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Comparison of Kinesiotaping, Exercise and Subacromial Injection Treatments on Functionality and Life Quality in Shoulder Impingement Syndrome: A Randomized Controlled Study

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Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Purpose

Disturbance of scapulohumeral rhythm has been shown to play a major role in subacromial impingement syndrome. Exercise, taping and subacromial injection are first ray conservative treatment modalities. We aimed to correct scapulohumeral rhythm with kinesio taping and exercise program via focusing on especially periscapular muscles not on glenohumeral structures to achieve scapulothorasic stabilization.

Material and Methods

Seventy five patients were divided into three groups randomly with different treatment modalities which are only exercise group (Group 1), kinesiotaping + exercise group (Group 2), and injection + exercise group (Group 3). Western Ontario Rotator Cuff Index (WORCI), Quick Disability of arm, shoulder, hand (Q-DASH), Constant- Murley Scores (CMS) were evaluated for each patient at the beginning, 15th and 60th days and compared in time and technique manner. Scores were analyzed statistically with One-way ANOVA and Chi-square tests.

Results

All the three groups had better results in short and long term follow ups as compared to initial admission. But in the second group 15th and 60th day results were superior to other groups significantly (p < 0,001).

Conclusions

Most of recent studies using kinesio taping were focused on mechanical correction of humerus which will be an impaired treatment to correct the main cause of impingement. Not only mechanical correction of periscapular muscles and also stabilization of scapulae will help to gain scapulohumeral rhythm.

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Acknowledgements

We would like to thank Erdem Karabulut M.D. for supporting the statistical analyses of this manuscript.

Funding

There is no any foundation about this work privately or publicly.

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Authors and Affiliations

Authors

Contributions

OV collected the data and contributed to the final version of the manuscript. BO conceived the design of the manuscript, collected and analyzed the data and prepared the final approval of the version to be submitted. IDC conceived the design of the manuscript and drafted the article as well.

Corresponding author

Correspondence to Birhan Oktas.

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Conflict of interest

There is not any conflict of interests regarding the submission and publication of this manuscript and its’ potential implications. Manuscript has been read and approved by all the authors. All authors declare that this study represents our honest work. The authors certify that they have obtained all appropriate patient consent forms. In the form the patients have given their consent for their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Ethical approval

The study was approved by Kirikkale University Institutional Ethics Committee (Date:12.01.2014, Approval no. 26/11).

Informed consent

Patient, whose photograph has been used for describing of the procedure, has signed consent form. The original form is available from the corresponding author on reasonable request. The data and materials are available from the medical records department of the Research and Practice Hospital of Kirikkale University. The datasets used during the current study are available from the corresponding author on reasonable request.

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Vergili, O., Oktas, B. & Canbeyli, I.D. Comparison of Kinesiotaping, Exercise and Subacromial Injection Treatments on Functionality and Life Quality in Shoulder Impingement Syndrome: A Randomized Controlled Study. JOIO 55, 195–202 (2021). https://doi.org/10.1007/s43465-020-00167-7

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