The comparative efficacy of kinesio taping and local injection therapy in patients with subacromial impingement syndrome.
OBJECTIVE
The aim of this study was to compare the therapeutic effects of kinesio taping (KT) and local subacromial injection in patients with subacromial impingement, syndrome (SIS) with regard to pain, range of motion (ROM) and disability.


METHODS
Sixty-one patients (48 females and 13 males; mean age: 43.04 ± 6.31, years) with SIS were enrolled into the study. The patients were randomized into two treatment groups receiving either a single corticosteroid and local anesthetic (LA) injection, or kinesio taping performed three times by intervals of 3 day. Visual analog scale (VAS) was used to assess pain intensity, range of motion (ROM) degrees of, shoulder were recorded and Shoulder Pain and Disability Index (SPADI) was, performed to evaluate functional disability, before treatment, at the first and fourth, weeks after therapies. A exercise program was prescribed for both groups including pendulum, active range of motion (ROM) and strengthening exercises.


RESULTS
Pain, functional outcome measures were determined to have improved significantly in both groups at the end of therapies at first and fourth weeks (p < 0.05), but these improvements were more significant in the injection group than in kinesio taping group (p < 0.05). The improvements in pain at rest, shoulder abduction degrees, and SPADI scores at first and fourth weeks were statistically higher in injection group than in kinesio taping group.


CONCLUSIONS
Although the improvement in pain intensity at rest, ROM and disability were better with local injection, KT may be an alternative noninvasive method to local subacromial injection for patients suffering from subacromial impingement syndrome.


METHODS
Level I, Therapeutic study.
Department of Physical Medicine and Rehabilitation, Konya Training and Research Hospital, Konya, Turkey. Electronic address: hamitgoksu@yahoo.com.
Hamit
H
Göksu
Department of Physical Medicine and Rehabilitation, Ahi Evran University Training and Research Hospital, Kırşehir, Turkey.
Figen
F
Tuncay
Department of Physical Medicine and Rehabilitation, Hacettepe University Faculty of Medicine Hospital, Ankara, Turkey.
Pınar
P
Borman
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage*; D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage*; D055052:Athletic Tape / Q000706:statistics & numerical data*; D015444:Exercise; D005260:Female; D006801:Humans; D007267:Injections; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D016059:Range of Motion, Articular; D019534:Shoulder Impingement Syndrome / Q000628:therapy*; D020069:Shoulder Pain / Q000628:therapy*; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones; D000779:Anesthetics, Local
Kinesio taping; Steroid injection; Subacromial impingement syndrome; Subacromial injection
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