Kinesio Taping Compared to Exercise Intervention for Round Shoulder Subjects With Impingement Syndrome

To compare the effect between the exercise intervention (strengthening exercise and stretching exercise) and exercise intervention with taping on decreasing round shoulder posture and improving symptoms in subjects with shoulder impingement syndrome/round shoulder syndrome.

Study Overview

• Status: Completed
• Conditions: Shoulder Impingement Syndrome (SIS); Round Shoulder Posture (RSP)
• Intervention / Treatment: Other: kinesio taping; Other: exercise

Detailed Description

Background: Poor posture and abnormal scapular kinematics have been suggested as possible primary factors in developing Shoulder impingement syndrome (SIS) and also as secondary observed phenomena of SIS. Round shoulder posture (RSP) is major and common posture contributing to increase the potential for subacromial impingement or exaggerate the symptoms of SIS. Objective: To compare the effect between the exercise intervention (strengthening exercise and stretching exercise) and exercise intervention with taping on decreasing RSP and improving symptoms in subjects with SIS/RSP. Methods: Forty subjects with impingement age between 20 and 75 are recruited and measured on acromial distance, pectoralis minor index (PMI), posterior and anterior shoulder tightness, distance of scapular medial border, pain score and flexilevel scale of shoulder function (FLEX-SF). Clinical significance: Shoulder impingement syndrome (SIS) have been identified as the majority of reported shoulder complaints. The project will provide an effective intervention for subjects with SIS/RSP.

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Taiwan
  • Taipei, Taiwan
    • National Taiwan University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 75 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion criteria:

1. subjects age between 20 and 75
2. Diagnosed with shoulder impingement syndrome
3. At least three positive of five tests, including Neer's test, Hawkin's test, Empty can test, tenderness in tendon of rotator cuff

Exclusion criteria:

1. Shoulder pain onset due to trauma
2. A history of shoulder fractures or dislocation
3. Cervical radiculopathy
4. Degenerative joint disease of the shoulder
5. Surgical interventions on the shoulder
6. Inflammatory arthropathy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Kinesio taping; subject with shoulder impingement syndrome	Other: kinesio taping; Apply exercise and kinesio taping for intervention
ACTIVE_COMPARATOR: Exercise; subject with shoulder impingement syndrome	Other: exercise; Apply only exercise intervention

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Length of the pectoralis minor	The Pectoralis minor index (PMI) is calculated by dividing the resting muscle length by the subject's height and multiplying by 100.	1 year
Acromial distance (AD)	Acromial distance is defined as the distance from table to border of lateral-inferior acromion and measured in centimeter.	1 year
Posterior and anterior shoulder tightness	Flexibility of the posterior and anterior shoulder tissues, measured in degree	1 year
Distance of scapular medial border	The distance from the root of the spine (ROS) and the inferior angle (INF) of the scapula to the thoracic wall in millimeter respectively	1 year
Self-reported flexilevel scale of shoulder function (FLEX-SF)	FLEX-SF is used to assess shoulder function and disability. Scores will be recorded from 1, with the most limited function, to 50, without any limited function in the subject.	1 year
Pain score	Severity of pain is measured by Visual Analogue Scale, providing a range of scores from 0-10.	1 year

Collaborators and Investigators

• Sponsor: National Taiwan University Hospital

Study record dates

Study Major Dates

• Study Start (ACTUAL): January 16, 2018
• Primary Completion (ACTUAL): December 14, 2018
• Study Completion (ACTUAL): December 18, 2018

Study Registration Dates

• First Submitted: January 11, 2018
• First Submitted That Met QC Criteria: January 22, 2018
• First Posted (ACTUAL): January 29, 2018

Study Record Updates

• Last Update Posted (ACTUAL): June 20, 2019
• Last Update Submitted That Met QC Criteria: June 18, 2019
• Last Verified: February 1, 2019

More Information

Terms related to this study

• Keywords: Shoulder impingement syndrome; Kinesio tape; Round shoulder posture
• Additional Relevant MeSH Terms: Pathologic Processes; Wounds and Injuries; Disease; Joint Diseases; Musculoskeletal Diseases; Rupture; Shoulder Injuries; Tendon Injuries; Syndrome; Rotator Cuff Injuries; Shoulder Impingement Syndrome
• Other Study ID Numbers: 201705117RIND

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No