Kinesiology taping does not alter shoulder strength, shoulder proprioception, or scapular kinematics in healthy, physically active subjects and subjects with Subacromial Impingement Syndrome

Therapeutic Interventions for Scapular Kinematics and Disability in Patients With Subacromial Impingement: A Systematic Review

“…31, 0.22). Our subgroup analysis showed that patients with SIS exhibited a standardized mean difference of À0.03 (95% CI ¼À0.48, 0.42), with only 1 set of authors reporting improvement (mean difference ¼ À0.75; 95% CI ¼ À1.45, À0.05) after short-term interventions (n ¼ 83) 19,20,22,24 and À0.07 (95% CI ¼À0.43, 0.29) after long-term interventions Points awarded for randomization of groups, concealed allocation, similarity of groups at baseline, blinding of participants, high percentage of follow-up, participants received the treatment or control condition as allocated or analyzed by intention to treat when indicated, reporting of between-groups comparison, and reporting of variability. Maximum possible score ¼ 10.…”

“…From the 7 selected studies and 8 data sets, 4 studies provided a total of 4 sets of outcomes for short-term interventions, 19,20,22,24 and 3 studies provided a total of 4 sets of outcomes for long-term interventions. 16,28,29 An overview of the reviewed studies and summaries of their main findings are presented in Table 2.…”

“…We included the studies that reported Disabilities of the Arm, Shoulder and Hand (DASH) scores (score range, 0-100) 16,22,29 as the patient-reported outcome measures. Although we examined studies of other patient-reported outcome measures, such as the Shoulder Pain and Disability Index (score range, 0%-100%), 20 Numeric Pain Rating Scale (score range, 0-10), 24 and Shoulder Disability Questionnaire (score range, 0-100), 28 only for kinematic variable comparison for more consistent assessment, we did not include them in the comparison of the patient-reported outcome measures because of the different rating scales and types of questions used. Therefore, from 3 studies, 4 data sets of DASH scores (sample sizes, means, and standard deviations) were extracted as patient-reported outcomes for preintervention and postintervention comparison.…”

“…The 8 data sets for changes in scapular upward rotation at 908 of ascending limb elevation in the scapular plane between preintervention and postintervention are provided in Figure 2. 16,19,20,22,24,28,29 In a total of 153 patients, the overall standardized mean difference was À0.04 (95% CI ¼ À0. 31, 0.22).…”

“…15 Clinicians often manage SIS with various treatment techniques to address the strength deficits and altered pattern of scapular kinematics that lead to injury and are modifiable characteristics to improve patient outcomes, such as reducing pain and decreasing shoulder dysfunction. These techniques include, but are not limited to, posterior shoulder stretching for capsular abnormalities 16,17 ; scapular bracing to correct poor posture 18 ; taping that was claimed to correct aberrant kinematic patterns due to poor rotator cuff or scapular muscle function [19][20][21] ; thoracic spine manipulation to readjust the alignment of thoracic vertebrae where important scapular muscles are attached, modify costovertebral mobility, or possibly enhance neuromuscular control of scapulothoracic muscles [22][23][24][25] ; rotator cuff and other scapular muscle strengthening 8,16,[26][27][28][29] to stabilize or position the scapula properly 30 during dynamic shoulder movement; neuromuscular reeducation for coordinated activation of scapular muscles during shoulder movement 27,29 ; and manual therapy, such as joint mobilization to restore proper joint mobility. 31,32 The variation in intervention approaches is directly related to various views on the mechanism leading to impingement.…”