Effects of Kinesio Taping on Thoracolumbar Fascia Flexibility in Patients With Shoulder Injury
Effects of Kinesio Taping on Thoracolumbar Fascia Flexibility in Patients With Subacromial Impingement Syndrome
研究概览
详细说明
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.
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名：GÜL BALTACI, Prof. Dr.
- 电话号码：+905323963279
- 邮箱：ygulbaltaci@gmail.com
研究联系人备份
- 姓名：KÜBRA SARIOĞLU, PhD
- 电话号码：+905369370561
- 邮箱：fztkubrasarioglu@gmail.com
学习地点
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Altindag
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Ankara、Altindag、土耳其（türkiye）、06100
- 招聘中
- Hacettepe Sporcu Sağlığı Ünitesi
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接触：
- KÜBRA SARIOĞLU, PhD
- 电话号码：05369370561
- 邮箱：fztkubrasarioglu@gmail.com
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参与标准
资格标准
适合学习的年龄
- 成人
接受健康志愿者
描述
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.
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
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有源比较器：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.
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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.
其他名称：
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假比较器：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.
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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.
其他名称：
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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thoracolumbar fascia flexibility
大体时间：15 minutes
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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.
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15 minutes
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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pain assessment, rest and active
大体时间：3 minutes
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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
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3 minutes
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Modified schober test
大体时间：5 minutes
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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
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5 minutes
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其他结果措施
结果测量 |
措施说明 |
大体时间 |
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Shoulder posterior capsule shortness:
大体时间：5 minutes
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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
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5 minutes
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Trunk Range of Motion:
大体时间：5 minutes
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The ROM values were evaluated using a goniometer.
The results were recorded in degrees (°) for lateral flexion, flexion and extension directions
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5 minutes
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Trunk flexibility
大体时间：5 minutes
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both sides rotation, lateral flexion and extension
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5 minutes
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合作者和调查者
调查人员
- 首席研究员：KÜBRA SARIOĞLU, PhD、HACETTEPE ÜNİVERSİTESİ ,Anafartalar, Talatpaşa Blv No:47, 06100 Altındağ/Ankara
- 研究主任：Gül Baltacı, Prof.Dr.、Atlas University
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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