Health  Vol.4 No.4 , April 2012
Effect of taping as a component of conservative treatment for subacromial impingement syndrome
ABSTRACT
Subacromial impingement syndrome (SIS) has been described as the most common form of shoulder pathology argued that 100% of impingement lesions and 95% of rotator cuff pathology are caused by friction between the acromion and surrounding tissues within the subacromial space. Commonly, rest, Non-steroidal anti-inflammatory drugs (NSAIDS), corticosteroid injections, and mobilization, strengthening exercises will resolve most cases of SIS. The results of the long-term outcome of these treatments, however, are not promising. Purpose: This study focuses on the effect of scapular taping and conventional Physical therapy in increasing isometric muscle strength, decreasing pain, improving function in patients with subacromial impingement syndrome. Study design: Double blinded randomised controlled clinical trial. Subjects were assessed by a blinded researcher using standard physiotherapy measures, Shoulder Pain and Disability Index questionnaire (SPADI), and isometric muscle strength measured using digital dynamo meter. Methodology: The patients in the treatment group (scapular taping group) received scapular taping with conventional exercises and the control group (no scapula taping) group received conventional exercise. Result: When comparing the scores using unpaired t-test with P value set at <0.05, high level of significance was noted for flexor, abductor, external rotator muscle force and SPADI. Conclusion: Scapular taping may be a useful adjunct for promoting proper scapular kinetics & upper thoracic extension and should be used in conjunction with other interventions.

Cite this paper
Kumar, N. , Nehru, A. and Rajalakshmi, D. (2012) Effect of taping as a component of conservative treatment for subacromial impingement syndrome. Health, 4, 237-241. doi: 10.4236/health.2012.44038.
References
[1]   Van der Windt, D.A., Koes, B.W., Boeke, A.J., Devillé, W., De Jong, B.A. and Bouter, L.M. (1996) Shoulder disorders in general practice: Prognostic indicators of outcome. British Journal of General Practice, 46, 519-523.

[2]   Gorski, J.M. and Schwartz, L.H. (2003) Shoulder impingement presenting as neck pain. Journal of Bone and Joint Surgery, 85, 635-638.

[3]   Borstad, J.D. (2006) Resting position variables at the shoulder: Evidence to support posture impairment association. Physical Therapy, 86, 549-567.

[4]   Lewis, J.S., Green, A.S. and Dekel, S. (2001) The etiology of subacromial impingement syndrome. Physiotherapy, 87, 458-469. doi:10.1016/S0031-9406(05)60693-1

[5]   Lewis, J.S., Wright, C. and Green, A. (2005) Subacromial impingement syndrome: The effect of changing posture on shoulder range of movement. Journal of Orthopaedic and Sports Physical Therapy. 35, 72-87.

[6]   Chard, M.D., Sattelle, L.M. and Hazleman, B.L. (1988) The long term outcome of rotator cuff tendinitisreview study. British Journal of Rheumatology, 27, 385-389. doi:10.1093/rheumatology/27.5.385

[7]   Park, H.B., Yokota, A., Gill, H.S., Rassi, G.E. and Mc-Farland, E.G. (2005) Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. Journal of Bone and Joint Surgery, 87, 1446-1455. doi:10.2106/JBJS.D.02335

[8]   Lewis, J.S., Green, A.S., Wright, C. (2005) Subacromial impingement syndrome: The role of posture and muscle imbalance. Journal of Shoulder and Elbow surgery, 14, 385-392. doi:10.1016/j.jse.2004.08.007

[9]   Darlow, B. (2006) Neuromuscular retraining for multidirectional instability of the shoulder—A case study. New Zealand Journal of Physiotherapy, 34, 60-65.

[10]   Johnston, T. (1937) The movements of the shoulder joint: A plea for the “plane of scapula” as a reference for movements occurring at the humeroscapular joint. British Journal of Surgery, 25, 252-260. doi:10.1002/bjs.1800259803

[11]   Warner, J., Micheli, L., Kennedy, A.L. and Kennedy, R. (1992) Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome: A study using Moire topography analysis. Clinical Orthopaedics and Related Research, 285, 191-199.

[12]   Greenfield, B., Catlin, P., Coats, P., Green, E., McDonald, J. and North, C. (1995) Posture in patients with shoulder overuse injuries and healthy individuals. Journal of Orthopedic and Sports Physical Therapy, 21, 287-295.

[13]   Heald, S.L., Riddle, D.L. and Lamb, R.L. (1997) The shoulder pain and disability index: The construct validity and responsiveness of a regionspecific disability measure. Physical Therapy, 77, 1079-1089.

[14]   MacDermid, J.C., Solomon, P. and Prkachin, K. (2006) The shoulder pain and disability index demonstrates factor, construct and longitudinal validity. BMC Musculoskeletal Disorders, 7, 7-18.

[15]   Williams, J.W., Holleman, D.R. Jr. and Simel, D.L. (1995) Measuring shoulder function with the shoulder pain and disability index. Journal of Rheumatology, 22, 727-732.

[16]   Hayes, K., Walton, J.R., Szomor, Z.L. and Murrell, G.C. (2002) Reliability of 3 methods for assessing shoulder strength. Journal of Shoulder and Elbow Surgery, 11, 33-39. doi:10.1067/mse.2002.119852

[17]   Kottke, F.J., Pauley, D.L. and Ptak, R.A. (1966) The rationale for prolonged stretching for correction of shortening of connective tissue. Archives of Physical Medicine and Rehabilitation, 47, 345-352.

[18]   Williams, P.E. and Goldspink, G. (1978) Changes in sarcomere length and physiological properties in immobilized muscle. Journal of Anatomy, 127, 459-468.

[19]   Bang, M.D. and Deyle, G.D. (2000) Comparison of supervised with and without manual physical therapy for patients with shoulder impingement syndrome. Journal of Orthopaedic and Sports Physical Therapy, 30, 126-137.

[20]   Dickens, V.A., Williams, J.L. and Bhamra, M.S. (2005) Role of physiotherapy in the treatment of subacromial impingement syndrome: a prospective study. Physiotherapy, 91, 159-164. doi:10.1016/j.physio.2004.10.008

[21]   Sauers, E.L. (2005) Effectiveness of rehabilitation for patients with subacromial impingement syndrome. Journal of Athletic Training, 49, 221-223

[22]   Dorrestijn, O., Stevens1, M., Diercks1, R.L., Van der Meer, K. and Winters, J.C. (2007) A new interdisciplinary treatment strategy versus usual medical care for the treatment of subacromial impingement syndrome: A randomized controlled trial. BMC Musculoskeletal Disorders, 8, 15.

[23]   Hawkins, R.F. and Kennedy, J.C. (1980) Impingement syndromes in athletes. American Journal of Sports Medicine, 8, 151-158. doi:10.1177/036354658000800302

[24]   Penny, J.N. and Welsh, M.B. (1981) Shoulder impingement syndromes in athletes and their surgical management. American Journal of Sports Medicine, 9, 11-15. doi:10.1177/036354658100900102

[25]   Jobe, F.W. and Bradley, J.P. (1989) The diagnosis and non-operative treatment of shoulder injuries in athletes. Clinics in Sports Medicine, 8, 419-438.

 
 
Top