Lasers in Medical Science

, Volume 31, Issue 6, pp 1133–1141 | Cite as

Short-term effects of high-intensity laser therapy, manual therapy, and Kinesio taping in patients with subacromial impingement syndrome

Original Article

Abstract

Subacromial impingement syndrome (SAIS) is a major contributing factor of shoulder pain; and treatment approaches (Kinesio® taping [KT], Exercise [EX], manual therapy [MT], and high-intensity laser therapy [HILT]) have been developed to treat the pain. The key objective of this study was to compare the effects of KT, MT, and HILT on the pain, the range of motion (ROM), and the functioning in patients with SAIS. Seventy patients with SAIS were randomly divided into four groups based on the treatment(s) each group received [EX (n = 15), KT + EX (n = 20), MT + KT + EX (n = 16), and MT + KT + HILT + EX (n = 19)]. All the patients were assessed before and at the end of the treatment (15th day). The main outcome assessments included the evaluation of severity of pain by visual analogue scale (VAS) and shoulder flexion, abduction, and external rotation ROM measurements by a universal goniometry. Shoulder pain and disability index (SPADI) was used to measure pain and disability associated with shoulder pathology. Statistically significant differences were found in the treatment results of all parameters in MT + KT + EX and HILT + MT + KT + EX groups (p < 0.05). When the means of ROM and SPADI results of three groups were compared, statistically significant differences were found between all the groups (p < 0.05). These differences were significant especially between the groups MT + KT + EX and KT + EX (p < 0.05) and HILT + MT + KT + EX and KT + EX (p < 0.05). HILT and MT were found to be more effective in minimizing pain and disability and increasing ROM in patients with SAIS. Further studies with follow-up periods are required to determine the advantages of these treatments conclusively.

Keywords

Manual therapy Taping Laser Shoulder 

References

  1. 1.
    Phadke V, Camargo PR, Ludewig PM (2009) Scapular and rotator cuff muscle activity during arm elevation: a review of normal function and alterations with shoulder impingement. Braz J Phys Ther 13(1):1–9CrossRefGoogle Scholar
  2. 2.
    Thigpen CA, Padua DA, Morgan N, Kreps C, Karas SG (2006) Scapular kinematics during supraspinatus rehabilitation exercise a comparison of full-can versus empty-can techniques. Am J Sports Med 34(4):644–652CrossRefPubMedGoogle Scholar
  3. 3.
    Bertin P, Behier JM, Noel E, Leroux JL (2003) Celecoxib is as efficacious as naproxen in the management of acute shoulder pain. J Int Med Res 31:102–112CrossRefPubMedGoogle Scholar
  4. 4.
    Blair B, Rokito AS, Cuomo F, Jarolem K, Zuckerman JD (1996) Efficacy of injections of corticosteroids for subacromial impingement syndrome. J Bone Joint Surg Am 78:1685–1689PubMedGoogle Scholar
  5. 5.
    Green S, Buchbinder R, Hetrick S (2003) Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev CD004258Google Scholar
  6. 6.
    Robertson VJ, Baker KG (2001) A review of therapeutic ultrasound: effectiveness studies. Phys Ther 81:1339–1350PubMedGoogle Scholar
  7. 7.
    Santamato A, Solfrizzi V, Panza F, Tondi G, Frisardi V, Leggin BG, Ranieri M, Fiore P (2009) Short-term effects of high intensity laser therapy versus ultrasound therapy in the treatment of people with subacromial impingement syndrome: a randomized clinical trial. Phys Ther 89:643–652CrossRefPubMedGoogle Scholar
  8. 8.
    Senbursa G, Baltaci G, Atay A (2007) Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical trial. Knee Surg Sports Traumatol Arthrosc 15:915–921CrossRefPubMedGoogle Scholar
  9. 9.
    Wang CJ (2012) Extracorporeal shock wave therapy in musculoskeletal disorders. J Ortop Surg Res 7:11CrossRefGoogle Scholar
  10. 10.
    Michener LA, Walsworth MK, Burnet EN (2004) Effectiveness of rehabilitation for patients with subacromial impingement syndrome: a systematic review. J Hand Ther 17:152–164CrossRefPubMedGoogle Scholar
  11. 11.
    Kuhn JE (2009) Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol. J Shoulder Elb Surg 18:138–160CrossRefGoogle Scholar
  12. 12.
    Yuruk ZO (2015) Omuz rehabilitasyonunda kullanılan fiziksel ajanlar ve elektroterapi yöntemleri. In: Baltacı G (ed) Omuz yaralanmalarında rehabilitasyon. Pelikan, Ankara, pp 245–267Google Scholar
  13. 13.
    Karaca B (2016) Effectiveness of high-intensity laser therapy in subacromial impingement syndrome. Photomed Laser Surg 18Google Scholar
  14. 14.
    Kim SH, Kim YH, Lee HR, Choi YE (2015) Short-term effects of high-intensity laser therapy on frozen shoulder: a prospective randomized control study. Man Ther 20(6):751–757. doi:10.1016/j.math.2015.02.009 CrossRefPubMedGoogle Scholar
  15. 15.
    Bang MD, Deyle GD (2000) Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther 30:126–137CrossRefPubMedGoogle Scholar
  16. 16.
    Conroy DE, Hayes KW (1998) The effect of joint mobilization as a component of comprehensive treatment for primary shoulder impingement syndrome. J Orthop Sports Phys Ther 28:3–14CrossRefPubMedGoogle Scholar
  17. 17.
    Tate AR, McClure PW, Young IA, Salvatori R, Michener LA (2010) Comprehensive impairment-based exercise and manual therapy intervention for patients with subacromial impingement syndrome: a case series. J Orthop Sports Phys Ther 40(8):474–493. doi:10.2519/jospt.2010.3223 CrossRefPubMedGoogle Scholar
  18. 18.
    Hsu YH, Chen WY, Lin HC, Wanga WTC, Shih YF (2009) The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyogr Kines 19:1092–1099CrossRefGoogle Scholar
  19. 19.
    Ozer Kaya D, Baltaci G, Toprak U, Atay AO (2014) Subacromial impingement syndrome: the clinical and sonographic effects of exercise and taping in comparison to exercise and manual therapy. J Manip Physiol Ther 37(6):422–432CrossRefGoogle Scholar
  20. 20.
    Kase K, Wallis J, Kase T (2003) Clinical therapeutic application of the kinesio taping method. Ken Ikai Co Ltd., TokyoGoogle Scholar
  21. 21.
    Gonzalez-Iglesias J, Fernandez-De-Las-Penas C, Cleland J, Huijbregts P, Gutierrez-Vega MD (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 39(7):515–521CrossRefGoogle Scholar
  22. 22.
    Castro-Sanchez AM, Lara-Palomo IC, Mataran- Penarrocha GA, Fernandez-Sanchez M, Sanchez-Labraca N, Arroyo-Morales M (2012) Kinesio taping reduces disability and pain slightly in chronic nonspecific low back pain: a randomized trial. J Physiother 58(2):89–95CrossRefPubMedGoogle Scholar
  23. 23.
    Yoshida A, Kahanov L (2007) The effect of kinesio taping on lower trunk range of motions. Res Sports Med 15(2):103–112CrossRefPubMedGoogle Scholar
  24. 24.
    Yasukawa A, Patel P, Sisun C (2006) Pilot study: investigating the effects of kinesio taping in an acute pediatric rehabilitation setting. Am J Occup Ther 60(1):104–110CrossRefPubMedGoogle Scholar
  25. 25.
    Stedge HL, Kroskie RM, Docherty CL (2012) Kinesio taping and the circulation and endurance ratio of the gastrocnemius muscle. J Athl Training 47(6):635–642CrossRefGoogle Scholar
  26. 26.
    Hawker GA, Mian S, Kendzerska T, French M (2011) Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care & Research 63(11):240–252CrossRefGoogle Scholar
  27. 27.
    Hayes K, Walton JR, Szomor ZL, Murrell GAC (2001) Reliability of five methods for assessing shoulder range of motion. Australian Journal of Physiotherapy 47:289–294CrossRefPubMedGoogle Scholar
  28. 28.
    Valadie AL, Jobe CM, Pink MM, Ekman EF, Jobe FW (2000) Anatomy of provocative tests for impingement syndrome of the shoulder. J Shoulder Elbow Surg 9:36–46CrossRefPubMedGoogle Scholar
  29. 29.
    Roy JS, Moffet H, He´bert LJ, Lirette R (2009) Effect of motor control and strengthening exercises on shoulder function in persons with impingement syndrome: a single-subject study design. Man Ther 14:180–188CrossRefPubMedGoogle Scholar
  30. 30.
  31. 31.
    Baltaci G (2003) Approaches in athletes with subacromial impingement syndrome: prevention and exercise programs. Acta Orthop Traumatol Turc 37(1):128–138PubMedGoogle Scholar
  32. 32.
    Uhl T, Carver TJ, Mattacola CG (2003) Shoulder musculature activation during upper extremity weight-bearing exercise. J Orthop Sports Phys Ther 33(3):109–117CrossRefPubMedGoogle Scholar
  33. 33.
    Geraets JJ, Goossens ME, de Groot IJ, de Bruijn CP, de Bie RA, Dinant GJ, van der Heijden G, van den Heuvel WJ (2005) Effectiveness of a graded exercise therapy program for patients with chronic shoulder complaints. Aust J Physiother 51(2):87–94CrossRefPubMedGoogle Scholar
  34. 34.
    Zati A, Degli Esposti S, Bilotta TW (1997) Il laser CO2: effetti analgesici e psicologici in uno studio controllato. Laser & Technology 7:723–730Google Scholar
  35. 35.
    Kujawa J, Zavodnik L, Zavodnik I, Buko V, Lapshyna A, Bryszewska M (2004) Effect of low-intensity (3.75–25 J/cm2) near-infrared (810 nm) laser radiation on red blood cell ATPase activities and membrane structure. J Clin Laser Med Surg 22:111–117CrossRefPubMedGoogle Scholar
  36. 36.
    Alayat MS, Mohamed AA, Helal OF, Khaled OA (2016) Efficacy of high-intensity laser therapy in the treatment of chronic neck pain: a randomized double-blind placebo-control trial. Lasers Med Sci 25Google Scholar
  37. 37.
    Akkurt E, Kucuksen S, Yılmaz H, Parlak S, Sallı A, Karaca G (2016) Long term effects of high intensity laser therapy in lateral epicondylitis patients. Lasers Med Sci 31(2):249–253. doi:10.1007/s10103-015-1841-3 CrossRefPubMedGoogle Scholar
  38. 38.
    Martı´nez-Segura R, Ferna´ndez-de-las-Pen˜as C, Ruiz-Sa´ez M, Lo´ pez-Jime´nez C, Rodrı´guez-Blanco C (2006) Immediate effects on neck pain and active range of motion after a single cervical high-velocity low-amplitude manipulation in subjects presenting with mechanical neck pain: a randomized controlled trial. J Manipulative Physiol Ther 29:511–517CrossRefGoogle Scholar
  39. 39.
    Heredia-Rizo AM, Lo´pez-Herva´s A, Herrera-Monge P, Gutie´rrez-Leonard A, Pin˜a-Pozo F (2013) Shoulder functionality after manual therapy in subjects with shoulder impingement syndrome: a case series. Journal of Bodywork & Movement Therapies 17:212–218CrossRefGoogle Scholar
  40. 40.
    Braun C, Hanchard NCA (2010) Manual therapy and exercise for impingement related shoulder pain. Phys Ther Rev 15(2):62–83CrossRefGoogle Scholar
  41. 41.
    Desjardins-Charbonneau A, Roy JS, Dionne CE, Frémont P, MacDermid JC, Desmeules F (2015) The efficacy of manual therapy for rotator cuff tendinopathy: a systematic review and meta-analysis. J Orthop Sports Phys Ther 45(5):330–350CrossRefPubMedGoogle Scholar
  42. 42.
    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. Journal of Human Kinetics 37(1):129–135CrossRefPubMedPubMedCentralGoogle Scholar
  43. 43.
    Alam S, Malhotra D, Munjal J, Chachra A (2015) Immediate effect of Kinesio taping on shoulder muscle strength and range of motion in healthy individuals: a randomised trial. Hong Kong Physiotherapy Journal. doi:10.1016/j.hkpj.2014.10.004 Google Scholar

Copyright information

© Springer-Verlag London 2016

Authors and Affiliations

  1. 1.Faculty of Health Sciences, Department of Physiotherapy and RehabilitationBaskent UniversityAnkaraTurkey
  2. 2.Physiotherapy and Rehabilitation CenterGuven Private HospitalsAnkaraTurkey

Personalised recommendations