Effects of Kinesio Taping in Protracted Shoulder Posture

NCT ID: NCT05186701

Last Updated: 2022-01-11

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 68 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-07-15
• Study Completion Date: 2019-12-31

Brief Summary

To determine the effects of kinesio taping in protracted shoulder posture.

Detailed Description

Office workers generally adopt slumped sitting posture while working at desk for longer durations. Computer use has rapidly increased from past 30 years in various offices so that employees spend plenty of time using computers. Excessive increase in sustained sitting while using computers lead individuals to faulty postures, such as protracted shoulder posture. Changes in posture are related to modifications in muscular functions which alter position of joints and produce movement impairment.

Protracted shoulder/ forward head posture is one of the most prevalent faulty postures in upper quarter. This posture is associated with forwardly tilted, protracted, internally rotated, elevated and abducted position of scapula along with exaggerated cervical lordosis and upper thoracic spine kyphosis.

Muscle imbalance that occurs in this posture includes tightening of anterior shoulder muscles namely pectoralis minor and major, upper trapezius and serratus anterior and the muscles that become weak are posterior shoulder muscles, middle and lower trapezius and rhomboids. This uncoordinated muscle work causes change in scapular kinematics and orientation of glenohumeral complex that further leads to pain in neck, shoulder and arms. The scapulohumeral rhythm disturbs due to the forward shifting of shoulder joint.

Length of pectoralis minor and inadequate strength of lower trapezius are considered to be the vital muscular elements causing protracted shoulder posture in literature review. Tightening of the pectoralis minor is one of the significant feature to cause this posture. This muscle is found to be required for lengthening in individuals having protracted shoulder posture. 78% of variance in this posture was accounted by pectoralis minor muscle.

Protracted shoulder posture is a multifactorial condition and have several treatment protocols including exercises that involves lengthening of hyperactive muscles, strengthening of weak muscles, scapular posterior tilting exercises, massage, bracing or taping, postural correction and soft tissue mobilization.

Kinesio taping is a widely used technique that have ability to stretch longitudinally up to 140-150% of its actual length and was manufactured to replicate the skeletal muscle's elasticity. Depending on direction of pull and percentage of stretch during its application, it provides several benefits i.e it facilitates or inhibit range of motion, gives positional stimulus, produces further space by lifting skin, soft tissues and fascia, provides proper alignment of fascial tissues, decreases pain and edema. The technique which is utilized by clinicians in order to inhibit or facilitate muscles is mechanical correction.

There was limited use of this technique in our society especially for faulty postures and lack of postural awareness in our settings. Current study was planned to examine the effect of Kinesio tape on protracted shoulders.

Conditions

Postural; Defect

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Kinesio taping and Conventional Physical Therapy

Standardized therapeutic kinesio taping (I shaped with 50-100% tension for 72 hours on both shoulders) along with Conventional Physical Therapy including Thermotherapy, myofacial release, exercise therapy (active isolated unilateral stretching of pectoralis minor muscle and strengthening of shoulder retractors).

Group Type: EXPERIMENTAL

Kinesio Tape

Intervention Type: OTHER

Kinesio tape was applied with mechanical correction technique having I shaped with 50-100% tension for 72 hours on both shoulders in retracted position from the anterior aspect of the acromion to the spinous process of the 10th thoracic vertebra of the both shoulders.

Conventional Physical; Therapy:

Thermotherapy (hot pack) applied for 10 minutes. Myofacial release. Active isolated unilateral stretching of pectoralis minor muscle for 30 seconds (3 set × 3 reps/day).

Strengthening of shoulder retractors (lower trapezius and rhomboids). (3 set × 15 reps/day).

Participants were asked to do exercises at home on daily basis.

Conventional Physical Therapy

Thermotherapy, myofacial release, exercise therapy (active isolated unilateral stretching of pectoralis minor muscle and strengthening of shoulder retractors).

Group Type: ACTIVE_COMPARATOR

Conventional Physical Therapy

Intervention Type: OTHER

Conventional Treatment: Hot pack, Myofascial Releaase, Stretching and Strengthening with Theraband

Interventions

Kinesio Tape

Kinesio tape was applied with mechanical correction technique having I shaped with 50-100% tension for 72 hours on both shoulders in retracted position from the anterior aspect of the acromion to the spinous process of the 10th thoracic vertebra of the both shoulders.

Conventional Physical; Therapy:

Thermotherapy (hot pack) applied for 10 minutes. Myofacial release. Active isolated unilateral stretching of pectoralis minor muscle for 30 seconds (3 set × 3 reps/day).

Strengthening of shoulder retractors (lower trapezius and rhomboids). (3 set × 15 reps/day).

Participants were asked to do exercises at home on daily basis.

Intervention Type: OTHER

Conventional Physical Therapy

Conventional Treatment: Hot pack, Myofascial Releaase, Stretching and Strengthening with Theraband

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Subjects having bilateral protracted shoulder posture
• Work for at least 7 hours/day, 5 days/week, in a seated position

Exclusion Criteria

• History of serious pathology (e.g., malignancy, inflammatory disorder, infection)
• History of cervical and thoracic spine and shoulder surgery in previous12 months
• History of trauma or fractures in cervical and thoracic spine
• Any spinal deformities such as Sprengel's deformity, scoliosis, kyphosis etc.
• Diagnosis of psychiatric disorders such as anxiety and depression
• Cervical and thoracic spondylolisthesis, radiculopathy and spinal stenosis
• Severe skin allergy

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Shafaq Shahid, MSPT-OMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Muhammad Affan Iqbal, PhD*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

University of Lahore, Islamabad Campus

Islamabad, , Pakistan

Countries

Pakistan

Other Identifiers

REC/00565 Anum Khalid

Identifier Type: -

Identifier Source: org_study_id