The efficacy of functional supports in mediating the effects of exercise on shoulder joint position sense

Abstract

Abstract. BACKGROUND: Prolonged exercise and joint position sense are considered aetiological risk factors for shoulder injury in overhead sports. OBJECTIVE: To investigate the efficacy of a neoprene sleeve and kinesiology tape (KT) in mediating the effect of exercise on shoulder joint position sense. METHODS: 25 overhead sports participants (women -10, men -15) completed 30 maximal isokinetic repetitions at 120• /s of three shoulder exercise protocols: 9090 (seated 90• shoulder abduction, 90• elbow flexion, modified neutral (seated 45• shoulder abduction, 90• elbow flexion in the scapular plane and diagonal (seated GHJ flexion, abduction, external rotation and extension, adduction and internal rotation. Absolute error in active reproduction of passive positioning was assessed pre-and post-exercise at 10• /s. This was conducted for end range internal and external rotation, and mid-range. RESULTS: A repeated measures general linear model revealed no significant main effect for gender or exercise in any test position. A main effect for support condition was observed pre-exercise in the KT condition, with JPS significantly (p < 0.01) impaired (5.30 ± 2.16• ) relative to baseline control scores (4.11 ± 2.81• ) in end range external rotation at the 9090 position. CONCLUSION: Results indicated that neither neoprene nor kinesio-tape were more effective in limiting the effects of exercise on joint position sense (JPS). Healthy, un-injured overhead athletes may not need to consider taping or supportive device, indeed KT application was observed to impair JPS in specific movements.

Influence of taping on joint proprioception: a systematic review with between and within group meta-analysis

“…Of the 91 included studies (Table S 2 ), 35 were randomized controlled trials [ 54 , 55 , 57 , 60 , 62 , 67 , 74 – 78 , 80 , 82 , 83 , 85 , 100 – 119 ], 29 were randomized cross over design [ 48 , 51 , 52 , 56 , 59 , 61 , 66 , 81 , 84 , 90 , 120 – 138 ], 12 were pre-test post-test quasi experimental design [ 53 , 64 , 139 – 148 ], 10 were crossover trials [ 36 , 39 , 50 , 58 , 68 , 88 , 149 – 152 ], two were non-randomized controlled design [ 65 , 153 ], one was a cross-sectional design [ 154 ], and one was a retrospective cohort study [ 87 ]. Additionally, one study presented data from two different studies in which one was a pre-test post-test quasi experimental design and a randomized controlled design [ 86 ].…”

“…The tapes were classified as either rigid or elastic tapes based on the description provided in the respective studies. Overall, sixty studies had utilized elastic tapes [ 48 , 50 – 54 , 56 – 58 , 65 – 67 , 74 – 79 , 81 , 82 , 84 , 85 , 87 , 88 , 90 , 100 – 102 , 105 – 108 , 111 , 113 , 114 , 116 – 118 , 120 , 123 , 124 , 126 , 129 – 132 , 137 – 147 , 153 , 154 ], and 33 studies had used rigid tapes [ 36 , 39 , 55 , 59 – 62 , 64 , 80 , 83 , 86 , 103 , 104 , 110 , 115 , 119 , 122 , 125 , 127 , 128 , 133 – 136 , 148 – 152 ]. Additionally, four studies had compared the efficacy across two different tapes.…”