Clinical effectiveness of rigid or kinesio taping and manual therapy on pain and function in patients with shoulder impingement syndrome

Öz

Purpose: The purpose of the study was to compare the effect of two taping techniques and manual therapy, applied in addition to the conventional physiotherapy program, on pain and function in patient with subacromial impingement syndrome.

Methods: A total of 55 patients participated in this study. Patients were divided into four groups; Kinesio taping group, McConnell taping group, manual therapy group, and control group. Conventional physiotherapy (5 days a week for four weeks) was applied to the patients in all groups. The level of pain was assessed by the Visual Analogue Scale, and the functional activity level was assessed by the Disabilities of the Arm, Shoulder, and Hand-DASH Questionnaire. The patients were assessed before treatment and after treatment.

Results: There was a significant difference in terms of pain severity and functional activity levels after treatment when compared to the pre-treatment period in all groups (p<0.05). When the treatment groups were compared with the control group, a significant difference was observed in terms of pain severity and functional activity levels after treatment when compared to the pre-treatment period (p<0.05). However, when the treatment groups were compared with each other, it was observed that there was no difference in terms of changes in pain severity and functional activity levels after treatment when compared to the pre-treatment period (p>0.05).

Conclusions: There was a significantly greater decrease in pain intensity after all three applications than the control group. It was observed that they did not have significant superiorities over one another in terms of pain and functionality parameters.
Keywords: Shoulder impingement syndrome, athletic tape, musculoskeletal manipulations

Anahtar Kelimeler

• Shoulder Impingement Syndrome
• athletic tape
• musculoskeletal manipulations

Omuz sıkışma sendromu olan hastalarda rijit veya kinezyo bantlamanın ve manuel terapinin ağrı ve fonksiyon üzerine klinik etkisi

Öz

Amaç: Çalışmanın amacı, subakromiyal sıkışma sendromu hastalarında geleneksel fizyoterapi programına ek olarak uygulanan iki bantlama tekniği ve manuel terapinin ağrı ve fonksiyon üzerindeki etkisini karşılaştırmaktır.

Yöntem: Çalışmaya toplam 55 hasta katıldı. Hastalar dört gruba ayrıldı; Kinezyo bantlama grubu, McConnell bantlama grubu, manuel terapi grubu ve kontrol grubu. Tüm gruplardaki hastalara geleneksel fizyoterapi (4 hafta boyunca haftada 5 gün) uygulandı. Ağrı seviyesi Görsel Analog Skala ile ve fonksiyonel aktivite düzeyi Kol, Omuz ve El Sorunları AnketiDASH ile değerlendirildi. Hastalar tedaviden önce ve tedaviden sonra değerlendirildi.

Bulgular: Tedavi sonrası ağrı şiddeti ve fonksiyonel aktivite düzeyleri açısından tüm gruplarda tedavi öncesi döneme göre anlamlı farklılık gözlendi (p<0,05). Tedavi grupları kontrol grubu ile karşılaştırıldığında tedavi öncesi döneme göre tedavi sonrası ağrı şiddeti ve fonksiyonel aktivite düzeyleri açısından anlamlı farklılık gözlendi (p<0,05). Ancak tedavi grupları birbirleri ile karşılaştırıldığında tedavi öncesi döneme göre tedavi sonrası ağrı şiddeti ve fonksiyonel aktivite düzeylerindeki değişiklikler açısından fark olmadığı saptandı (p> 0.05).

Sonuç: Her üç uygulamadan sonra ağrı şiddetinde kontrol grubuna göre anlamlı ölçüde daha fazla azalma oldu. Ağrı ve işlevsellik parametreleri açısından birbirlerine göre önemli üstünlükleri olmadığı görüldü.

Anahtar Kelimeler

• Omuz Sıkışma Sendromu
• atletik bant
• Kas iskelet manipülasyonları

Kaynakça

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