Study Results
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Basic Information
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RECRUITING
NA
34 participants
INTERVENTIONAL
2024-11-30
2025-05-30
Brief Summary
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This randomized clinical trial will be conducted at Punjab Sports Board, Lahore.This study will include patients with age group ≥18 years; pain located on the anterolateral side of the shoulder for ≥3 months with positive clinical signs.
Group A will receive Kinesiotaping protocol and Group B will receive Scapular Stabilization exercises protocol.
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Detailed Description
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This randomized clinical trial will be conducted at Punjab Sports Board, Lahore. This study will include patients with age group ≥18 years; pain located on the anterolateral side of the shoulder for ≥3 months with positive clinical signs of SIS, such as the Neer or Hawkins-Kennedy test, a painful arc, pain on resisted external rotation, or the Empty Can test after exclusion of cervical radiculopathy, osteoarthritis in the acromioclavicular or glenohumeral joint, calcific tendinitis, adhesive capsulitis, glenohumeral instability or a partial or full-thickness rotator cuff tear, clinical history of acute trauma, previous surgery or previous fracture in the affected shoulder; or corticosteroid injection into the shoulder joint in the previous 12 months.Participants will be divided into two groups. Group A will receive Kinesio-taping protocol and Group B will receive Scapular Stabilization exercises protocol.Patients will be assessed Shoulder Pain And Disability Index (SPADI). Changes in upper limb function Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Pain intensity {Visual Analog Scale (VAS) Kinesiophobia {Tampa Scale of Kinesiophobia (TSK)}. The findings can contribute to the growing evidence based supporting whether the use of Kinesio taping or scapular stabilization Exercises improve ROM, 5 Pain and function in patients with Subacromial impingement syndrome. Analysis will be done by statistical package for social sciences SPSS 29.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Kinesio Taping
Kinesio Taping treatment
Kinesio Taping treatment
Therapeutic KT application administered to patients in group A. The KT treatment was completed in compliance with Kase's recommended methodology for rotator cuff tendinitis/impingement. Initially, an inhibitory approach was used to apply a supraspinatus Y-strip from its insertion to its origin. The measurement of the strip's length was taken from the acromion to the scapular spine. The base of the strip was later applied to the tuberculum major while the patient was seated; the superior tale of the Y-strip was then terminated at the superomedial angle of the scapula, passing between the middle and superior fibers of the trapezius with light tension (% 15-25); the shoulder was then extended, adducted, and internally rotated with cervical contralateral bending; the final portion of the tape (2.5-5 cm) was applied painlessly.
Scapular Stabilization Exercises
Scapular Stabilization Exercises
Scapular Stabilization Exercises
Participants in Group B engage in a twice-weekly, supervised SSE exercise program that is based on the clinical decision algorithm that has been recommended by an expert panel. The goal of scapular orientation training was to normalize the scapula's resting posture and enhance proprioception. Subsequently, three scapular control exercises were executed: a closed kinetic chain exercise known as the "unilateral bench press," bilateral shoulder flexion up to 60°, and a scapular control exercise including bilateral shoulder retraction and extension in the prone position. There was no discomfort involved in performing the exercises, and each session may consist of no more than four exercises. The dosage and progressions were based on the objectives of each exercise; each exercise was performed 8-10 times with a 5- to 10-second hold in between, and there was a 30-to 1-minute rest period.
Interventions
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Kinesio Taping treatment
Therapeutic KT application administered to patients in group A. The KT treatment was completed in compliance with Kase's recommended methodology for rotator cuff tendinitis/impingement. Initially, an inhibitory approach was used to apply a supraspinatus Y-strip from its insertion to its origin. The measurement of the strip's length was taken from the acromion to the scapular spine. The base of the strip was later applied to the tuberculum major while the patient was seated; the superior tale of the Y-strip was then terminated at the superomedial angle of the scapula, passing between the middle and superior fibers of the trapezius with light tension (% 15-25); the shoulder was then extended, adducted, and internally rotated with cervical contralateral bending; the final portion of the tape (2.5-5 cm) was applied painlessly.
Scapular Stabilization Exercises
Participants in Group B engage in a twice-weekly, supervised SSE exercise program that is based on the clinical decision algorithm that has been recommended by an expert panel. The goal of scapular orientation training was to normalize the scapula's resting posture and enhance proprioception. Subsequently, three scapular control exercises were executed: a closed kinetic chain exercise known as the "unilateral bench press," bilateral shoulder flexion up to 60°, and a scapular control exercise including bilateral shoulder retraction and extension in the prone position. There was no discomfort involved in performing the exercises, and each session may consist of no more than four exercises. The dosage and progressions were based on the objectives of each exercise; each exercise was performed 8-10 times with a 5- to 10-second hold in between, and there was a 30-to 1-minute rest period.
Eligibility Criteria
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Inclusion Criteria
Mild or Moderate pain on resisted external rotation, or the Empty Can test.
Exclusion Criteria
Calcific tendinitis, adhesive capsulitis, glenohumeral instability or a partial or full-thickness rotator cuff tear, clinical history of acute trauma, previous surgery or previous fracture in the affected shoulder. Corticosteroid injection into the shoulder joint in the previous 12 months.
18 Years
55 Years
ALL
Yes
Sponsors
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Sehat Medical Complex
OTHER
Responsible Party
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Principal Investigators
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Imran Ghafoor Dr., DPT,M.phil
Role: STUDY_CHAIR
Riphah International University
Locations
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Riphah International University
Lahore, Punjab Province, Pakistan
Countries
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Central Contacts
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Facility Contacts
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References
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Goksu H, Tuncay F, Borman P. The comparative efficacy of kinesio taping and local injection therapy in patients with subacromial impingement syndrome. Acta Orthop Traumatol Turc. 2016 Oct;50(5):483-488. doi: 10.1016/j.aott.2016.08.015. Epub 2016 Sep 23.
Kul A, Ugur M. Comparison of the Efficacy of Conventional Physical Therapy Modalities and Kinesio Taping Treatments in Shoulder Impingement Syndrome. Eurasian J Med. 2019 Jun;51(2):139-144. doi: 10.5152/eurasianjmed.2018.17421. Epub 2018 Nov 30.
Ravichandran H, Janakiraman B, Gelaw AY, Fisseha B, Sundaram S, Sharma HR. Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review. J Exerc Rehabil. 2020 Jun 30;16(3):216-226. doi: 10.12965/jer.2040256.128. eCollection 2020 Jun.
Sharma S, Ghrouz AK, Hussain ME, Sharma S, Aldabbas M, Ansari S. Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial. Biomed Res Int. 2021 Jun 30;2021:9945775. doi: 10.1155/2021/9945775. eCollection 2021.
Related Links
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Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial
Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review
Effectiveness of Scapular Stabilization Versus Non-Stabilization Stretching on Shoulder Range of Motion, a Randomized Clinical Trial
Comparison of the Efficacy of Conventional Physical Therapy Modalities and Kinesio Taping Treatments in Shoulder Impingement Syndrome
The comparative efficacy of kinesio taping and local injection therapy in patients with subacromial impingement syndrome
Other Identifiers
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REC/RCR&AHS/24/0424
Identifier Type: -
Identifier Source: org_study_id
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