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Comparison of efficacy of kinesiological taping and subacromial injection therapy in subacromial impingement syndrome

Abstract

The aim of the study was to compare the efficacy of kinesiological taping and subacromial injection therapy in patients with subacromial impingement syndrome (SIS). Seventy patients diagnosed with SIS were randomly assigned to group 1 (n = 35, injection group) or group 2 (n = 35, kinesiological taping group). Betamethasone plus prilocaine was injected to subacromial space in the patients in group 1. In group 2, tape was applied three times for a period of five consecutive days with a 2-day recovery interval. A 3-month exercise program was prescribed for both groups including stretching and strengthening exercises. All patients were assessed at baseline and at 1 and 3 months post-intervention. Assessments were made by visual analog scale (VAS) for pain, range of motion (ROM) measurements, specific tests, and Shoulder Pain and Disability Index (SPADI). Significant differences were detected in VAS and SPADI scores as well as ROM measurements in both groups when compared to baseline (p > 0.05). No significant differences were detected between the groups except for active flexion degree in favor of group 1 (p = 0.004). Both kinesiological taping and steroid injection in conjunction with an exercise program were found to be effective in the treatment of SIS. Kinesio taping may be an alternative treatment option in the rehabilitation of SIS especially when a non-invasive technique is needed.

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References

  1. 1.

    Picavet HS, Schouten JS (2003) Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain 102:167–178

    CAS  Article  PubMed  Google Scholar 

  2. 2.

    Van der Windt DA, Koes BW, de Jong BA, Bouter LM (1995) Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis 54:959–964

    Article  PubMed  PubMed Central  Google Scholar 

  3. 3.

    Sarpel T (2000) Omuz ağrısı. In: Beyazova M, Kutsal Y (eds) Fiziksel Tıp ve Rehabilitasyon. Ankara, Güneş Kitabevi, pp 1437–1447

    Google Scholar 

  4. 4.

    Çakmak A (2003) Conservative treatment of subacromial impingement syndrome. Acta Orthop Traumatol Turc 37:112–118

    PubMed  Google Scholar 

  5. 5.

    Celik D, Atalar AC, Sahinkaya S, Demirhan M (2009) The value of intermittent ultrasound treatment in subacromial impingement syndrome. Acta Orthop Traumatol Turc 43:243–247

    Article  PubMed  Google Scholar 

  6. 6.

    Dogan SK, Ay S, Evcik D (2010) The effectiveness of low laser therapy in subacromial impingement syndrome: a randomized placebo controlled double-blind prospective study. Clinics (Sao Paulo) 65:1019–1022

    Article  Google Scholar 

  7. 7.

    Kromer TO, Tautenhahn UG, de Bie RA, Staal JB, Bastiaenen CH (2009) Effects of physiotherapy in patients with shoulder impingement syndrome: a systematic review of the literature. J Rehabil Med 41:870–880

    Article  PubMed  Google Scholar 

  8. 8.

    Çeliker R, Güven Z, Aydoğ T, Bağış S, Atalay A, Yağcı HÇ, Korkmaz N (2011) The kinesiologic taping technique and its applications. Turk J Phys Med Rehabil 57:225–235

    Article  Google Scholar 

  9. 9.

    Akbaş E, Atay AÖ, Yüksel İ (2011) The effects of additional kinesio taping over exercise in the treatment of patellofemoral pain syndrome. Acta Orthop Traumatol Turc 45:335–341

    PubMed  Google Scholar 

  10. 10.

    Nakajima MA, Baldridge C (2013) The effect of kinesio® tape on vertical jump and dynamic postural control. Int J Sports Phys Ther 8:393–406

    PubMed  PubMed Central  Google Scholar 

  11. 11.

    Holt TA, Mant D, Carr A, Gwilym S, Beard D, Toms C, Yu LM, Rees J (2013) Corticosteroid injection for shoulder pain: single-blind randomized pilot trial in primary care. Trials 14:425. doi:10.1186/1745-6215-14-425

    Article  PubMed  PubMed Central  Google Scholar 

  12. 12.

    Akman Ş, Küçükkaya M (2003) Subacromial impingement syndrome: pathogenesis, clinical features, and examination methods. Acta Orthop Traumatol Turc 37:27–34

    PubMed  Google Scholar 

  13. 13.

    Çalıs M, Akgün K, Birtane M, Karacan I, Çalıs H, Tüzün F (2000) Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis 59:44–47

    Article  PubMed  PubMed Central  Google Scholar 

  14. 14.

    Buckup K (2008) Clinical test for the musculoskeletal system. Germany, Stuttgart

    Google Scholar 

  15. 15.

    Şimşek HH, Balki S, Keklik SS, Öztürk H, Elden H (2013) Does Kinesio taping in addition to exercise therapy improve the outcomes in subacromial impingement syndrome? A randomized, double-blind, controlled clinical trial. Acta Orthop Traumatol Turc 47:104–110

    Article  PubMed  Google Scholar 

  16. 16.

    Vahdatpour B, Taheri P, Zade AZ, Moradian S (2014) Efficacy of extracorporeal shockwave therapy in frozen shoulder. Int J Prev Med 5:875–881

    PubMed  PubMed Central  Google Scholar 

  17. 17.

    Yalınkılınç A, Hakgüder A (1995) Efficacy of exercise combined with elecrotherapy in painful shoulder syndromes. Acta Orthop Traumatol Turc 29:146–148

    Google Scholar 

  18. 18.

    Yelkovan M, Eskiyurt N, Öncel A, Çakmak A (2006) Therapeutic effect of magnetic field therapy in the treatment of subacromial impingement syndrome (type II). J Ist Fac Med 69:36–40

    Google Scholar 

  19. 19.

    Lee JH, Park SJ, Na SS (2013) The effect of proprioceptive neuromuscular facilitation therapy on pain and function. J Phys Ther Sci 25:713–716

    Article  PubMed  PubMed Central  Google Scholar 

  20. 20.

    Surburg PR, Schrader JW (1997) Proprioceptive neuromuscular facilitation techniques in sports medicine: a reassessment. J Athl Train 32:34–39

    CAS  PubMed  PubMed Central  Google Scholar 

  21. 21.

    Tallia AF, Cardone DA (2003) Diagnostic and therapeutic injection of the shoulder region. Am Fam Physician 67:1271–1278

    PubMed  Google Scholar 

  22. 22.

    Celik D, Atalar AC, Güçlü A, Demirhan M (2009) The contribution of subacromial injection to the conservative treatment of impingement syndrome. Acta Orthop Traumatol Turc 43:331–335

    Article  PubMed  Google Scholar 

  23. 23.

    Jowett S, Crawshaw DP, Helliwell PS, Hensor EM, Hay EM, Conaghan PG (2013) Cost-effectiveness of exercise therapy after corticosteroid injection for moderate to severe shoulder pain due to subacromial impingement syndrome: a trial-based analysis. Rheumatology (Oxford) 52:1485–1491

    CAS  Article  Google Scholar 

  24. 24.

    Choi WD, Cho DH, Hong YH, Noh JH, Lee ZI, Byun SD (2013) Effects of subacromial bursa injection with corticosteroid and hyaluronidase according to dosage. Ann Rehabil Med 37:668–674

    Article  PubMed  PubMed Central  Google Scholar 

  25. 25.

    Bae SH, Lee JH, Oh KA, Kim KY (2013) The effects of kinesio taping on potential in chronic low back pain patients anticipatory postural control and cerebral cortex. J Phys Ther Sci 25:1367–1371

    Article  PubMed  PubMed Central  Google Scholar 

  26. 26.

    Campolo M, Babu J, Dmochowska K, Scariah S, Varughese J (2013) A comparison of two taping techniques (kinesio and mcconnell) and their effect on anterior knee pain during functional activities. Int J Sports Phys Ther 8:105–110

    PubMed  PubMed Central  Google Scholar 

  27. 27.

    Stedge HL, Kroskie RM, Docherty CL (2012) Kinesio taping and the circulation and endurance ratio of the gastrocnemius muscle. J Athl Train 47(6):635–642

    Article  PubMed  PubMed Central  Google Scholar 

  28. 28.

    Fu TC, Wong AM, Pei YC, Wu KP, Chou SW, Lin YC (2008) Effect of Kinesio taping on muscle strength in athletes-a pilot study. J Sci Med Sport 11:198–201

    Article  PubMed  Google Scholar 

  29. 29.

    Slupik A, Dwornik M, Bialoszewski D, Zych E (2007) Effect of Kinesio taping on bioelectrical activity of vastus medialis muscle. Preliminary report. Ortop Traumatol Rehabil 9:644–651

    PubMed  Google Scholar 

  30. 30.

    Kaya E, Zinnuroglu M, Tugcu I (2011) Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome. Clin Rheumatol 30:201–207

    Article  PubMed  Google Scholar 

  31. 31.

    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 38:389–395

    Article  PubMed  Google Scholar 

  32. 32.

    González-Iglesias J, Fernández-de-Las-Peñas C, Cleland JA, Huijbregts P, Del Rosario Gutiérrez-Vega M (2009) Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. J Orthop Sports Phys Ther 39:515–521

    Article  PubMed  Google Scholar 

  33. 33.

    Paoloni M, Bernetti A, Fratocchi G, Mangone M, Parrinello L, Del Pilar Cooper M, Sesto L, Di Sante L, Santilli V (2011) Kinesio Taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehabil Med 47:237–244

    CAS  PubMed  Google Scholar 

  34. 34.

    Merino-Marban R, Mayorga-Vega D, Fernandez-Rodriguez E (2013) Effect of kinesio tape application on calf pain and ankle range of motion in duathletes. J Hum Kinet 37:129–135

    Article  PubMed  PubMed Central  Google Scholar 

  35. 35.

    Firth BL, Dingley P, Davies ER, Lewis JS, Alexander CM (2010) The effect of kinesiotape on function, pain, and motoneuronal excitability in healthy people and people with Achilles tendinopathy. Clin J Sport Med 20:416–421

    Article  PubMed  Google Scholar 

  36. 36.

    Frazier S, Whitman J, Smith M (2006) Utilization of kinesio tex tape in patients with shoulder pain or dysfunction: a case series. Advanced Healing 18–20

  37. 37.

    Yoshida A, Kahanov L (2007) The effect of kinesio taping on lower trunk range of motions. Res Sports Med 15:103–112

    Article  PubMed  Google Scholar 

  38. 38.

    Breckenridge JD, McAuley JH (2011) Shoulder Pain and Disability Index (SPADI). J Physiother 57:197. doi:10.1016/S1836-9553(11)70045-5

    Article  PubMed  Google Scholar 

Download references

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All the authors declare that they have no conflict of interest, and the study has no financial support. We confirm that our manuscript has not been published before and is not under consideration for publication elsewhere.

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Correspondence to Volkan Subaşı.

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Subaşı, V., Çakır, T., Arıca, Z. et al. Comparison of efficacy of kinesiological taping and subacromial injection therapy in subacromial impingement syndrome. Clin Rheumatol 35, 741–746 (2016). https://doi.org/10.1007/s10067-014-2824-7

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Keywords

  • Athletic tape
  • Exercise
  • Injections
  • Physical therapy
  • Shoulder
  • Shoulder impingement syndrome