Kinesio tape combined with progressive resistance training in the treatment of subacromial impingement syndrome_West China Medical Journal

Authors：

LIANG Qiu , YANG Jingyi , GE Yanlei , JIANG Junliang ,  YANG Lin

Rehabilitation Medicine Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YANG Lin, Email: 5648197@qq.com

Keywords：

Kinesio tape; Progressive resistance training; Subacromial impingement syndrome; Disabilities of the arm, shoulder and hand (DASH) outcome questionnaire

DOI：

10.7507/1002-0179.201907023

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Objective To observe the effect of kinesio tape (KT) combined with progressive resistance training (PRT) in patients with subacromial impingement syndrome (SIS), and to explore whether the direction of KT affects the therapeutic effect of SIS.Methods Between May 2017 and March 2019, 90 participants with SIS in West China Hospital, Sichuan University were randomly divided into three groups, with 30 participants in each group. Participants were treated with KT combined with PRT, and the direction of the KT is from the proximal end of the rotator cuff muscles to the distal end in group A. Participants were treated with KT combined with PRT, and the direction of the KT is from the distal end of the rotator cuff muscles to the proximal end in group B. Participants were treated with PRT alone in group C. Visual Analog Scale (VAS) was used to evaluate the pain in patients at rest, during movement and at night; range of motion (ROM) of shoulder and the disabilities of the arm, shoulder and hand (DASH) outcome questionnaire were used to measure the physical function before treatment and after 1 week and 2 weeks.Results After 1 week of treatment, ROM of shoulder abduction, internal rotation and DASH scores in group A were significantly improved compared with those in group B and C (P<0.05). After 2 weeks of treatment, the nighttime VAS score, ROM of shoulder abduction, internal rotation and DASH score scores in group A were significantly improved compared with those in group B and C (P<0.05). The VAS score during movement, nighttime VAS score, ROM of shoulder (except external rotation) and DASH score in group A were significantly improved after 1 week and 2 weeks of treatment (P<0.05); and after 2 weeks of treatment, the nighttime VAS score, ROM of shoulder flexion and internal rotation in group B were significantly improved compared with those before treatment (P<0.05). After 2 weeks of treatment, the VAS score during movement, nighttime VAS score, ROM of shoulder (except external rotation) in group C were significantly improved compared with those before treatment (P<0.05).Conclusion KT combined with PRT is more effective than PRT alone in the treatment of SIS, and the therapeutic effect is related to the direction of the tape.

Citation： LIANG Qiu, YANG Jingyi, GE Yanlei, JIANG Junliang, YANG Lin. Kinesio tape combined with progressive resistance training in the treatment of subacromial impingement syndrome. West China Medical Journal, 2019, 34(7): 801-806. doi: 10.7507/1002-0179.201907023 Copy

1.	戴祝, 华英汇, 陈世益, 等. 原发性冻结肩与肩峰撞击征的鉴别诊断及治疗. 实用骨科杂志, 2012, 18(1): 50-52.
2.	罗平, 林鸿生. 肩周肌群功能训练对肩峰下撞击综合征的疗效观察. 中国康复医学杂志, 2017, 32(5): 543-547.
3.	Littlewood C, May S, Walters S J, et al. Epidemiology of rotator cuff tendinopathy: a systematic review. Shoulder Elbow, 2013, 5(4): 256-265.
4.	卫宏图, 陆继收, 刘艳华, 等. 中老年人群原发性" 肩痛”流行病学调查. 中国全科医学, 2011, 14(18): 2066-2068.
5.	Diercks R, Bron C, Dorrestijn O, et al. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association. Acta Orthop, 2014, 85(3): 314-322.
6.	Dickens V, Williams JL, Bhamra MS. Role of physiotherapy in the treatment of subacromial impingement syndrome: a prospective study. Physiotherapy, 2005, 91(3): 159-164.
7.	Lombardi I Jr, Magri AG, Fleury AM, et al. Progressive resistance training in patients with shoulder impingement syndrome: a randomized controlled trial. Arthritis Rheum, 2008, 59(5): 615-622.
8.	Abdulla SY, Southerst D, Côté P, et al. Is exercise effective for the management of subacromial impingement syndrome and other soft tissue injuries of the shoulder? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Man Ther, 2015, 20(5): 646-656.
9.	Hanratty CE, McVeigh JG, Kerr DP, et al. The effectiveness of physiotherapy exercises in subacromial impingement syndrome: a systematic review and meta-analysis. Semin Arthritis Rheum, 2012, 42(3): 297-316.
10.	Littlewood C, Ashton J, Chance-Larsen K, et al. Exercise for rotator cuff tendinopathy: a systematic review. Physiotherapy, 2012, 98(2): 101-109.
11.	Guimaraes B, Barreto J, Tomé S, et al. The effects of the kinesio taping on the bicep myoelectric activity: an experimental study. Ann Phys Rehabil Med, 2018, 61(Suppl): e462.
12.	Garczyński W, Lubkowska A, Dobek A, et al. The effect of the application the kinesiology taping technique for muscle range of motion of the lumbar spine, and the subjective perception of pain intensity in patients with back pain. Ann Acad Med Stetin, 2014, 60(2): 19-24.
13.	Pyšný L, Pyšna J, Petrů D, et al. Kinesio taping use in prevention of sports injuries during teaching of physical education and sport. Procedia Soc Behav Sci, 2015, 186: 618-623.
14.	Accident Compensation Corporation (ACC). The diagnosis and management of soft tissue shoulder injuries and related disorders. (2011-02-25)[2019-07-07]. https://www.acc.co.nz/assets/provider/124909b5e6/acc1616-shoulder-treatment-guidelines.pdf.
15.	Alqunaee M, Galvin R, Fahey T, et al. Diagnostic accuracy of clinical tests for subacromial impingement syndrome: a systematic review and meta-analysis. Arch Phys Med Rehabil, 2012, 93(2): 229-236.
16.	Cardoso de Souza M, Trajano Jorge R, Jones A, et al. Progressive resistance training in patients with shoulder impingement syndrome: literature review. Reumatismo, 2011, 61(2): 84-89.
17.	梁邱, 何成奇, 姜俊良, 等. 神经肌肉运动训练对膝骨关节炎患者的疼痛与功能恢复的临床疗效观察. 华西医学, 2018, 33(10): 1247-1251.
18.	Gift AG. Visual analogue scales: measurement of subjective phenomena. Nurs Res, 1989, 38(5): 286-288.
19.	Atroshi I, Gummesson C, Andersson B, et al. The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: reliability and validity of the Swedish version evaluated in 176 patients. Acta Orthop Scand, 2000, 71(6): 613-618.
20.	Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther, 2000, 80(3): 276-291.
21.	Ludewig PM, Braman JP. Shoulder impingement: biomechanical considerations in rehabilitation. Man Ther, 2011, 16(1): 33-39.
22.	汤新安, 王人卫. 肌内效贴的研究现状及展望. 南京体育学院学报(自然科学版), 2013, 12(6): 45-48, 70.
23.	Lin JJ, Hung CJ, Yang PL. The effects of scapular taping on electromyographic muscle activity and proprioception feedback in healthy shoulders. J Orthop Res, 2011, 29(1): 53-57.
24.	Chang HY, Wang CH, Chou KY, et al. Could forearm kinesio taping improve strength, force sense, and pain in baseball pitchers with medial epicondylitis?. Clin J Sport Med, 2012, 22(4): 327-333.
25.	Hsu YH, Chen WY, Lin HC, et al. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyogr Kinesiol, 2009, 19(6): 1092-1099.
26.	Luque-Suarez A, Navarro-Ledesma S, Petocz P, et al. Short term effects of kinesiotaping on acromiohumeral distance in asymptomatic subjects: a randomised controlled trial. Man Ther, 2013, 18(6): 573-577.
27.	陈文华, 余波. 软组织贴扎技术临床应用精要-肌内效贴即学即用图谱. 上海: 上海浦江教育出版社, 2012.
28.	Clausen MB, Bandholm T, Rathleff MS, et al. The strengthening exercises in shoulder impingement trial (the sexsi-trial) investigating the effectiveness of a simple add-on shoulder strengthening exercise programme in patients with long-lasting subacromial impingement syndrome: study protocol for a pragmatic, assessor blinded, parallel-group, randomised, controlled trial. Trials, 2018, 19(1): 154.

1. 戴祝, 华英汇, 陈世益, 等. 原发性冻结肩与肩峰撞击征的鉴别诊断及治疗. 实用骨科杂志, 2012, 18(1): 50-52.
2. 罗平, 林鸿生. 肩周肌群功能训练对肩峰下撞击综合征的疗效观察. 中国康复医学杂志, 2017, 32(5): 543-547.
3. Littlewood C, May S, Walters S J, et al. Epidemiology of rotator cuff tendinopathy: a systematic review. Shoulder Elbow, 2013, 5(4): 256-265.
4. 卫宏图, 陆继收, 刘艳华, 等. 中老年人群原发性" 肩痛”流行病学调查. 中国全科医学, 2011, 14(18): 2066-2068.
5. Diercks R, Bron C, Dorrestijn O, et al. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association. Acta Orthop, 2014, 85(3): 314-322.
6. Dickens V, Williams JL, Bhamra MS. Role of physiotherapy in the treatment of subacromial impingement syndrome: a prospective study. Physiotherapy, 2005, 91(3): 159-164.
7. Lombardi I Jr, Magri AG, Fleury AM, et al. Progressive resistance training in patients with shoulder impingement syndrome: a randomized controlled trial. Arthritis Rheum, 2008, 59(5): 615-622.
8. Abdulla SY, Southerst D, Côté P, et al. Is exercise effective for the management of subacromial impingement syndrome and other soft tissue injuries of the shoulder? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Man Ther, 2015, 20(5): 646-656.
9. Hanratty CE, McVeigh JG, Kerr DP, et al. The effectiveness of physiotherapy exercises in subacromial impingement syndrome: a systematic review and meta-analysis. Semin Arthritis Rheum, 2012, 42(3): 297-316.
10. Littlewood C, Ashton J, Chance-Larsen K, et al. Exercise for rotator cuff tendinopathy: a systematic review. Physiotherapy, 2012, 98(2): 101-109.
11. Guimaraes B, Barreto J, Tomé S, et al. The effects of the kinesio taping on the bicep myoelectric activity: an experimental study. Ann Phys Rehabil Med, 2018, 61(Suppl): e462.
12. Garczyński W, Lubkowska A, Dobek A, et al. The effect of the application the kinesiology taping technique for muscle range of motion of the lumbar spine, and the subjective perception of pain intensity in patients with back pain. Ann Acad Med Stetin, 2014, 60(2): 19-24.
13. Pyšný L, Pyšna J, Petrů D, et al. Kinesio taping use in prevention of sports injuries during teaching of physical education and sport. Procedia Soc Behav Sci, 2015, 186: 618-623.
14. Accident Compensation Corporation (ACC). The diagnosis and management of soft tissue shoulder injuries and related disorders. (2011-02-25)[2019-07-07]. https://www.acc.co.nz/assets/provider/124909b5e6/acc1616-shoulder-treatment-guidelines.pdf.
15. Alqunaee M, Galvin R, Fahey T, et al. Diagnostic accuracy of clinical tests for subacromial impingement syndrome: a systematic review and meta-analysis. Arch Phys Med Rehabil, 2012, 93(2): 229-236.
16. Cardoso de Souza M, Trajano Jorge R, Jones A, et al. Progressive resistance training in patients with shoulder impingement syndrome: literature review. Reumatismo, 2011, 61(2): 84-89.
17. 梁邱, 何成奇, 姜俊良, 等. 神经肌肉运动训练对膝骨关节炎患者的疼痛与功能恢复的临床疗效观察. 华西医学, 2018, 33(10): 1247-1251.
18. Gift AG. Visual analogue scales: measurement of subjective phenomena. Nurs Res, 1989, 38(5): 286-288.
19. Atroshi I, Gummesson C, Andersson B, et al. The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: reliability and validity of the Swedish version evaluated in 176 patients. Acta Orthop Scand, 2000, 71(6): 613-618.
20. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther, 2000, 80(3): 276-291.
21. Ludewig PM, Braman JP. Shoulder impingement: biomechanical considerations in rehabilitation. Man Ther, 2011, 16(1): 33-39.
22. 汤新安, 王人卫. 肌内效贴的研究现状及展望. 南京体育学院学报(自然科学版), 2013, 12(6): 45-48, 70.
23. Lin JJ, Hung CJ, Yang PL. The effects of scapular taping on electromyographic muscle activity and proprioception feedback in healthy shoulders. J Orthop Res, 2011, 29(1): 53-57.
24. Chang HY, Wang CH, Chou KY, et al. Could forearm kinesio taping improve strength, force sense, and pain in baseball pitchers with medial epicondylitis?. Clin J Sport Med, 2012, 22(4): 327-333.
25. Hsu YH, Chen WY, Lin HC, et al. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyogr Kinesiol, 2009, 19(6): 1092-1099.
26. Luque-Suarez A, Navarro-Ledesma S, Petocz P, et al. Short term effects of kinesiotaping on acromiohumeral distance in asymptomatic subjects: a randomised controlled trial. Man Ther, 2013, 18(6): 573-577.
27. 陈文华, 余波. 软组织贴扎技术临床应用精要-肌内效贴即学即用图谱. 上海: 上海浦江教育出版社, 2012.
28. Clausen MB, Bandholm T, Rathleff MS, et al. The strengthening exercises in shoulder impingement trial (the sexsi-trial) investigating the effectiveness of a simple add-on shoulder strengthening exercise programme in patients with long-lasting subacromial impingement syndrome: study protocol for a pragmatic, assessor blinded, parallel-group, randomised, controlled trial. Trials, 2018, 19(1): 154.

West China Medical Journal

Kinesio tape combined with progressive resistance training in the treatment of subacromial impingement syndrome

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