Vol. 5, Issue 1 (2020)
Effect of kinesiotaping as an adjunct to conventional exercises on shoulder pain, range of motion and disability in patients with subaromial impingement syndrome
Author(s): Nikita Dabholkar, Himanshu Pathak
Abstract: Subacromial impingement syndrome is one of the most common form of shoulder pathology representing 44-65% of all shoulder problems which if left untreated could progress to stage III where tear of rotator cuff muscles occur. Conventional exercises and kinesiotaping individually are found to be effective in treatment of SAIS. But, the combined effect has not being studied much to see the effect on shoulder pain, range of motion and disability, thus giving inconsistent results. Methodology: Ethical clearance was obtained. Informed consent was taken. 24 patients were randomly allocated using chit method into 2 groups-experimental and control (12 subjects in each group) according to inclusion and exclusion criteria. All subjects were assessed for shoulder range of motion using universal goniometer, shoulder disability using Disability of Arm, Shoulder and Hand (DASH) and pain using Visual Analogue Scale (VAS) on 1st day, at the end of 2nd week and at the end of 4th week. Experimental group received kinesiotaping and conventional exercises and control group received conventional exercises only. Result: Parametric tests such as t test, Repeated Measures ANOVA Test was applied for the data which was normally distributed. Non parametric tests like Freidman and Mann Whitney U Test was applied for the data which was not normally distributed. There was a statistically significant improvement(p<0.001) concluding that the experimental group was better than the control group in improving the active and passive shoulder ROM of flexion, abduction and internal rotation. Both the groups were effective in improving the active and passive shoulder external rotation ROM, VAS and DASH scores. Conclusion: The study concluded that kinesiotaping as an adjunct to conventional exercises and conventional exercises alone, both are effective in reducing pain, improving the range of motion and decreasing disability at the end of 2nd week and 4th week. On comparing both the groups, statistically significant improvements were seen in the active and passive ROM of shoulder flexion, abduction and internal rotation in the experimental group and a carryover effect was seen at the end of 4th week. For VAS, DASH and active and passive ROM of external rotation, it was not statistically significant but clinically experimental group was more effective than the control group at the end of 4th week.