Effect of Kinesotaping on Management of Supraspinatus Tendinitis

NCT ID: NCT03744195

Last Updated: 2019-08-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 38 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-12-15
• Study Completion Date: 2019-05-15

Brief Summary

Supraspinatus tendonitis is a common clinical problem that causes functional and labor disabilities. It is the most frequent cause of shoulder pain. Manual therapy is a common intervention used by physical therapist for management of supraspinatus tendonitis. Joint mobilization, stretching and strengthening exercises are commonly used techniques for management of this condition. In this study KT will be added to conventional manual therapy and its efficacy will be investigated.

The study design will be Randomized Clinical Trial (RCT) that will be used to compare the effects of KT added to manual therapy for management of supraspinatus tendonitis. 38 patients will be participate in this study who will be assigned randomly (biased coin method) to experimental and control groups (19+19). The data collection will be carried out at Railway Hospital Rawalpindi. Patients with shoulder pain at rest and positive for special tests (Neer's, Empty Can, Drop Arm, Hawkin's Kennedy) will be included in this study. There is no restriction on gender and age group will be between 25 and 60 years. Patients with cervical post op, referred pain, open wounds, allergic to KT and with signs of radiculopathy will be excluded from this study. Pre and post treatment evaluation will be done using Visual Analog Scale (VAS), Shoulder Pain and Disability Index (SPADI) and goniometry. Data will be collected on 1st day, 4th day and 7th day for both groups. After data collection is completed, SPSS will be used to analyze the collected data

Detailed Description

Shoulder pain is a very common musculoskeletal disorder affecting a large portion of population . Prevalence ranges from 6% to 26% and it is estimated that 33% of population will have one episode of shoulder pain in lifetime. Rotator cuff tendonitis is considered as most common pathology of shoulder . Supraspinatus is one of the four muscles that can cause rotator cuff tendonitis. It is a common clinical disorder that causes functional and labor disorders. It is also the most frequent cause of shoulder pain.

The origin of supraspinatus is fossa of scapula and its insertion is at superior facet on greater tuberosity of humerus. The nerve supply is at C4, C5 and C6. The main function of supraspinatus is abduction of shoulder.

Indications: Supraspinatus tendonitis present following conditions

1. Pain and inflammation

2. Decreased ROM

3. Decreased strength

4. Decreased functional activity Injury Mechanisms: Supraspinatus tendonitis is caused by extrinsic as well as intrinsic factors. Extrinsic factors include increased subacromial activity, trauma, overhead activity, soft tissue imbalance, eccentric muscle overload and glenohumeral laxity. Intrinsic factorare acromial morphology, aging, acromioclavicular arthrosis and coracoacromial ligament hypertrophy.

Kinesiotaping (KT) is widely used in clinical settings for rehabilitation of shoulder disorders . It is designed to facilitate the body's natural healing process while providing support and stability to muscles and joints without restricting the body's range of motion. The functioning of kinesio tap is based on following:

1. Lifting effects of epidermis layers and papillary dermis, caused by micro-convolutions formed on the taped skin .

2. Due to wrinkles generated by the KT, vascular networks in deep vessels under the skin are increased, reducing swelling and inflammation in injured tissues .

3. KT contributes to pain relief by producing increased stimulation of cutaneous mechanoreceptors, and provides muscle activation.

Akbaba et. al. investigated the effects of kinesio tape in management of rotator cuff tear and found that application of KT is effective in improving pain and function but the improvement was not clinically significant . Desjardins et. al. studied the efficacy of KT for rotator cuff tendonitis and found that KT significantly improved pain free range of motion. However, it couldn't be concluded with sufficient evidence that tendonitis was reduced significantly.

Conditions

Supraspinatus Tendinitis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Group I Experimental Kinesotaping

Application of kinesotaping along with conventional treatment

Group Type: EXPERIMENTAL

Group I Experimental Kinesotaping

Intervention Type: OTHER

For application of kinesotaping following procedure will be adopted:

1. The skin will be cleaned properly with alcohol

2. The first strip will be applied in Y-shape (15-20% stretch) surrounding the deltoid muscle to provide inhibition and muscle relaxation

3. A second strip (I-shape) will be applied for functional correction (50-75% stretch), passing over the supraspinatus, trapezius, glenohumeral joint and middle deltoid Daily Strengthening Exercises (3 sets / 10~30 reps) Joint mobilization (3 sets / 60 seconds hold / 30 seconds interval) Stretching Exercises (3 sets / 30 seconds hold / 30 seconds interval

Group II conventional training group

Application of conventional treatment

Group Type: ACTIVE_COMPARATOR

Group II conventional training group

Intervention Type: OTHER

Joint mobilization (3 sets / 60 seconds hold / 30 seconds interval) Stretching Exercises (3 sets / 30 seconds hold / 30 seconds interval) Strengthening Exercises (3 sets / 10\~30 reps)

Interventions

Group I Experimental Kinesotaping

For application of kinesotaping following procedure will be adopted:

1. The skin will be cleaned properly with alcohol

2. The first strip will be applied in Y-shape (15-20% stretch) surrounding the deltoid muscle to provide inhibition and muscle relaxation

3. A second strip (I-shape) will be applied for functional correction (50-75% stretch), passing over the supraspinatus, trapezius, glenohumeral joint and middle deltoid Daily Strengthening Exercises (3 sets / 10~30 reps) Joint mobilization (3 sets / 60 seconds hold / 30 seconds interval) Stretching Exercises (3 sets / 30 seconds hold / 30 seconds interval

Intervention Type: OTHER

Group II conventional training group

Joint mobilization (3 sets / 60 seconds hold / 30 seconds interval) Stretching Exercises (3 sets / 30 seconds hold / 30 seconds interval) Strengthening Exercises (3 sets / 10\~30 reps)

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

Both Gender / Age b/w 25-60 Shoulder Pain at rest Positive Neer's Test Positive Drop Arm Test Positive Empty Can Test Positive Hawkin's Kennedy Test

Exclusion Criteria

• Cervical Post op, referred pain, radiculopathy, open wound, allergy to KT

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

imran Amjad, phd*

Role: PRINCIPAL_INVESTIGATOR

Associate Professor

Locations

Imran Amjad

Islamabad, Punjab Province, Pakistan

Countries

Pakistan

References

de Oliveira FCL, Pairot de Fontenay B, Bouyer LJ, Desmeules F, Roy JS. Effects of kinesiotaping added to a rehabilitation programme for patients with rotator cuff tendinopathy: protocol for a single-blind, randomised controlled trial addressing symptoms, functional limitations and underlying deficits. BMJ Open. 2017 Sep 24;7(9):e017951. doi: 10.1136/bmjopen-2017-017951.

Reference Type: BACKGROUND

PMID: 28947462 (View on PubMed)

Redondo-Alonso L, Chamorro-Moriana G, Jimenez-Rejano JJ, Lopez-Tarrida P, Ridao-Fernandez C. Relationship between chronic pathologies of the supraspinatus tendon and the long head of the biceps tendon: systematic review. BMC Musculoskelet Disord. 2014 Nov 18;15:377. doi: 10.1186/1471-2474-15-377.

Reference Type: BACKGROUND

PMID: 25408141 (View on PubMed)

3. Cubała A, Śniegocki M, Hoffman J, et al. Use of the kinesio taping method in painful shoulder syndrome. Medical and Biological Sciences2012;26:71-6

Reference Type: BACKGROUND

Aguilar-Ferrandiz ME, Castro-Sanchez AM, Mataran-Penarrocha GA, Guisado-Barrilao R, Garcia-Rios MC, Moreno-Lorenzo C. A randomized controlled trial of a mixed Kinesio taping-compression technique on venous symptoms, pain, peripheral venous flow, clinical severity and overall health status in postmenopausal women with chronic venous insufficiency. Clin Rehabil. 2014 Jan;28(1):69-81. doi: 10.1177/0269215512469120. Epub 2013 Feb 20.

Reference Type: BACKGROUND

PMID: 23426563 (View on PubMed)

Drouin JL, McAlpine CT, Primak KA, Kissel J. The effects of kinesiotape on athletic-based performance outcomes in healthy, active individuals: a literature synthesis. J Can Chiropr Assoc. 2013 Dec;57(4):356-65.

Reference Type: BACKGROUND

PMID: 24302784 (View on PubMed)

Lin JJ, Hung CJ, Yang PL. The effects of scapular taping on electromyographic muscle activity and proprioception feedback in healthy shoulders. J Orthop Res. 2011 Jan;29(1):53-7. doi: 10.1002/jor.21146.

Reference Type: BACKGROUND

PMID: 20607815 (View on PubMed)

7. Akbaba YA, Mutlu EK, Altun S, Gümüşoğlu G, Çelik D. The effects of Kinesio Tape application with different verbal input given to with patients with rotator cuff tear. Orthopaedic Journal of Sports Medicine. 2017;5(2 suppl2):2325967117S00058.

Reference Type: BACKGROUND

Kaya DO, Baltaci G, Toprak U, Atay AO. The clinical and sonographic effects of kinesiotaping and exercise in comparison with manual therapy and exercise for patients with subacromial impingement syndrome: a preliminary trial. J Manipulative Physiol Ther. 2014 Jul-Aug;37(6):422-32. doi: 10.1016/j.jmpt.2014.03.004. Epub 2014 Aug 6.

Reference Type: BACKGROUND

PMID: 25108752 (View on PubMed)

Kim MH, Oh JS. Effects of humeral head compression taping on the isokinetic strength of the shoulder external rotator muscle in patients with rotator cuff tendinitis. J Phys Ther Sci. 2015 Jan;27(1):121-2. doi: 10.1589/jpts.27.121. Epub 2015 Jan 9.

Reference Type: BACKGROUND

PMID: 25642053 (View on PubMed)

Senbursa G, Baltaci G, Atay OA. The effectiveness of manual therapy in supraspinatus tendinopathy. Acta Orthop Traumatol Turc. 2011;45(3):162-7. doi: 10.3944/AOTT.2011.2385.

Reference Type: BACKGROUND

PMID: 21765229 (View on PubMed)

Other Identifiers

RiphahtMahnoor Anwar

Identifier Type: -

Identifier Source: org_study_id