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

Yıl 2023, Cilt: 10 Sayı: 1, 17 - 24, 30.04.2023

Selvin Balki , Hacer Hicran Şimşek

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

Öz

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.

Anahtar Kelimeler

El kuvveti, Dinamometre, Kinezyo bant, Subakromiyal sıkışma sendromu

Destekleyen Kurum

Sivas Cumhuriyet Üniversitesi Bilimsel Araştırma. Projeleri (CÜBAP)

Proje Numarası

SBF-014 nolu proje

Teşekkür

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

Öz

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

Anahtar Kelimeler

Hand strength, Dynamometer, Kinesio tape, Subacromial impingement syndrome

Proje Numarası

SBF-014 nolu proje

Kaynakça

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