定运动或姿势时疼痛。本研究探讨肌内效贴布(KT)对患有SIS的圆肩个体的疼痛、本体感觉和姿势的即时影响。
该研究纳入了114例被诊断为RSP和SIS的患者。使用视觉模拟量表(VAS)评估疼痛强度,用倾角仪测量本体感觉,并用纽约姿势评定量表(NYPRC)评估姿势。参与者被随机分配到实验组(EG)(n = 57),接受KT贴扎,或假手术组(SG)(n = 57),接受假手术。KT贴于患侧肩部和肩胛区域。在应用肌内效贴布前后均进行评估。
根据研究结果,与SG组相比,EG组的VAS评分(P = .002)、本体感觉外展(P = .023)和NYPRC评分(P = .04)差异具有统计学意义(P < .05)。然而,两组之间的本体感觉屈曲没有显著差异(P > .05)。
KT在减轻患有RSP和慢性肩痛个体的疼痛以及改善肩胛排列方面显示出即时益处。这些发现强调了其作为一种治疗干预措施对于管理与RSP和撞击综合征相关症状的潜在有效性,特别是在缓解疼痛和改善姿势方面。