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Effects of Kinesio Taping on Thoracolumbar Fascia Flexibility in Patients With Shoulder Injury

31. května 2026 aktualizováno: Kübra Sarıoğlu

Effects of Kinesio Taping on Thoracolumbar Fascia Flexibility in Patients With Subacromial Impingement Syndrome

The aim of this randomized controlled trial is to investigate the acute effects of fascia correction Kinesio Taping applied to the thoracolumbar fascia (TLF) in individuals with Subacromial Impingement Syndrome (SIS). Participants will be randomly allocated into an intervention group and a sham taping control group. The intervention group will receive fascia correction Kinesio Taping applied to the thoracolumbar region, while the control group will receive sham taping without therapeutic effect. Clinical parameters including pain intensity, trunk range of motion, thoracolumbar fascia flexibility, lumbar mobility, and posterior shoulder capsule tightness will be assessed before the intervention and 45 minutes after the application. This study aims to provide evidence regarding the acute clinical effects of thoracolumbar fascia modulation in individuals with Subacromial Impingement Syndrome.

Přehled studie

Postavení

Nábor

Podmínky

Intervence / Léčba

Detailní popis

Subacromial Impingement Syndrome (SIS) is one of the most common causes of shoulder pain and is characterized by pain, movement limitation, and functional impairment. Contemporary biomechanical perspectives suggest that shoulder function is influenced not only by local anatomical structures but also by proximal structures such as the thorax, spine, and thoracolumbar fascia. The thoracolumbar fascia plays an important role in force transmission between the upper and lower extremities and contributes to postural control and movement coordination. Therefore, interventions targeting the thoracolumbar fascia may influence shoulder function and related clinical outcomes.

This randomized controlled trial will include a total of 60 participants diagnosed with Subacromial Impingement Syndrome. Participants will be randomly assigned into two groups: an intervention group receiving fascia correction Kinesio Taping using the Ram's Head technique applied to the thoracolumbar fascia, and a control group receiving sham Kinesio Taping without therapeutic fascia correction.

In the intervention group, Y-shaped Kinesio Tape will be applied to the thoracolumbar region using the fascia correction technique. Low-to-moderate tape tension (10-50%) combined with manual oscillatory movements will be used to facilitate fascial mobilization and modulate tissue glide capacity. The sham group will receive taping without therapeutic fascial correction.

Assessments will be performed immediately before the intervention and 45 minutes after tape application. Outcome measures will include pain intensity during rest and activity assessed using the Visual Analog Scale (VAS), trunk range of motion measured by goniometry, trunk flexibility assessed by tape measurements, thoracolumbar fascia flexibility evaluated using a goniometric platform, lumbar mobility assessed by the Modified Schober Test, and posterior shoulder capsule tightness measurement.

The primary aim of this study is to investigate the acute clinical effects of fascia correction Kinesio Taping applied to the thoracolumbar fascia in individuals with Subacromial Impingement Syndrome and to provide evidence regarding the potential effects of fascial modulation on pain, mobility, range of motion, and tissue flexibility.

Typ studie

Intervenční

Zápis (Odhadovaný)

6

Fáze

  • Nelze použít

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní kontakt

Studijní záloha kontaktů

Studijní místa

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

  • Dospělý

Přijímá zdravé dobrovolníky

Ano

Popis

Inclusion Criteria:

  • age between 20 and 40 years,
  • Body Mass Index (BMI) within the normal range (20-24.9 kg/m²),
  • a chronic (symptoms persisting for >3 months) SIS diagnosis

Exclusion Criteria:

  • any shoulder pathology other than SIS (e.g., rotator cuff tear, glenohumeral joint problems),
  • inability to perform 90° shoulder flexion due to joint limitation or pain ≥8 on the VAS,
  • overweight or obesity (BMI >25 kg/m²),
  • previous back surgery,
  • low back pain within the last six months, scoliosis, radiologically diagnosed kyphosis or thoracolumbar disc herniation, sacroiliac joint problems, restricted pelvic range of motion (anterior-posterior pelvic tilt), and scapular dyskinesia.

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Léčba
  • Přidělení: Randomizované
  • Intervenční model: Paralelní přiřazení
  • Maskování: Singl

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Aktivní komparátor: Kinesio Taping Group
Participants in this group will receive the "Ram's Horn" fascia correction technique using Kinesio Taping applied to the thoracolumbar fascia region. The base (anchor) of a Y-shaped kinesiology tape will be applied without tension between the lateral iliac crest and the axillary line. From this anchor point, the tape will be divided into two tails. The first tail will be directed superiorly over the scapular region and attached along the superior border of the scapula. The second tail will be directed inferiorly and posteriorly across the lumbar region toward the superior aspect of the iliac crest, creating a configuration resembling a ram's horn. During the application of both tape tails, oscillatory fascial correction movements will be performed manually by shifting the underlying fascia while the tape is applied. No tension will be applied to the anchor portion of the tape. The technique is intended to provide a fascial correction effect throughout the thoracolumbar region.
Jiný: kinesio taping
Assessments will be performed immediately before the intervention and 45 minutes after tape application in both groups. Outcome measures will include pain intensity during rest and activity assessed using the Visual Analog Scale (VAS), trunk range of motion measured by goniometry, trunk flexibility assessed by tape measurements, thoracolumbar fascia flexibility evaluated using a goniometric platform, lumbar mobility assessed by the Modified Schober Test, and posterior shoulder capsule tightness. Participants in the intervention group will receive corrective kinesio taping applied in a horn-shaped configuration, whereas the sham group will receive a tension-free tape application from the lateral trunk/axillary region toward the hip without therapeutic fascial correction.
Ostatní jména:
  • 1.Therapeutic Kinesio Taping Group
  • 2.Sham Kinesio Taping Group
Falešný srovnávač: control group
Participants in the sham group will receive a placebo taping application using a Y-shaped kinesiology tape. The tape will be applied without tension and without the oscillatory fascial correction maneuvers used in the Ram's Horn technique. The anchor will be placed near the axillary region, and both tails of the Y-shaped tape will be directed inferiorly toward the iliac crest in a random, non-corrective configuration. The tape will not be arranged in the characteristic ram's horn pattern and will be applied without any intended therapeutic fascial correction effect.
Jiný: kinesio taping
Assessments will be performed immediately before the intervention and 45 minutes after tape application in both groups. Outcome measures will include pain intensity during rest and activity assessed using the Visual Analog Scale (VAS), trunk range of motion measured by goniometry, trunk flexibility assessed by tape measurements, thoracolumbar fascia flexibility evaluated using a goniometric platform, lumbar mobility assessed by the Modified Schober Test, and posterior shoulder capsule tightness. Participants in the intervention group will receive corrective kinesio taping applied in a horn-shaped configuration, whereas the sham group will receive a tension-free tape application from the lateral trunk/axillary region toward the hip without therapeutic fascial correction.
Ostatní jména:
  • 1.Therapeutic Kinesio Taping Group
  • 2.Sham Kinesio Taping Group

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
thoracolumbar fascia flexibility
Časové okno: 15 minutes
The flexibility of the thoracolumbar fascia was evaluated using a goniometric platform. A goniometric platform was placed on a table in front of the participants. Patients were asked to clasp their hands in front at 90° of shoulder flexion, holding a wooden marker between their hands. Patients performed maximum trunk rotation, first to the right and then to the left, while ensuring their arms followed the movement of the trunk. The rotation degree reached by the marker was recorded on the goniometric platform. The test was repeated three times for each direction with one-minute rest intervals, and the average values were recorded. A decrease in rotation range during repeated trials or restricted movement was considered indicative of TLF tightness.
15 minutes

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
pain assessment, rest and active
Časové okno: 3 minutes
Pain intensity was evaluated using a 10 cm VAS (0: no pain, 10: worst pain). Measurements were recorded at baseline and 45 minutes post-taping in two conditions: Resting Pain: Pain level while the participant was in a relaxed position. Activity Pain: Pain level during basic activities, such as arm movements and walking. The distance between the marked point and the zero point was measured in centimeters using a ruler
3 minutes
Modified schober test
Časové okno: 5 minutes
The physiotherapist determined the SIPS with a pencil. The midpoint of the line connecting the Spina İliaca Posterior Superior (SIPS) is marked. The point 10 cm above and 5 cm below this point was determined with a tape measure. The person was asked to perform maximum trunk flexion. The distance between these two points was measured. The difference was less than 5 cm, indicating low back flexibility
5 minutes

Další výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Shoulder posterior capsule shortness:
Časové okno: 5 minutes
Shoulder posterior capsule shortness was measured and evaluated with a tape measure. Participants were positioned in a side-lying position at the edge of the examination table. The scapula of the measured side was stabilized by the physiotherapist. The shoulder was moved into horizontal adduction and the arm was allowed to drop toward the table. The distance between the olecranon and the table surface was measured and recorded in centimeters
5 minutes
Trunk Range of Motion:
Časové okno: 5 minutes
The ROM values were evaluated using a goniometer. The results were recorded in degrees (°) for lateral flexion, flexion and extension directions
5 minutes
Trunk flexibility
Časové okno: 5 minutes
both sides rotation, lateral flexion and extension
5 minutes

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Kübra Sarıoğlu

Vyšetřovatelé

  • Vrchní vyšetřovatel: KÜBRA SARIOĞLU, PhD, HACETTEPE ÜNİVERSİTESİ ,Anafartalar, Talatpaşa Blv No:47, 06100 Altındağ/Ankara
  • Ředitel studie: Gül Baltacı, Prof.Dr., Atlas University

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Aktuální)

20. května 2026

Primární dokončení (Odhadovaný)

20. září 2026

Dokončení studie (Odhadovaný)

20. září 2026

Termíny zápisu do studia

První předloženo

23. května 2026

První předloženo, které splnilo kritéria kontroly kvality

31. května 2026

První zveřejněno (Aktuální)

3. června 2026

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

3. června 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

31. května 2026

Naposledy ověřeno

1. května 2026

Více informací

Termíny související s touto studií

Klíčová slova

Další relevantní podmínky MeSH

Další identifikační čísla studie

  • HU-FTR-KS-03

Informace o lécích a zařízeních, studijní dokumenty

Studuje lékový produkt regulovaný americkým FDA

Ne

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ne

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