Shoulder Pain, Subacromial Impingement Syndrome
Conditions
Keywords
shoulder pain, fascial chain, sobacromial impingment syndrome
Brief summary
The aim of this randomized controlled trial is to investigate the acute effects of fascia correction Kinesio Taping applied to the thoracolumbar fascia (TLF) in individuals with Subacromial Impingement Syndrome (SIS). Participants will be randomly allocated into an intervention group and a sham taping control group. The intervention group will receive fascia correction Kinesio Taping applied to the thoracolumbar region, while the control group will receive sham taping without therapeutic effect. Clinical parameters including pain intensity, trunk range of motion, thoracolumbar fascia flexibility, lumbar mobility, and posterior shoulder capsule tightness will be assessed before the intervention and 45 minutes after the application. This study aims to provide evidence regarding the acute clinical effects of thoracolumbar fascia modulation in individuals with Subacromial Impingement Syndrome.
Detailed description
Subacromial Impingement Syndrome (SIS) is one of the most common causes of shoulder pain and is characterized by pain, movement limitation, and functional impairment. Contemporary biomechanical perspectives suggest that shoulder function is influenced not only by local anatomical structures but also by proximal structures such as the thorax, spine, and thoracolumbar fascia. The thoracolumbar fascia plays an important role in force transmission between the upper and lower extremities and contributes to postural control and movement coordination. Therefore, interventions targeting the thoracolumbar fascia may influence shoulder function and related clinical outcomes. This randomized controlled trial will include a total of 60 participants diagnosed with Subacromial Impingement Syndrome. Participants will be randomly assigned into two groups: an intervention group receiving fascia correction Kinesio Taping using the Ram's Head technique applied to the thoracolumbar fascia, and a control group receiving sham Kinesio Taping without therapeutic fascia correction. In the intervention group, Y-shaped Kinesio Tape will be applied to the thoracolumbar region using the fascia correction technique. Low-to-moderate tape tension (10-50%) combined with manual oscillatory movements will be used to facilitate fascial mobilization and modulate tissue glide capacity. The sham group will receive taping without therapeutic fascial correction. Assessments will be performed immediately before the intervention and 45 minutes after tape application. Outcome measures will include pain intensity during rest and activity assessed using the Visual Analog Scale (VAS), trunk range of motion measured by goniometry, trunk flexibility assessed by tape measurements, thoracolumbar fascia flexibility evaluated using a goniometric platform, lumbar mobility assessed by the Modified Schober Test, and posterior shoulder capsule tightness measurement. The primary aim of this study is to investigate the acute clinical effects of fascia correction Kinesio Taping applied to the thoracolumbar fascia in individuals with Subacromial Impingement Syndrome and to provide evidence regarding the potential effects of fascial modulation on pain, mobility, range of motion, and tissue flexibility.
Interventions
OTHERkinesio taping
Assessments will be performed immediately before the intervention and 45 minutes after tape application in both groups. Outcome measures will include pain intensity during rest and activity assessed using the Visual Analog Scale (VAS), trunk range of motion measured by goniometry, trunk flexibility assessed by tape measurements, thoracolumbar fascia flexibility evaluated using a goniometric platform, lumbar mobility assessed by the Modified Schober Test, and posterior shoulder capsule tightness. Participants in the intervention group will receive corrective kinesio taping applied in a horn-shaped configuration, whereas the sham group will receive a tension-free tape application from the lateral trunk/axillary region toward the hip without therapeutic fascial correction.
Sponsors
Kübra Sarıoğlu
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
The intervention group will receive fascia correction Kinesio Taping applied to the thoracolumbar region, while the control group will receive sham taping without therapeutic effect by a investigator who was blinded to group allocation.
Intervention model description
Two groups with subacromial impingement syndrome. 1. The "Ram's Horn" fascia correction technique will be applied to Group 1. 2. Sham taping will be applied to Group 2.
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* age between 20 and 40 years, * Body Mass Index (BMI) within the normal range (20-24.9 kg/m²), * a chronic (symptoms persisting for \>3 months) SIS diagnosis
Exclusion criteria
* any shoulder pathology other than SIS (e.g., rotator cuff tear, glenohumeral joint problems), * inability to perform 90° shoulder flexion due to joint limitation or pain ≥8 on the VAS, * overweight or obesity (BMI \>25 kg/m²), * previous back surgery, * low back pain within the last six months, scoliosis, radiologically diagnosed kyphosis or thoracolumbar disc herniation, sacroiliac joint problems, restricted pelvic range of motion (anterior-posterior pelvic tilt), and scapular dyskinesia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| thoracolumbar fascia flexibility | 15 minutes | The flexibility of the thoracolumbar fascia was evaluated using a goniometric platform. A goniometric platform was placed on a table in front of the participants. Patients were asked to clasp their hands in front at 90° of shoulder flexion, holding a wooden marker between their hands. Patients performed maximum trunk rotation, first to the right and then to the left, while ensuring their arms followed the movement of the trunk. The rotation degree reached by the marker was recorded on the goniometric platform. The test was repeated three times for each direction with one-minute rest intervals, and the average values were recorded. A decrease in rotation range during repeated trials or restricted movement was considered indicative of TLF tightness. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain assessment, rest and active | 3 minutes | Pain intensity was evaluated using a 10 cm VAS (0: no pain, 10: worst pain). Measurements were recorded at baseline and 45 minutes post-taping in two conditions: Resting Pain: Pain level while the participant was in a relaxed position. Activity Pain: Pain level during basic activities, such as arm movements and walking. The distance between the marked point and the zero point was measured in centimeters using a ruler |
| Modified schober test | 5 minutes | The physiotherapist determined the SIPS with a pencil. The midpoint of the line connecting the Spina İliaca Posterior Superior (SIPS) is marked. The point 10 cm above and 5 cm below this point was determined with a tape measure. The person was asked to perform maximum trunk flexion. The distance between these two points was measured. The difference was less than 5 cm, indicating low back flexibility |
Countries
Turkey (Türkiye)
Contacts
CONTACTGÜL BALTACI, Prof. Dr.
CONTACTKÜBRA SARIOĞLU, PhD
PRINCIPAL_INVESTIGATORKÜBRA SARIOĞLU, PhD
HACETTEPE ÜNİVERSİTESİ ,Anafartalar, Talatpaşa Blv No:47, 06100 Altındağ/Ankara
STUDY_DIRECTORGül Baltacı, Prof.Dr.
Atlas University
Outcome results
None listed