Clinical Rheumatology

, Volume 30, Issue 2, pp 201–207 | Cite as

Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome

Original Article

Abstract

The purpose of this study was to determine and compare the efficacy of kinesio tape and physical therapy modalities in patients with shoulder impingement syndrome. Patients (n = 55) were treated with kinesio tape (n = 30) three times by intervals of 3 days or a daily program of local modalities (n = 25) for 2 weeks. Response to treatment was evaluated with the Disability of Arm, Shoulder, and Hand scale. Patients were questioned for the night pain, daily pain, and pain with motion. Outcome measures except for the Disability of Arm, Shoulder, and Hand scale were assessed at baseline, first, and second weeks of the treatment. Disability of Arm, Shoulder, and Hand scale was evaluated only before and after the treatment. Disability of Arm, Shoulder, and Hand scale and visual analog scale scores decreased significantly in both treatment groups as compared with the baseline levels. The rest, night, and movement median pain scores of the kinesio taping (20, 40, and 50, respectively) group were statistically significantly lower (p values were 0.001, 0.01, and 0.001, respectively) at the first week examination as compared with the physical therapy group (50, 70, and 70, respectively). However, there was no significant difference in the same parameters between two groups at the second week (0.109, 0.07, and 0.218 for rest, night, and movement median pain scores, respectively). Disability of Arm, Shoulder, and Hand scale scores of the kinesio taping group were significantly lower at the second week as compared with the physical therapy group. No side effects were observed. Kinesio tape has been found to be more effective than the local modalities at the first week and was similarly effective at the second week of the treatment. Kinesio taping may be an alternative treatment option in the treatment of shoulder impingement syndrome especially when an immediate effect is needed.

Keywords

Kinesio tape Physical therapy Rehabilitation Shoulder Shoulder impingement syndrome 

References

  1. 1.
    Matsen FA, Arntz CT (1990) Subacromial impingement. In: Rockwood CA, Matsen FA (eds) The shoulder. WB Saunders, Philadelphia, pp 623–646Google Scholar
  2. 2.
    Neer CS Jr (1983) Impingement lesions. Clin Orthop 173:70–77PubMedGoogle Scholar
  3. 3.
    Ludewig PM, Cook TM (2000) Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther 80(3):276–291PubMedGoogle Scholar
  4. 4.
    Kamkar A, Irrgang JJ, Whitney SL (1993) Nonoperative management of secondary shoulder impingement syndrome. J Orthop Sports Phys Ther 17:212–224PubMedGoogle Scholar
  5. 5.
    Hagberg M, Wegman DH (1987) Prevalence rates and odds ratios of shoulder-neck diseases in different occupational groups. Br J Ind Med 44:602–610PubMedGoogle Scholar
  6. 6.
    Kibler WB (1991) Role of the scapula in the overhead throwing motion. Contemp Orthop 22:525–532Google Scholar
  7. 7.
    Gerdesmeyer L, Wagenpfeil S, Haake M et al (2003) Extracorporeal shock wave therapy for the treatment of chronic calcifying tendonitis of the rotator cuff: a randomized controlled trial. JAMA 290:2573–2580CrossRefPubMedGoogle Scholar
  8. 8.
    Green S, Buchbinder R, Hetrick S (2003). Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev 2:CD004258.Google Scholar
  9. 9.
    Johansson KM, Adolfsson LE, Foldevi MO (2005) Effects of acupuncture versus ultrasound in patients with impingement syndrome: randomized clinical trial. Phys Ther 85:490–501PubMedGoogle Scholar
  10. 10.
    Walther M, Werner A, Stahlschmidt T, Woelfel R, Gohlke F (2004) The subacromial impingement syndrome of the shoulder treated by conventional physiotherapy, self-training, and a shoulder brace: results of a prospective, randomized study. J Shoulder Elbow Surg 13:417–423CrossRefPubMedGoogle Scholar
  11. 11.
    Kibler WB, McMullen J (2003) Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg 11(2):142–151PubMedGoogle Scholar
  12. 12.
    Cools AM, Witvrouw EE, Danneels LA, Cambier DC (2002) Does taping influence electromyographic muscle activity in the scapular rotators in healthy shoulders? Man Ther 7:154–162CrossRefPubMedGoogle Scholar
  13. 13.
    Mottram SL (1997) Dynamic stability of the scapula. Man Ther 2:123–131CrossRefPubMedGoogle Scholar
  14. 14.
    Lunden JB, Braman JP, Laprade RF, Ludewig PM (2010) Shoulder kinematics during the wall push-up plus exercise. J Shoulder Elbow Surg 19(2):216–223CrossRefPubMedGoogle Scholar
  15. 15.
    Escamilla RF, Yamashiro K, Paulos L, Andrews JR (2009) Shoulder muscle activity and function in common shoulder rehabilitation exercises. Sports Med 39(8):663–685CrossRefPubMedGoogle Scholar
  16. 16.
    Hsu YH, Chen WY, Lin HC, Wang WT, Shih YF (2009) The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyogr Kinesiol 19(6):1092–1099CrossRefPubMedGoogle Scholar
  17. 17.
    Host H (1995) Scapular taping in the treatment of anterior shoulder impingement. Phys Ther 75:803–812PubMedGoogle Scholar
  18. 18.
    Kase K, Wallis J, Kase T (2003) Clinical therapeutic applications of the kinesio taping method. Ken Ikai Co Ltd, TokyoGoogle Scholar
  19. 19.
    Kitis A, Celik E, Aslan UB, Zencir M (2009) DASH questionnaire for the analysis of musculoskeletal symptoms in industry workers: a validity and reliability study. Appl Ergon 40(2):251–255CrossRefPubMedGoogle Scholar
  20. 20.
    Oksuz C, Duger T (2008) Kol, omuz ve el sorunları anketi. DASH-Turkish. Available at: http://www.dash.iwh.on.ca/assets/images/pdfs/dashturkish.pdf. Accessed on: 20 November 2009.
  21. 21.
    Plancher KD, Lipnick SL (2009) Analysis of evidence-based medicine for shoulder instability. Arthroscopy 25(8):897–908CrossRefPubMedGoogle Scholar
  22. 22.
    Kane K (1997) Outcome measures. In: Kane R (ed) Understanding health care outcomes research. Aspen Publishers, Gaithersburg, MD, pp 17–18Google Scholar
  23. 23.
    Frazier S, Whitman J, Smith M (2006) Utilization of kinesio tex tape in patients with shoulder pain or dysfunction: a case series. Advanced Healing; Summer:18–20Google Scholar
  24. 24.
    Jaraczewska E, Long C (2006) Kinesio taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil 13:31–42CrossRefPubMedGoogle Scholar
  25. 25.
    Murray H, Husk LJ (2001) Effect of kinesio taping on proprioception in the ankle. J Orthop Sports Phys Ther 31:A37Google Scholar
  26. 26.
    Osterhues DJ (2004) The use of kinesio taping in the management of traumatic patella dislocation. A case study. Physiother Theory Pract 20:267–270CrossRefGoogle Scholar
  27. 27.
    Yoshida A, Kahanov L (2007) The effect of kinesio taping on lower trunk range of motions. Res Sports Med 15:103–112CrossRefPubMedGoogle Scholar
  28. 28.
    Bragg RW, Macmahon JM, Overom EK et al (2002) Failure and fatigue characteristics of adhesive athletic tape. Med Sci Sports Exerc 34(3):403–410CrossRefPubMedGoogle Scholar
  29. 29.
    Thelen MD, Dauber JA, Stoneman PD (2008) The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther 38(7):389–395PubMedGoogle Scholar
  30. 30.
    Simoneau G, Degner R, Kramper C, Kittleson K (1997) Changes in ankle joint proprioception resulting from strips of athletic tape applied over skin. J Athl Train 32:141–147PubMedGoogle Scholar
  31. 31.
    Kneeshaw D (2002) Shoulder taping in the clinical setting. J Bodyw Mov Ther 6:2–8CrossRefGoogle Scholar
  32. 32.
    Selkowitz DM, Chaney C, Stuckey SJ, Vlad G (2007) The effects of scapular taping on the surface electromyographic signal amplitude of shoulder girdle muscles during upper extremity elevation in individuals with suspected shoulder impingement syndrome. J Orthop Sports Phys Ther 37(11):694–702PubMedGoogle Scholar
  33. 33.
    Smith M, Sparkes V, Busse M, Enright S (2009) Upper and lower trapezius muscle activity in subjects with subacromial impingement symptoms: is there imbalance and can taping change it? Phys Ther Sport 10(2):45–50CrossRefPubMedGoogle Scholar
  34. 34.
    Bildt C, Alfredsson L, Punnett L, Theobald H et al (2001) Effects of drop out in a longitudinal study of musculoskeletal disorders. Occup Environ Med 58(3):194–199CrossRefPubMedGoogle Scholar

Copyright information

© Clinical Rheumatology 2010

Authors and Affiliations

  1. 1.Department of Physical Medicine and RehabilitationBursa Military HospitalBursaTurkey
  2. 2.Department of Physical Medicine and RehabilitationGazi University Medical FacultyAnkaraTurkey
  3. 3.Physical Medicine and RehabilitationTurkish Armed Forces Rehabilitation CenterAnkaraTurkey

Personalised recommendations