Immediate and short-term effects of kinesiotaping on muscular activity, mobility, strength and pain after rotator cuff surgery: a crossover clinical trial

Fabienne Reynard, Philippe Vuistiner, Bertrand Léger, Michel Konzelmann, Fabienne Reynard, Philippe Vuistiner, Bertrand Léger, Michel Konzelmann

Abstract

Background: Kinesiotape (KT) is widely used in musculoskeletal rehabilitation as an adjuvant to treatment, but minimal evidence supports its use. The aim of this study is to determine the immediate and short-term effects of shoulder KT on muscular activity, mobility, strength and pain after rotator cuff surgery.

Methods: Thirty-nine subjects who underwent shoulder rotator cuff surgery were tested 6 and 12 weeks post-surgery, without tape, with KT and with a sham tape (ST). KT and ST were applied in a randomized order. For each condition, the muscular activity of the upper trapezius, three parts of the deltoid and the infraspinatus were measured during shoulder flexion, and range of motion (ROM) and pain intensity were assessed. At 12 weeks, the isometric strength at 90° of shoulder flexion, related muscular activity and pain intensity were also measured. Subjects maintained the last tape that was applied for three days and recorded the pain intensity at waking up and during the day.

Results: Modifications in muscle activity were observed with KT and with ST. Major changes in terms of decreased recruitment of the upper trapezius were observed with KT (P < 0.001). KT and ST also increased flexion ROM at 6 weeks (P = 0.004), but the differences with the no tape condition were insufficient to be clinically important. No other differences between conditions were found.

Conclusions: Shoulder taping has the potential to decrease over-activity of the upper trapezius, but no clinical benefits of KT on ROM, strength or pain were noted in a population of subjects who underwent rotator cuff surgery.

Trial registration: The study was retrospectively registered on ClinicalTrials.gov PRS ( NCT03379636 ) on 21st December 2017.

Keywords: Athletic tape; Electromyography; Musculoskeletal disorder; Rehabilitation; Shoulder.

Conflict of interest statement

Ethics approval and consent to participate

The study protocol was approved by the Commission Cantonale Valaisanne d’Ethique Médicale, the 18.06.2012, CCVEM no 026/12 Sion, Switzerland.

The written consent was obtained from all participants in the study.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Tape application. a Therapeutic kinesiotape application with a Y-strip surrounding the deltoid muscle and an I-strip over the acromioclavicular joint. b Sham tape applied under the deltoid tuberosity
Fig. 2
Fig. 2
Experimental procedure. Each subject underwent conditions 1), 2) and 3). The sequence of conditions 2) and 3) was randomized. The subjects wore the last tape that was applied for 3 consecutive days
Fig. 3
Fig. 3
Flow diagram of the progress of subjects throughout the trial
Fig. 4
Fig. 4
Descriptive statistics of muscle activity. Electromyographic activity of the upper trapezius, the anterior, middle and posterior parts of deltoid and the infraspinatus muscles was recorded. The spread of the data among the subjects is presented with boxplots (median and quartiles). Data are normalized to the reference voluntary contraction (RVC). *significant difference. In bold: statistically and clinically significant difference

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