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, 華英匯, 陳世益, 等. 原發性凍結肩與肩峰撞擊征的鑒別診斷及治療. 實用骨科雜志, 2012, 18(1): 50-52.
2.	羅平, 林鴻生. 肩周肌群功能訓練對肩峰下撞擊綜合征的療效觀察. 中國康復醫學雜志, 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.	衛宏圖, 陸繼收, 劉艷華, 等. 中老年人群原發性" 肩痛”流行病學調查. 中國全科醫學, 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, C?té 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.	Py?ny L, Py?na J, Petr? 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. 神經肌肉運動訓練對膝骨關節炎患者的疼痛與功能恢復的臨床療效觀察. 華西醫學, 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.	湯新安, 王人衛. 肌內效貼的研究現狀及展望. 南京體育學院學報(自然科學版), 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.	陳文華, 余波. 軟組織貼扎技術臨床應用精要-肌內效貼即學即用圖譜. 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, 華英匯, 陳世益, 等. 原發性凍結肩與肩峰撞擊征的鑒別診斷及治療. 實用骨科雜志, 2012, 18(1): 50-52.
2. 羅平, 林鴻生. 肩周肌群功能訓練對肩峰下撞擊綜合征的療效觀察. 中國康復醫學雜志, 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. 衛宏圖, 陸繼收, 劉艷華, 等. 中老年人群原發性" 肩痛”流行病學調查. 中國全科醫學, 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, C?té 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. Py?ny L, Py?na J, Petr? 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. 神經肌肉運動訓練對膝骨關節炎患者的疼痛與功能恢復的臨床療效觀察. 華西醫學, 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. 湯新安, 王人衛. 肌內效貼的研究現狀及展望. 南京體育學院學報(自然科學版), 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. 陳文華, 余波. 軟組織貼扎技術臨床應用精要-肌內效貼即學即用圖譜. 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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