Abstract
Objective The purpose of the study was to explore the effect of kinesiology taping on hemiplegic shoulder pain (HSP) in terms of pain intensity, magnitude of subluxation, muscle activity, and active range of motion (AROM). Design Double-blind, placebo-controlled clinical trial. Setting the Rehabilitation Center of the West China Hospital. Participants Nineteen individuals suffering from HSP were recruited in this study. Intervention Patients were randomly assigned into the taping group or control group. The taping group received therapeutic kinesiology taping and conventional treatment, while the control group received placebo taping (applied without tension) and conventional treatment. Main Outcome Measures The shoulder pain intensity (numerical pain rating scale), magnitude of subluxation, muscle activity (measured by surface electromyography (sEMG)), and shoulder active range of movement (AROM) were assessed at the baseline, on the first day (immediately after taping) and 4 weeks after treatment (without taping). Results All patients completed the trials. There were no significant differences between groups at the baseline. The taping group showed immediate improvement on the first day after taping in terms of pain intensity, magnitude of subluxation, and muscle activity (p < 0.05), whereas no significant changes seen in the control group (p > 0.05). After 4 weeks of treatment, the taping group showed significant changes in pain intensity, magnitude of subluxation, muscle activity, and AROM (p < 0.05). And significant differences in pain intensity and muscle activity could be seen between the two groups (p < 0.05). Conclusion The results indicate that the kinesiology taping is effective in reducing the shoulder pain and subluxation and increasing muscle activity and AROM for patients with HSP after stroke.
Highlights
Shoulder pain is a common complication in hemiplegic patients after stroke. e incidence of hemiplegic shoulder pain (HSP) is reported to be approximately 17–72% [1,2,3,4,5,6]
A double-blind, placebo-controlled clinical trial was carried out to investigate the effects of kinesiology taping on HSP. e blind method was used for the patients and therapists who provided conventional treatments and assessment. e primary outcome measurement was set as the pain intensity of the shoulder, and the secondary outcome measurements included the magnitude of subluxation, active range of motion (AROM), and muscle activity of the shoulder
Both groups showed no significant changes in the AROM in flexion and abduction on the first day (p > 0.05)
Summary
Shoulder pain is a common complication in hemiplegic patients after stroke. e incidence of hemiplegic shoulder pain (HSP) is reported to be approximately 17–72% [1,2,3,4,5,6]. Shoulder pain is a common complication in hemiplegic patients after stroke. E incidence of hemiplegic shoulder pain (HSP) is reported to be approximately 17–72% [1,2,3,4,5,6]. Muscle weakness after stroke is believed to be a primary reason for HSP. Is understanding constitutes a reasonable mechanism to explain why soft tissue injuries are usually observed in HSP [12,13,14,15]. Other factors such as disturbed sensory and cognitive function are proved to be involved in HSP [16]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
