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THU0722-HPR The effects of kinesİo taping on pain, joint range of motion, muscle strength and disability in impingement syndrome
  1. A Yildiz1,
  2. Y Buyuktepe2
  1. 1Physiotherapy and Rehabilitation, Marmara University Health Sciences Faculty
  2. 2Istanbul Education and Research Hospital, Istanbul, Turkey

Abstract

Background The impingement syndrome is common cause of shoulder pain. Physical therapy includes manual therapy techniques, electrotherapy modalities and exercises in this problem. The Kinesio Taping application is a definitive rehabilitative taping technique that is designed to facilitate body's natural healing process while providing support and stability to muscles and joints without restricting the body's range of motion

Objectives The purpose of this study was to determine the efficacy of kinesio taping (KT) on subjects' pain, joint range of motion, muscle strength and level of disability in treatment of impingement syndrome (IS).

Methods The study was conducted patients with IS. The subjects were divided into two groups randomly as general physical therapy applications group (GPTG) and kinesio taping group (KTG). GPTG was treated transcutaneous electrical nerve stimulation (TENS), hotpack and ultrasound for ten session. KTG's therapy was contained shoulder kinesio taping application in addition to TENS, hotpack and ultrasound. KT was applied as “Y strip” to deltoid and supraspinatus muscles and was “I strip” to muscle of teres minor. The groups were evaluated before and after treatment in terms of pain, range of motion (ROM), muscle strength and scores of shoulder disability. Visual analog scale was used to assess of pain (night pain, rest pain, pain with motion and general pain), goniometer measurements was used to assess of shoulder ROM, Shoulder Disability Questionnaire and Disabilities of the Arm Shoulder and Hand were used to assess of shoulder disability.

Results 54 patients with IS aged 18 to 65 years were recruited to the study. Demographic data were similar in the groups. When compared before and after treatment, the level of pain (night pain, rest pain, pain with motion and pain in functional use) was significantly decreased in both groups (p<0,05) (Table 1), also an improvement was seen in muscle strength (p<0,05), ROM (p<0,05) and in the scores of disability of shoulder (p<0,05) in both groups. In terms of overall pain relief the KTG scores better than GPTG. Internal and external rotation muscle forces increase in the KTG; flexion, extension, internal and external rotation muscle forces increased in the GPTG (p<0,05 for all). But there was no significant difference between the two groups.

Table 1.

The level of pain in GPTG and KTG

Active internal and external rotation ROM increased in KTG (p<0,05). Functionality and disability scores were improved in two groups. It was detected that while there was no difference between the groups in terms of the values of muscle strength, functionality and disability scores.

Conclusions The kinesiologic band can be used as an supportive therapy method in the early shoulder treatment program because of it provides painless shoulder motion to clinicians. We consider that KT applications in addition to general physical therapy applications may have positive effects in the treatment of impingement syndrome.

Disclosure of Interest None declared

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