Subakromiyal sıkışma sendromlu hastaların el kavrama performanslarında kinezyo bantlamanın akut etkileri: randomize kontrollü çalışma

Year 2023, Volume: 10 Issue: 1, 17 - 24, 30.04.2023

Selvin Balki , Hacer Hicran Şimşek

https://doi.org/10.15437/jetr.911661

Abstract

Amaç: Etkilenen omuza uygulanan kinezyo bantlamanın (KB), subakromiyal sıkışma sendromu (SSS) hastalarının maksimum kavrama performansında oluşturduğu akut etkileri belirlemek.
Yöntem: Tek taraflı subakromiyal sıkışma sendromu olan 34 hasta, iki gruptan birine rastgele olarak ayrıldı: Sham KB (13 kadın, 5 erkek) ve KB (10 kadın, 6 erkek). KB grubu için deltoid ve supraspinatus kaslarına %10-25 gerilimle inhibe edici KB teknikleri, etkilenen omuza %50-75 gerilimle mekanik düzeltme KB tekniği uygulandı. Sham KB grubunda, iki I-bant (10-cm) akromiyoklavikular eklem ve deltoid distaline gerim olmadan uygulandı. Maksimum kavrama gücü ve süresi, hidrolik el dinamometresi ile başlangıçta ve bantlamadan hemen sonra test edildi. Ayrıca başlangıç ölçümünde, el dinamometresi ile izometrik omuz kas kuvveti ve10-cm görsel analog skalası ile aktiviteye bağlı ağrı düzeyi değerlendirildi.
Bulgular: Demografik özellikler ve başlangıç ölçümlerde gruplar arasında anlamlı fark yoktu (p>0,05). Grup içi karşılaştırmada bantlama sonrasında Sham KB (p=0,013, d=0,425) ve KB (p=0,001, d=0,549) gruplarının maksimum kavrama gücü ölçümlerinde ve KB grubunun (p=0,030, d=0,597) maksimum kavrama süresinde azalma kaydedildi. Gruplar arası karşılaştırma sonucuna göre bantlama sonrasında KB grubunun maksimum kavrama süresinde azalma saptandı (p=0,000, d=1,509).
Tartışma: Subakromiyal sıkışma sendromu olan hastaların etkilenen omzuna inhibitör ve düzeltici kinezyo bantlama tekniklerinin uygulanması, elin maksimum kavrama süresinde akut bir azalmaya neden olabilir.

Keywords

El kuvveti, Dinamometre, Kinezyo bant, Subakromiyal sıkışma sendromu

Supporting Institution

Sivas Cumhuriyet Üniversitesi Bilimsel Araştırma. Projeleri (CÜBAP)

Project Number

SBF-014 nolu proje

Thanks

Bu çalışma Sivas Cumhuriyet Üniversitesi Bilimsel Araştırma. Projeleri (CÜBAP) birimi tarafından SBF-014 nolu proje olarak desteklenmiştir.

Acute effects of Kinesio Taping on hand grip performance in patients with subacromial impingement syndrome: a randomized controlled trial

Abstract

Purpose: To investigate the acute effects of Kinesio Taping (KT) of the affected shoulder on maximal hand grip performance inpatients with subacromial impingement syndrome.
Methods: Thirty-four patients with unilateral subacromial impingement syndrome were randomly assigned to one of two groups: Sham KT (13 females, 5 males) and KT (10 women, 6 men). In the KT group, inhibitory KT techniques with a tension of 10-25% were applied to the deltoid and supraspinatus muscles, and the mechanical correction KT technique with a tension of 50-75% was applied to the affected shoulder. In the Sham KT group, two I-tapes (10 cm) were applied without tension over the acromioclavicular joint and distal to the deltoid muscle. Maximal grip strength and maximal grip duration were tested at baseline and immediately after taping using a hydraulic hand dynamometer. In addition, shoulder muscle isometric strength was measured at baseline with a hand dynamometer, and activity-related pain was assessed with a 10-cm visual analog scale.
Results: No significant difference was found between groups in terms of demographics and baseline measurements (p > 0.05). Within group comparisons showed decreased maximal grip strength after taping in the Sham KT (p=0.013, d=0.425) and KT (p=0.001, d=0.549) groups, and decreased maximal grip duration in the KT group (p=0.030, d=0.597). Inter-group comparisons showed decreased maximum grip duration in the KT group after taping (p=0.000, d=1.509).
Conclusion: The application of inhibitory and corrective KT techniques over the affected shoulder of patients with subacromial impingement syndrome can lead to an acute decrease in maximal grip duration

Keywords

Hand strength, Dynamometer, Kinesio tape, Subacromial impingement syndrome

Project Number

SBF-014 nolu proje

References

• 1. Van der Windt DAWM, Koes BW, de Jong BA, et al. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54:959-964.
• 2. Walker-Bone K, Palmer KT, Reading I, et al. Soft-tissue rheumatic disorders of the neck and upper limb: Prevalence and risk factors. Semin Arthritis Rheu. 2003; 33:185-203.
• 3. Bigliani LU, Levine WN. Current concepts review: Subacromial impingement syndrome. J Bone Joint Surg Am. 1994;79:1854-1868.
• 4. Şimşek HH, Balki S, Keklik SS, et al. Does Kinesio taping in addition to exercise therapy improve the outcomes in subacromial impingement syndrome? A randomized, doubleblind, controlled clinical trial. Acta Orthop Traumatol Turc. 2013;47:104-110.
• 5. Pekyavas NO, Baltaci G. Short-term effects of high-intensity laser therapy, manual therapy,and Kinesiotaping in patients with subacromial impingement syndrome. Lasers Med Sci. 2016;31:1133-1141.
• 6. Celik D, Karaborklu Argut S, Coban Ö, et al. The clinical efficacy of kinesio taping in shoulder disorders: a systematic review and meta analysis. Clinl Rehabil. 2020;34:723-740.
• 7. Kase K, Wallis J, Kase T. Clinical Therapeutic Applications of the Kinesio Taping Method. 2nd ed. Albuquerque NM: Kinesio Taping Association, 2003.
• 8. Ata E, Kösem M, Adiguzel E. Does kinesiotaping increase the efficacy of lidocaine injection in myofascial pain syndrome treatment? a randomized controlled study. J Back Musculoskelet Rehabil. 2019;32;471-477.
• 9. Harput G, Guney H, Toprak U, et al. Acute effects of scapular kinesiotaping on shoulder rotator strength, range of motion and acromiohumeral distance in asymptomatic overhead athletes. J Sports Med Phys Fitness. 2016;57:1479-1485.
• 10. McLaren C, Colman Z, Rix A, et al. The effectiveness of scapular taping on pain and function in people with subacromial impingement syndrome: a systematic review. Int Musculoskel Med. 2016;38:81-89.
• 11. Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain:a randomized, doubleblinded, clinical trial. J Orthop Sports Phys Ther. 2008;38:389-395.
• 12. Sporrong H, Palmerud G, Herberts P. Hand grip increases shoulder muscle activity, an EMG analysis with static hand contractions in nine subjects. Acta Orthop Scand. 1996;67:485-490.
• 13. Andrews AW, Thomas MW, Bohannon RW. Normative values for isometric muscle force measurements obtained with hand-held dynamometers. Phys Ther. 1996;76:248-259.
• 14. Cohen J. Statistical power analysis for the Behavioral Sciences (3.Baskı). New Jersey: Lawrence Erlbaum Associates,1988.
• 15. Cai C, Au IP, An W, et al. Facilitatory and inhibitory effects of Kinesio tape: Fact or fad?. J Sci Med Sport. 2016;19(2):109-112.
• 16. Dhein W, Wagner Neto ES, Miranda IF, et al. Effects of Kinesio Taping on scapular kinematics and electromyographic activity in subjects with shoulder impingement syndrome. J Bodyw Mov Ther. 2020;24:109-117.
• 17. Gollnick PD. Relationship of strength and endurance with skeletal muscle structure and metabolic potential. lnt.J.Sports Med. 1982;3:26- 32.
• 18. Bagheri R, Pourahmadi MR, Sarmadi AR, et al. Takamjani IE, Torkaman G, Fazeli SH. What is the effect and mechanism of kinesiology tape on muscle activity? J Body Mov Ther. 2018;22:266- 275.
• 19. Leonid K, Elisha V, Lio V. Relieving symptoms of meralgia paresthetica using Kinesio taping: a pilot study. Arch Phys Med Rehabil. 2010;91:1137-1139.
• 20. Macgregor K, Gerlach S, Mellor R, et al. Cutaneous stimulation from patella tape causes a differential increase in vasti muscle activity in people with patellofemoral pain. J Orthop Res. 2005;23:351-358.
• 21. Nakajima MA, Baldridge C, The effect of kinesio® tape on vertical jump and dynamic postural control. Int J Sports Phys Ther. 2013;8:393-406.
• 22. Yeung S, Yeung E, Sakunkaruna Y, et al. Acute effects of kinesio taping on knee extensor peak torque and electromyographic activity after exhaustive isometric knee extension in healthy young adults. Clin J Sport Med. 2015;25:284-290.
• 23. Keenan KA, Akins JS, Varnell M, et al. Kinesiology taping does not alter shoulder strength, shoulder proprioception, or scapular kinematics in healthy, physically active subjects and subjects with subacromial impingement syndrome. Phys Ther Sport. 2016;24:60-66.
• 24. Incel NA, Ceceli E, Durukan PB, et al. Grip strength: effect of hand dominance. Singapore Med J. 2002;43:234-237.
• 25. Shakespeare DT, Stokes M, Sherman KP, et al. Reflex inhibition of the quadriceps after meniscectomy: lack of association with pain. Clin Physiol. 1985;5:137-144.
• 26. George SZ, Dover GC, Fillingim RB. Fear of pain influences outcomes after exercise-induced delayed onset muscle soreness at the shoulder. Clin J Pain. 2007;23:76-84.