【論文摘要】Effects of Kinesiology Taping With Exercise on Clinical Performance and Posture in Round Shoulder Subjects With Subacromial Pain Syndrome: A Single-Blinded Randomized Controlled Trial

【論文摘要】使用肌貼結合運動治療對具肩胛下疼痛症狀之圓肩患者於臨床症狀及圓肩姿勢之療效：單盲隨機控制試驗

吳淑綺(Shu-Chi Wu) ； 康富傑(Fu-Jie Kang) ； 邱元駿(Yuan-Chun Chiu) ； 王亭貴(Tyng-Guey Wang) ； 楊靜蘭(Jing-Lan Yang) ； 林居正(Jiu-Jenq Lin)

《物理治療》 44卷4期 (2019/12) Pp. 286-286

https://doi.org/10.6215/FJPT.201912.O12

摘要

Background and Purpose: Subacromial pain syndrome (SAPS) is a common diagnosis in shoulder region and round shoulder posture (RSP) is believed to be one of risk factors resulting in SAPS. Treatment strategy for subjects with SAPS has been focused on posture correction exercises. Despite moderate to large improvements in functional ability and pain with exercises, RSP remains in SAPS. Application of taping with exercise may have an additional effect on posture correction. The aim of this study was to compare the effects of exercise intervention with and without kinesiology taping in RSP subjects with SAPS. Methods: Subjects diagnosed with SAPS and RSP (acromial distance ≥ 2.6 cm) were recruited and randomly allocated to kinesiology taping or placebo taping group. Shoulder angle (SA), pain score, Taipei, Taiwan and self-reported Flexilevel Scale of shoulder function (FLEX-SF) were assessed before allocation. Kinesiology taping group received taping with 35–40% stretch while placebo taping group received taping without tension applied. Both groups underwent the same exercise protocols consisting of side-lying external rotation, prone horizontal abduction with external rotation, prone extension, and pectoralis minor stretching. Subjects received the intervention two times per week lasting for four weeks. Outcomes including pain, FLEX-SF, and SA were assessed at baseline, week 2 and week 4. Results: Thirty-six RSP subjects with SAPS participated and 2 subjects in placebo group dropped out. Only significant main effect of time (p = 0.027) was found in FLEX-SF. Greater decrease in pain level was correlated with improved functional performance in both groups (kinesiology group: r = -0.76, p ＜ 0.0005; placebo group: r = -0.67, p = 0.008). There is no significant interaction effect and main effect in SA. Significant correlation between posture and pain was found in kinesiology taping group (r = -0.60, p = 0.018). Conclusion: Significant improvement on functional performance was found in both groups after 4-week exercise intervention with or without kinesiology taping. Improvements in clinical symptoms were related to better posture. Clinical Relevance: Pain and function can be improved with exercise program in subject with SAPS and RSP However, taping treatment may not add an additional effect.