Paul Jose, - (2016) A Comparative study between the Effects of McConnel Taping and Kinesiotaping on Shoulder Pain, Range of Motion and Functional Ability in Patients with Shoulder Impingement Syndrome. Masters thesis, Madha College of Physiotherapy, Chennai.
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Abstract
INTRODUCTION : Shoulder impingement syndrome (SIS) is the most frequently recorded disorder of shoulder complaints, which accounts for 44-65% of all complaints of shoulder pain during a physician’s office visits. Subacromial space is defined by the humeral head inferiorly, the anterior edge and under surface of the anterior third of acromion, coracoacromial ligament and acromioclavicular joint superiorly. Shoulder impingement has been defined as compression and mechanical abrasion of the rotator cuff structures asthey pass beneath the corocoacromial arch during elevation of the arm. Several theories are proposed as the causes of the narrowing of the subacromialspace. There are two main mechanistic theories as to the cause of the narrowing subacromial space. The first is intrinsic impingement which theorizes that partial or full thickness tendon tears occurs as the result of the degenerative process that occurs over time with overuse, tension overload or trauma of the tendons. In intrinsic disorders, the tendon is thickened and inflamed at areas of calcification, swollen at the site of partial cuff tears, or covered by a chronically inflamed and indurated subacromial bursa. Osteophytes, acromial changes, muscle imbalances and weakness and altered kinematics leading to impingement will subsequently follow. The second is extrinsic impingement, where inflammation and degeneration of the tendon occur as a result of mechanical compression by some structure external to the tendon, In extrinsic cases, the shape of the acromion, the attachment of the coracoacromial ligament and changes in the acromioclavicular joint have been implicated. AIM OF THE STUDY : The aim of the study is to compare the effect of McConnell taping technique and Kinesiotaping technique on shoulder pain ,range of motion and functional ability in patients with shoulder impingement syndrome. OBJECTIVES : The objective of this studyis to investigate the effect of McConnell taping versus Kinesiotaping in shoulder impingement syndrome in a randomized and prospective way. Specifically to determine : 1. The immediate and 24 hours post taping effect of McConnell taping on pain intensity, AROM and functional ability in shoulder impingement syndrome. 2. The immediate and 24 hours post taping effect of Kinesiotaping on pain intensity, AROM and functional ability in shoulder impingement syndrome. 3. Compare the effect of McConnell taping technique and Kinesiotaping technique on pain intensity, AROM and functional ability in patients with shoulder impingement syndrome. METHODOLOGY : Data will be collected from patients, who are referred to the outpatient physiotherapy department of Madha Medical College, Chennai-122 with diagnosis of shoulder impingement syndrome, after obtaining informed consent. STUDY DESIGN : Experimental study design. Single blinded randomised controlled clinical trial. STUDY SETTING : Department of Physiotherapy, Madha Medical College and Hospital, Kovur, Chennai-122. SUBJECTS : The study included he sample of 24 subjects of both genders (20 males and 4 females) who were diagnosed to have Shoulder Impingement Syndrome by the referring orthopaedist. All the patients selected for the study are of the age group of 18 to 70 years. OUTCOME MEASURES : Visual Analogue Scale (VAS) for pain intensity, Active Range of Motion using standard goniometer, SPADI (Shoulder Pain and Disability Index). STUDY DURATION: 4 months. SELECTION OF SUBJECTS : 24 Subjects with shoulder impingement syndrome were recruited based on the inclusion/ exclusion criteria. Informed consent of the subjects was obtained prior to the study after explaining to them about the procedure Name, age and gender of the subject were recorded. Inclusion Criteria : 1. Male and female of age 18 to 70 years who are diagnosed with unilateral subacromial impingement syndrome. 2. Unilateral shoulder pain of more than 1 week during the last six months prior to study localised (anterior and / or anterolateral) to the acromion and pain produced or increased during flexion and /or abduction of the symptomatic shoulder. 3. Atleast any four of the following: a) Positive Neer impingement sign, b) Positive Hawkin’s sign, c) Pain reproduced during supraspinatus empty can test, d) Painful arc of movement between 60 degrees to 120 degrees, e) Pain with palpation on the greater tuberosity of humerus. Exclusion Criteria : 1. Shoulder subluxation / dislocation of shoulder. 2. Steroid injection into oraround the shoulder in past 2 months. 3. Acute trauma /fracture of articulating bones of shoulder girdle. 4. Cervicobrachial pain syndrome. 5. Adhesive capsulitis of shoulder. 6. History of previous shoulder surgery. 7. Past skin reaction associated with the use of adhesive tapes. 8. Metastatic lesion. 9. Shoulder arthritis. 10. Primary scapulothoracic dysfunction due to paresis. 11. Poor or fragile skin condition. 12. Non steroidal anti inflammatory drugs use. 13. Patients undergoing shoulder treatment including physical therapy one year prior to the first assessment were excluded. 14. Patients with positive full can test and speed’s test were also excluded. RESULTS : VAS : There is remarkable difference between the pre test and post test mean values of pain (VAS), AROM and functional ability of the shoulder in both Group 1 and 2. In Group 1 there was a significant decrease in pain intensity from (29, 14.92,11.75) at rest, (66.83,47.08,44.83) in flexion, (75.17,54.00,51.75) in abduction, (47.25,29.75,28.17) in external rotation, (6.17,48.17,44.92) in internal rotation. In Group 2 there was a significant decrease in pain intensity from (30.00,19.17,14.25) a rest, (63.67,46.42,44.92)in flexion, (71.92,54.25,48.75) in abduction, (52.83,34.83,34.08) in external rotation, (67.50,50.08,46.33) in internal rotation. When mean values of both Group 1 and 2 are compared, there is a marked improvement in Group 1 compared to Group 2, except in pain intensity during abduction in day 1 where Kinesiotape had same effect as in McConnell tape on pain in abduction. Kinesiotape was better than McConnel in immediate post treatment session for pain during external rotation. AROM : In Group 1 there is an significant increase in post test mean values of pain free AROM (Degrees) from baseline (95,115.83,120) in flexion, (76.67,97.92,100.42) in abduction, (50.42,64.58,65.83) in external rotation, ( 35.83,47.92,50.42) in internal rotation. In Group 2 there was a significant increase in post test mean values of AROM from baseline (97.92,115,117.08)in flexion, (77.50,92.08,96.67) in abduction,(53.75,64.17,67.08) in ext rot, (33.33,48.33,50.42) in internal rotation. When mean values of both Group 1 and 2 there was marked improvement in Group 1 compared to Group 2, except in AROM of internal rotation (immediate and day1), where group 2 (Kinesiotape) was better than group 1. SPADI : In Group 1there was a significant decrease in mean SPADI score (%) from baseline to day 1 from 61.75 to 46. In Group 2 there was a decrease in mean SPADI score from baseline to day 1 from 60.83 to 45.75. When mean values of SPADI score of both Group 1 and 2 there was marked improvement in Group 1 compared to Group 2. CONCLUSION : From the result of the study, it is concluded that both McConnell taping and Kinesiotaping technique has shown improvement in treating shoulder impingement syndrome. However, when comparing both techniques, the effect of McConnel taping technique is more than Kinessiotaping technique in treating shoulder impingement syndrome.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | McConnel Taping, Kinesiotaping, Shoulder Pain, Range of Motion, Functional Ability, Patients,Shoulder Impingement Syndrome. |
| Subjects: | PHYSIOTHERAPY > Sports Physiotherapy |
| Depositing User: | Kambaraman B |
| Date Deposited: | 01 Feb 2018 13:12 |
| Last Modified: | 01 Feb 2018 13:12 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5567 |
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