Effects of Exercise or Taping on Pain, Function, Range of Motion, Strength and Kyphosis in Subacromial Pain Syndrome

Not Applicable

Completed

• Conditions: Subacromial Impingement Syndrome; Exercise Addiction; Shoulder Pain

• Registration Number: NCT06777121
• Lead Sponsor: Sevtap Günay

Brief Summary

Participants with subacromial pain syndrome underwent shoulder exercises. In addition to the exercises, group A received thoracic extension exercise and group B received kinesio taping. All exercises were performed five days per week for three weeks. Thoracic extension exercise was performed once a week and remained in place for 5 days. Evaluations were performed one to three days before and one to three days after the three-week exercise program.

Detailed Description

Seventy-five adults with subacromial pain syndrome were randomized into three groups. Group A and Group B received thoracal extension exersice and thoracal kinesiotaping in addition to shoulder exercise, respectively, while Group C received only shoulder exercise. All exercises were performed five days a week for three weeks. Thoracal extension exercise was applied once a week and remained in place for 5 days. Assessments were conducted one to three days before and one to three days after the three-week exercise program. Shoulder pain intensity, pressure pain threshold (PPT) of the upper trapezius and pectoralis major, self-reported function and health status, active range of motion (AROM), and isometric strength of the shoulder were assessed.

Study Timeline

• Study Start: 2022-06-06
• Primary Completion: 2024-06-15
• Study Completion: 2024-12-06
• Status Verified: 2025-01
• Study First Submitted: 2025-01-10
• Study First Submitted QC: 2025-01-10
• Last Update Submitted: 2025-01-10
• Study First Posted: 2025-01-15
• Last Update Posted: 2025-01-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

• Having shoulder pain for at least 6 weeks
• Aggravation of shoulder pain with resisted shoulder movements

Exclusion Criteria

• Those with full-thickness rotator cuff rupture
• Those who have had previous shoulder surgery
• Those who have had cervical or thoracic spine surgery
• Those with a history of inflammatory disease or cancer

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Shoulder function assessment	At the beginning and after 3 weeks	Disabilities of the Arm, Shoulder and Hand Questionnaire was used to assess the condition. It is a questionnaire used to evaluate upper extremity function status. The questionnaire consists of three sections, and the person marks the appropriate answer for each question on the Likert system with a score of 5 (1: no difficulty, 2: mild difficulty, 3: moderate difficulty, 4: extreme difficulty, 5: completely unable to do). According to the DASH questionnaire result; a result between 0-100 is obtained from each section.
Muscle strength assessment	At the beginning and after 3 weeks	Muscle strength will be measured with a digital hand dynamometer. Muscle strength measurements of the subjects' flexion, extension abduction, adduction, external and internal rotation movements will be made. The measurements made with the dynamometer will be based on the fine muscle test positions and method defined by Lovett. The tests will be repeated three times and at least one minute of rest will be given between repetitions. The highest of the 3 repetitions was accepted as the result.
Thoracic kyphosis assessment	At the beginning and after 3 weeks	For thoracic kyphosis measurement, inclinometers were placed at T1-T2 and T12-L1 to perform the evaluation.
Pain intensity assessment	At the beginning and after 3 weeks	It was evaluated using a visual analog scale.
Pressure pain threshold assessment	At the beginning and after 3 weeks	Pressure pain threshold measurement was measured with an algometer device. Algometers are a device that can be used to define pressure and pressure pain threshold. Upper trapezius and pectoralis major muscles were evaluated.
Quality of life assessment	At the beginning and after 3 weeks	Health-related quality of life (SF-36) was assessed with the questionnaire. It consists of 36 items in total and has eight sub-parameters. These eight sub-parameters consist of physical function, pain, social function, physical role limitations, mental health, emotional role limitations, vitality, and general health parameters. The sub-scales are scored between 0-100 and an increase of 26 points indicates an increase in the quality of life.

Trial Locations

Locations (1)

Izmir Bakircay University Cigli Training and Research Hospital; 🇹🇷 İzmir, Turkey