https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2018.204

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 7; Issue 2 (March 2019)

Page No.: 3003-3010

DOI: https://dx.doi.org/10.16965/ijpr.2018.204

EFFECT OF TAPING ON SCAPULAR POSTURE AND SHOULDER RANGE OF MOTION IN SUBACROMIAL IMPINGEMENT SYNDROME

Hemali J. Gandhi 1, Bhavna Mhatre 2, Leena Chilgar 3, Amita Mehta 4.

*1 P.T. School and Centre, Seth G.S Medical College, K.E.M Hospital, Parel, Mumbai, India.

2 P.T. School and Centre, Seth G.S Medical College, K.E.M Hospital, Parel, Mumbai, India.

3 P.T. School and Centre, Seth G.S Medical College, K.E.M Hospital, Parel, Mumbai, India.

4 P.T. School and Centre, Seth G.S Medical College, K.E.M Hospital, Parel, Mumbai, India.

Address for Correspondence: Ms. Hemali J. Gandhi, (M.P.Th.), P.T. School and Centre, Seth G.S Medical College, K.E.M Hospital, Parel, Mumbai-400012, India. E-Mail: drhemaligandhi@gmail.com

ABSTRACT

Background: Alteration in upper body posture is associated with shoulder impingement due to changes in scapular orientation, increased thoracic kyphosis and concomitant imbalance of glenohumeral and scapulothoracic muscles. Mechanical correction of scaular and thoracic posture can reduce impingement. Recently use of kinesiotapes  has been increasingly popular. There have been some studies reporting the effect of kinesiotapes on muscle activation and pain reduction in subacromial impingement syndrome.  Kinesiotapes can also be used to correct scapular and thoracic posture in Subacromial Impingement Syndrome.

Purpose of study: To study the effect of scapula and thoracic taping using kinesiotapes in addition of conventional treatment on scapular posture and shoulder range of motion in Subacromial Impingement Syndrome.

Materials and Methods: 60 subjects with Subacromial Impingement Syndrome were randomly assigned to two groups. Experimental group received scapula and thoracic taping using kinesiotape for 24hrs along with conventional physiotherapy treatment. Control group received conventional physiotherapy. Subjects were assessed pre, immediate post intervention and 24hr post intervention for scapular posture, shoulder range of motion and pain.

Results: Experimental group showed statistical significant improvement(p<0.001) in scapular posture, shoulder range of motion and pain (on medial rotation, and reaching the back) scores both immediately and 24hour post intervention compared to control group. Also greater improvement was seen in pain and range of motion post 24 hour as compared to immediate post intervention in experimental group.

Conclusion: Taping as an adjunct to conventional treatment is much more effective for short term improvement in scapular postures, range of motion and reduction in pain as compared to only conventional treatment in subjects with Subacromial Impingement Syndrome.

Key Words: Subacromial Impingement Syndrome, Kinesiotaping, Lateral Scapular Displacement, Forward Scapular Posture, Acromion-plinth Distance, Range of Motion.

REFERENCES

  1. Phil Page,  Shoulder  muscle  imbalance  and  subacromial  Impingement syndrome  in  overhead  athletes,  The  International  Journal  of  Sports Physical  Therapy, 2011;6(1):51.
  2. Lori Michener a, et al, Anatomical  and  biomechanical  mechanisms  of  subacromial  impingement syndrome, Clinical Biomechanics 2003;18:69–379.
  3. Robert Donatelli, Physical  therapy  of  shoulder,  fifth  edition  Elsevier, Churchill  Livingstone, 2012,chapter 9,185-206.
  4. Jeremy S. Lewis, Subacromial  Impingement  Syndrome  :The  effect  of changing  posture on Shoulder  Range  of  Movement,  JOSPT, 2005;35:7287.
  5. Sahrmann, S.A., Diagnosis and Treatment of Movement Impairment Syndromes, ed. K. White. 2002, St.Louis:Mosby, Inc. 460.
  6. Kase K,  Wallis  J,  Kase    Clinical  Therapeutic  Applications  of  the Kinesio Taping Method. 2003 Tokyo,  Japan:  Ken  Ikai  Co  Ltd.
  7. Mark   Thelen,  The  Clinical  Efficacy  of  Kinesio  Tape  for  Shoulder Pain:  A Randomized,  Double-Blinded,  Clinical  Trial,  journal  of orthopaedic & sports  physical therapy, 2008;38(7).
  8. Sean Williams,  Chris  Whatman,  et al Kinesio  Taping  in  Treatment  and  Prevention  of  Sports  Injuries  A  MetaAnalysis  of  the  Evidence  for  its  Effectiveness,  Sports  Med  2011;  doi: 10.2165.
  9. Kaya E,  Zinnuroglu  M,  Tugeu    Kinesio  taping  compared  to  physical therapy  Modalities  for  the  treatment  of  shoulder  impingement  syndrome. Clinrheumatol.  2011;30:  201-207.
  10. Smithm, Sparkesv,    Upper  and  lower  trapezius  muscle activity  in  subjects  with  subacromial  impingement  symptoms,is  there imbalance  and  can  taping  change  it.physther  Sport 2009;10:45-50.
  11. Morrin GE,  tiberiod,  Austin  The  effect  of  upper  trapezius taping  on  electromyographic  activity  in  the  upper  and  middle  trapezius region.  J  Sports  Rehabil 1997;6:309-319.
  12. Lori   Michene,  Matthew  K.  Walsworth, et al Reliability  and  Diagnostic  Accuracy  of  5  Physical  Examination Tests  and  Combination  of  Tests  for  Subacromial  Impingement,  Arch Phys  Med  Rehabil  2009;90:1898-903.
  13. Cahill BR. Understanding shoulder pain. In Stauffer ES the. American Academy of Orthopaedic Surgeons. St. Louis, CV Mosby, 1985.
  14. Morrissey D, Morrissey MC, Manual  landmark  identification and  tracking  during  the  internal  rotation  rest  of  the  shoulder: an  accuracy study  using  three  dimensional  ultrasound  and  motion  analysis measures.Manual  therapy  2008;  13(6);529-35.
  15. Morrissey D.The development  of  the  kinetic  medial  rotation  test  of  the shoulder.phd  Thesis  University  of  London,2005.
  16. Heather   Mc  Cormack. Clinical  applications  of  visual  analog  scales-  A  critical  review. Psychological  Medicine  1988;18:1007-19.
  17. Dan L  Riddle,  Jules  M  Rothstein,  Robert  L    Goniometric reliability  in  a  clinical  settings  shoulder  measurements.  Phys  Ther  1987;67:668-73.
  18. Jeremy S  Lewis  and  Rachel  E  Valentine,The  pectoralis  minor  length test:  a  study  of  the  intra-rater  reliability  and  diagnostic  accuracy  in subjects  with  and  without  shoulder  symptoms,BMC  Musculoskeletal Disorders  2007;8:64  doi:10.1186/1471-2474-8-64.
  19. Jeremy   Lewis,  Rachel  E.  Valentine,  Intraobserver  Reliability  of Angular  and  Linear  Measurements  of  Scapular  Position  in  Subjects  With and  Without  Symptoms,Arch  Phys  Med  Rehabil2008;89:1795-802.
  20. Watson   Ultrasound  Dose  Calculations.  In  Touch,  2002;101:14-17.
  21. Leon Chaitow,  Muscle  Energy  Techniques,  Churchill  Livingstone, Chapter 5,195,205.
  22. Kendall, P.,  Mccreary,  Elizabeth  Kendall,  Muscles  Testing  and Function.  Fourth Ed,  ed.  J.P.  Butler.  1993,  Baltimore:  Williams  and Wilkins.
  23. Kneeshaw D. Shoulder taping in the clinical setting. J Bodywork and Mov Ther2002;6:2-8.
  24. Lin, J.,  H.K.  Lim,  and  J.L.  Yang,  Effect  of  shoulder  tightness  on glenohumeral translation,  scapular  kinematics,  and  scapulohumeral rhythm  in  subjects  with stiff shoulders.  J  Orthop  Res.  2006;24(5):1044– 1051.
  25. Myers, Glenohumeral Range of Motion Deficits and Posterior Shoulder Tightness in Throwers With Pathologic Impingement. The American J. Of Sports Medicine, 2006; 34(3):385-391.
  26. Morrissey Proprioceptive  shoulder  taping.  Journal  of Bodywork  and  Movement  Therapies 2000;4(3):189-194.
  27. Host H, Scapular  taping  in  the  treatment  of  anterior  shoulder impingement: case report.  Physical  Therapy, 1995.
  28. Jiu-jenq Lin,  Cheng-Ju  Hung,The  Effects  of  Scapular  Taping  on Electromyographic  Muscle  Activity  and  Proprioception  Feedback  in Healthy  Shoulders  J  Orthop  Res 2011;29:53–57.
  29. Santamato A,  Solfrizzi  V,  Panza  F,  et    Short-term  effects  of highintensity  laser  therapy  versus  ultrasound  therapy  in  the  treatment  of people  with  subacromial  impingement  syndrome:  a  randomized clinical  trial.  Phys  Ther.  2009; 89:643–652.
  30. Jean-Sébastien Roy,  Hélène  Moffet, et al, Impact  of  movement  training  on  upper  limb motor  strategies  in  persons  with  shoulder  impingement  syndrome,Sports Med Arthrosc  Rehabil  2009; 1:8.

Cite this article: Hemali J. Gandhi, Bhavna Mhatre, Leena Chilgar, Amita Mehta. EFFECT OF TAPING ON SCAPULAR POSTURE AND SHOULDER RANGE OF MOTION IN SUBACROMIAL IMPINGEMENT SYNDROME. Int J Physiother Res 2019;7(2):3003-3010. DOI: 10.16965/ijpr.2018.204