Effects of Adding Thoracic Extension Exercises or Thoracic Kinesio Taping to Shoulder Exercises on Pain, Function, Range of Motion, Strength, and Thoracic Kyphosis in Adults With Subacromial Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- Shoulder function assessment
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
The evaluator did not know the group to which the participants were assigned.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Having shoulder pain for at least 6 weeks
- •Aggravation of shoulder pain with resisted shoulder movements
排除标准
- •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
结局指标
主要结局
Shoulder function assessment
时间窗: 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
时间窗: 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.
Shoulder function assessment
时间窗: 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
时间窗: 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
时间窗: At the beginning and after 3 weeks
For thoracic kyphosis measurement, inclinometers were placed at T1-T2 and T12-L1 to perform the evaluation.
Pressure pain threshold assessment
时间窗: 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
时间窗: 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.
Pain intensity assessment
时间窗: At the beginning and after 3 weeks
It was evaluated using a visual analog scale. The scale is between 0 and 10 points, and increasing numbers indicate increased pain intensity.
次要结局
未报告次要终点
研究者
Sevtap Günay
Associate Professor
Izmir Katip Celebi University