Kinesio Taping Technique Versus Virtual Reality in Rehabilitation of Patients With Chronic Shoulder Impingement Syndrome
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cairo University
- Enrollment
- 66
- Locations
- 1
- Primary Endpoint
- Assessing the change in musculoskeletal disorders of the upper limbs
Study Overview
Brief Summary
Purpose of the Study: to compare between the effect of kinesio taping technique versus virtual reality technique in rehabilitation of patients with chronic shoulder impingement syndrome.
Detailed Description
Rotator cuff disorders are considered to be among the most common causes of shoulder pain and disability encountered in both primary and secondary care, with subacromial impingement syndrome in particular being the most common disorder, resulting in functional loss and disability, of the shoulder.
There is a lack of literature about virtual reality exergaming in subjects with orthopedic problems.
To reduce UL impairment, new therapeutic approaches, such as constraint-induced movement therapy, robotic arm training, and virtual reality therapy (VRT), have been successfully employed over the last decade.
Kinesio taping is the increasingly popular method for preventing and treating sports injuries. The tape helps to maintain the joint position, increases the proprioceptive awareness, and assists in removal of exudates thereby reducing pain and improves the muscle function.
So as there is lag in literature regarding the best type of treatment for patients with chronic impingement syndrome so this study will be conducted to compare between kinesiotaping and virtual reality and to determine the best treatment for patients with chronic Shoulder Impingement Syndrome (SIS).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 25 Years to 40 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Patients will be diagnosed with chronic shoulder impingement syndrome (who had supraspinatus tendinitis stage (II)
- •Ages 25-40 years
- •Both sexes will be included.
- •Patients complaint from limitation in the ROM in abduction flexion and external rotation.
- •Patient complaint from pain and tendinitis in subacromial area more than 3 in VAS.
- •All patients complaint from difficulties in joining ADL activities.
- •All patients will assign written consent form.
Exclusion Criteria
- •Subjects with the following criteria will be excluded from the study:
- •Shoulder fracture or instability.
- •Previous shoulder surgery.
- •Arthritis of the glenohumeral or acromioclavicular joints.
- •Cervical radiculopathy
- •Patients with visual disorders.
- •Diabetic patients.
- •Balance and coordination disorders.
- •Tumor and breast cancer.
- •Major trauma.
Arms & Interventions
Virtual Reality training
patients who received VR training plus conventional treatment for chronic shoulder impingement syndrome.
Intervention: Conventional treatment (Other)
Kinsiotaping
patients who received kinesiotaping plus conventional treatment for chronic shoulder impingement syndrome.
Intervention: Kinsiotaping (Other)
Kinsiotaping
patients who received kinesiotaping plus conventional treatment for chronic shoulder impingement syndrome.
Intervention: Conventional treatment (Other)
Virtual Reality training
patients who received VR training plus conventional treatment for chronic shoulder impingement syndrome.
Intervention: Motion-controlled VR games (Other)
conventional treatment
patients who received conventional treatment for chronic shoulder impingement syndrome only.
Intervention: Conventional treatment (Other)
Outcomes
Primary Outcomes
Assessing the change in musculoskeletal disorders of the upper limbs
Time Frame: at baseline and after 4 weeks of intervention
Assessment by using Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH). The DASH is a 30-item self-report questionnaire designed to assess musculoskeletal disorders of the upper limbs. Scoring the DASH 30-item disability/symptom section: 1) Item responses range from 1 (e.g. no difficulty, not at all, not limited, none, strongly disagree) to 5 (e.g. unable, extremely, unable, strongly agree). Scoring the optional 2 4-item high performance sections: 1) Add values of each response, then divide by 4, subtract 1 and multiply by 25: \[((sum of values/4) - 1)\*25\]. 2) Optional modules should not be scored if items are missing. Arabic version of DASH questionnaire will be used, Which is reliable and valid to be used for evaluating upper extremity work related injuries.
Assessing the change in muscle activity of Supraspinatus muscle
Time Frame: at baseline and after 4 weeks of intervention
Assessment by using Electromyogram (EMG). It was used to measure muscle activity of Supraspinatus, infraspinatus, anterior and middle deltoid.
Assessing the change in pain intensity
Time Frame: at baseline and after 4 weeks of intervention
Assessment by using visual analouge scale (VAS). It was used to assess the intensity of pain. Operationally a VAS is usually a horizontal line, l00 mm in length, anchored by word descriptors at each end. The patient marks on the line the point that they feel represents their perception of their current state. The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks.
Assessing the change in shoulder range of motion
Time Frame: at baseline and after 4 weeks of intervention
Assessment by using Electro goniometer. It was used to measure shoulder ROM (flexion, abduction, internal rotation).
Secondary Outcomes
No secondary outcomes reported
Investigators
Hend Ali Mohamed
Principal investigator
Cairo University