Use of adhesive strip compared to physiotherapy in treating shoulder pain

• Register: REBEC
• Last refreshed on: 29 April 2013
• Main ID: RBR-5rt76n
• Date of registration: 03/07/2011
• Primary sponsor: Universidade de Pernambuco - Brazil
• Public title: Use of adhesive strip compared to physiotherapy in treating shoulder pain
• Scientific title: The Effects of Scapular Taping compared to physical therapy on Electromyographic Muscle Activity in subjects with subacromial impingement symptoms.
• Date of first enrolment: 01/05/2011
• Target sample size: 42
• Recruitment status: recruiting
• URL: http://www.ensaiosclinicos.gov.br/rg/RBR-5rt76n/
• Study design: No randomized controlled clinical trial, 2-Arm, blinding and phase IV.

Countries of recruitment

Brazil

Contacts

• Name: Rodrigo De Araújo
• Affiliation: Universidade de Pernambuco

• Name: Rodrigo De Araújo
• Affiliation: Universidade de Pernambuco

Key inclusion & exclusion criteria

Inclusion criteria: Inclusion criteria is described as: pain before 150° of active shoulder elevation in any plane, positive Jobe test indicating the possible supraspinatus involvement, positive
Hawkins–Kennedy and Neer test, subjective complaint of difficulty performing activities of daily living.
All volunteers must be doing sports (handball, volleyball, swimming and judo / jujitsu) for at least two years, with six hours of weekly training.

Exclusion criteria: Subjects will be excluded if they show signs or symptoms of any of the following: neural, cervical or thoracic pathological conditions; or previous surgery of upper limbs.

Age minimum: 18Y
Age maximum: 35Y
Gender: M

Health Condition(s) or Problem(s) studied

Shoulder impingement
C05.550.840

Intervention(s)

In the taping group, scapular taping will be applied to the symptomatic shoulder. This is theorised in the literature to result in inhibition of Upper Trapezius and facilitation of Lower Trapezius. All the taping applications will be performed by the same investigator. The intervention group will receive scapular taping applied three times per week for the first two weeks of their treatment. Each taping will be removed after two days in situ.
In the control group, a three times per week program of physical therapy modalities (ultrasound, transcutaneous electrical nerve stimulation (TENS)) and Open and closed Kinetic chain exercise (strengthening (serratus anterior, trapezius, and external rotation) and stretching (pectoralis major and minor) will be used in control treatment group for 2 weeks.

Primary Outcome(s)

Assessment of Scapular dyskinesia

Lateral Scapular Slide Test
It consists of measuring the distance between the inferior angle of the scapula to the spinous process corresponding to the shoulder to the 0th, 45th and 90th of abduction with the individual standing. According to Kibler & McMullen (2003), if this measure is greater than 15mm, we suggest the presence of scapular dyskinesia.

Muscle activity evaluation
Will be used four-channel system Myosystem Datahominis of Br-1 Technology Ltd ®. for the acquisition of electromyographic recordings of the serratus anterior, trapezius fiber upper, lower and médias.Os data will be collected and applied to 4000Hz low pass digital filter of 500Hz and 15Hz high pass. The integral EMG values ??are normalized by the maximum EMG amplitude obtained in one of three maximal voluntary contractions (MVC) of the corresponding muscle. Each volunteer will maintain through isometric muscle contraction, bilateral arm abduction in the scapular and frontal planes in three different angles (45, 90 and 120). The tasks should be kept for 8 seconds with and without the presence of charge on the hands. The load will be 1.5 kg for subjects weighing 68 kg and 2.5 kg for a volunteer with body weight greater than 68kg, as described by McClure et al. (2009). Will be performed three repetitions of each task, with 1.5 minute intervals to minimize the local effects of muscle fatigue. There will also be made different variations of push-up exercise with the support of the knees. All exercises are illustrated below, and should be performed three times with isometric, held for 8 seconds, with intervals of 1.5 minutes between repetitions and exercises.

Secondary Outcome(s)

Penn Shoulder Score for the Portuguese Language: PSS-Brazil
The PSS questionnaire, developed in 1999, examines individuals with shoulder dysfunction, consisting of a 100-point scale that includes three domains: pain, pleasure and function. The domains of pain and satisfaction respectively show three items and one item assessed using a Numerical Rating Scale (EN) 00 to 10, where 0 corresponds to no pain and not satisfied, while 10 is the worst pain possible and very pleased. The domain of function contains twenty items, graded on a Likert scale of four points, ranging from 0, which means "can not do at all" to 3 "without difficulty" with the maximum score of 60 points. The PSS score ranges from 0 to 100 points, with the maximum score indicating no pain, high satisfaction and good function.
In the present study will be used for the Portuguese language version recently validated by Napoles et al. (2010).

Secondary ID(s)

274/10

C.A.A.E 0270.0.097.000-10