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Subacromial Impingement SyndromeNCT06688214

Effects of KT and Scapular Stabilization Exercises.

A study testing Kinesio Taping treatment and Scapular Stabilization Exercises in people with Subacromial Impingement Syndrome, run by Sehat Medical Complex at 1 site in Pakistan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The distance between the acromion bone and the head of the humerus narrows in subacromial impingement syndrome. This narrowing leads to the compression of sensitive structures and results in pain and decreased functional performance.While taping and scapular stabilizing exercises are commonly used in the treatment of… Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Subacromial Impingement Syndrome
What is being tested?
Kinesio Taping treatment and Scapular Stabilization Exercises
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
1 sitePakistan
Study dates
30 Nov 2024to 30 May 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participants with age between 18 to 55 years. Participants with pain on the anterolateral side of the shoulder for ≥3 months. Participants diagnosed with ≥3 positive clinical signs of SIS, such as the Neer or Hawkins-Kennedy test, a painful arc by a sports physical therapist.
  • Mild or Moderate pain on resisted external rotation, or the Empty Can test.

Who cannot join

  • Diagnosis of cervical radiculopathy. Participants with osteoarthritis in the acromioclavicular or glenohumeral joint.
  • Calcific tendinitis, adhesive capsulitis, glenohumeral instability or a partial or full-thickness rotator cuff tear, clinical history of acute trauma, previous surgery or previous fracture in the affected shoulder. Corticosteroid injection into the shoulder joint in the previous 12 months.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Imran Ghafoor Dr., DPT, M.phill contact

+923344292887

imran.ghafoor@riphah.edu.pk

Pakistan1 site, 1 recruiting
  • Riphah International University

    Lahore, Punjab Province, 54000

    Imran Ghafoor Dr., DPT, M.phill, +923344292887, imran.ghafoor@riphah.edu.pk

    Farheen Ashraf Dr., DPT, MS-SPT

    Recruiting

Other trials in Pakistan

About this study

Official title: Effects of Kinesio Taping and Scapular Stabilization Exercises on ROM, Pain and Function in Badminton Players With Subacromial Impingement Syndrome

The distance between the acromion bone and the head of the humerus narrows in subacromial impingement syndrome. This narrowing leads to the compression of sensitive structures and results in pain and decreased functional performance.While taping and scapular stabilizing exercises are commonly used in the treatment of subacromial impingement syndrome, no comparisons were conducted previously between their effectiveness.

This randomized clinical trial will be conducted at Punjab Sports Board, Lahore.This study will include patients with age group ≥18 years; pain located on the anterolateral side of the shoulder for ≥3 months with positive clinical signs.

Group A will receive Kinesiotaping protocol and Group B will receive Scapular Stabilization exercises protocol.

Read the detailed description

The distance between the acromion bone and the head of the humerus narrows in subacromial impingement syndrome. This narrowing leads to the compression of sensitive structures and results in pain and decreased functional performance. Subacromial Impingement syndrome can be Primary and Secondary, both types could present patterns of postural deviation, painful arc, and altered biomechanics of muscles.While taping and scapular stabilizing exercises are commonly used in the treatment of subacromial impingement syndrome, no comparisons were conducted previously between their effectiveness.

This randomized clinical trial will be conducted at Punjab Sports Board, Lahore. This study will include patients with age group ≥18 years; pain located on the anterolateral side of the shoulder for ≥3 months with positive clinical signs of SIS, such as the Neer or Hawkins-Kennedy test, a painful arc, pain on resisted external rotation, or the Empty Can test after exclusion of cervical radiculopathy, osteoarthritis in the acromioclavicular or glenohumeral joint, calcific tendinitis, adhesive capsulitis, glenohumeral instability or a partial or full-thickness rotator cuff tear, clinical history of acute trauma, previous surgery or previous fracture in the affected shoulder; or corticosteroid injection into the shoulder joint in the previous 12 months.Participants will be divided into two groups. Group A will receive Kinesio-taping protocol and Group B will receive Scapular Stabilization exercises protocol.Patients will be assessed Shoulder Pain And Disability Index (SPADI). Changes in upper limb function Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Pain intensity {Visual Analog Scale (VAS) Kinesiophobia {Tampa Scale of Kinesiophobia (TSK)}. The findings can contribute to the growing evidence based supporting whether the use of Kinesio taping or scapular stabilization Exercises improve ROM, 5 Pain and function in patients with Subacromial impingement syndrome. Analysis will be done by statistical package for social sciences SPSS 29.

Being tested
Kinesio Taping treatment, Scapular Stabilization Exercises
Keywords
Subacromial Impingement, Kinesiotaping, scapular exercises, shoulder rehabilitation, Rotator cuff muscles
Medical subject headings
Shoulder Impingement Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Kinesio Taping treatmentOther

    Therapeutic KT application administered to patients in group A. The KT treatment was completed in compliance with Kase's recommended methodology for rotator cuff tendinitis/impingement. Initially, an inhibitory approach was used to apply a supraspinatus Y-strip from its insertion to its origin. The measurement of the strip's length was taken from the acromion to the scapular spine. The base of the strip was later applied to the tuberculum major while the patient was seated; the superior tale of the Y-strip was then terminated at the superomedial angle of the scapula, passing between the middle and superior fibers of the trapezius with light tension (% 15-25); the shoulder was then extended, adducted, and internally rotated with cervical contralateral bending; the final portion of the tape (2.5-5 cm) was applied painlessly.

  • Scapular Stabilization ExercisesOther

    Participants in Group B engage in a twice-weekly, supervised SSE exercise program that is based on the clinical decision algorithm that has been recommended by an expert panel. The goal of scapular orientation training was to normalize the scapula's resting posture and enhance proprioception. Subsequently, three scapular control exercises were executed: a closed kinetic chain exercise known as the "unilateral bench press," bilateral shoulder flexion up to 60°, and a scapular control exercise including bilateral shoulder retraction and extension in the prone position. There was no discomfort involved in performing the exercises, and each session may consist of no more than four exercises. The dosage and progressions were based on the objectives of each exercise; each exercise was performed 8-10 times with a 5- to 10-second hold in between, and there was a 30-to 1-minute rest period.

Study groups in NCT06688214
Study groupRoleWhat they receive
Kinesio TapingExperimentalKinesio Taping treatment
Receives: Other: Kinesio Taping treatment
Scapular Stabilization ExercisesActive comparatorScapular Stabilization Exercises
Receives: Other: Scapular Stabilization Exercises

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Shoulder Pain And Disability Index (SPADI).

    In order to assess the level of pain and impairment, established the shoulder pain and disability index, which modified. It has thirteen questions total, split into two auxiliary scales: five questions measure pain intensity, and eight questions assess upper limb disability when completing various activities of daily living. The pain subscale has five questions. A 10-point Likert scale was used to rate the thirteen things, with 0 denoting no discomfort and 10 denoting extremely severe pain. Each tool's results were transformed into a 100-point rating system. The degree of shoulder pain, injury, and disability increases with the tool's score.

    Measured: 1 week

  2. Changes in upper limb function Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire

    The Spanish version of the Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire was used to measure upper limb function. Scores range from 0 to 100 points, with higher scores indicating poorer function.The MCID is 11 points.Patients were asked to fill out DASH questionnaires, to apply marks to the point that they felt represented their perception of their current state

    Measured: 1 week

  3. Pain intensity {Visual Analog Scale (NPRS).

    The numeric pain rating scale for pain (NPRS) is generally captured on a 10- centimeter line, with 0 representing no pain, 5 indicating moderate pain, and 10 representing worst possible pain. Michener and colleagues15 reported that the minimally clinically important difference (MCID) for the NPRS was 2.17 for subjects with shoulder pain due to both surgical and non-surgical sources

    Measured: 1 week

  4. Kinesiophobia {Tampa Scale of Kinesiophobia (TSK)

    The original 17-item Tampa Scale of Kinesiophobia (TSK) was used to assess pain- related fear of movement. The scores range from 17 to 68 points, with higher scores indicating greater fear of movement and or (re-)injury. The MCID for people with chronic pain is 5.6 points; however, the MCID for people with SIS or rotator cuff disease has not been established.

    Measured: 1 week

  5. Standard Goniometer

    Shoulder flexibility was measured using a standard goniometer, which has a reported accuracy within 1° and a range of 180°. Goniometry is a common clinical method used for measuring shoulder complex ROM associated with adequate reliability.A standard goniometer is used to evaluate the passive range of motion of all joints of the shoulder girdle and upper limb. Deficits of joint motion from immobility result in contracture of the joint capsule, adhesions in the joints, and shortening of both muscle and tendons above the affected joints

    Measured: 1 week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Nov 2024
  2. Study start30 Nov 2024
  3. Primary completion25 May 2025 (estimated)
  4. Study completion30 May 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
34 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06688214
Sponsor's protocol ID
REC/RCR&AHS/24/0424
Status last verified
Nov 2024
First submitted
27 Oct 2024
Last updated
22 Jan 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Goksu H, Tuncay F, Borman P. The comparative efficacy of kinesio taping and local injection therapy in patients with subacromial impingement syndrome. Acta Orthop Traumatol Turc. 2016 Oct;50(5):483-488. doi: 10.1016/j.aott.2016.08.015. Epub 2016 Sep 23.

    PubMed 27670388
  • Kul A, Ugur M. Comparison of the Efficacy of Conventional Physical Therapy Modalities and Kinesio Taping Treatments in Shoulder Impingement Syndrome. Eurasian J Med. 2019 Jun;51(2):139-144. doi: 10.5152/eurasianjmed.2018.17421. Epub 2018 Nov 30.

    PubMed 31258353
  • Ravichandran H, Janakiraman B, Gelaw AY, Fisseha B, Sundaram S, Sharma HR. Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review. J Exerc Rehabil. 2020 Jun 30;16(3):216-226. doi: 10.12965/jer.2040256.128. eCollection 2020 Jun.

    PubMed 32724778
  • Sharma S, Ghrouz AK, Hussain ME, Sharma S, Aldabbas M, Ansari S. Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial. Biomed Res Int. 2021 Jun 30;2021:9945775. doi: 10.1155/2021/9945775. eCollection 2021.

    PubMed 34307681

Questions about this trial

What is this clinical trial studying?

A study testing Kinesio Taping treatment and Scapular Stabilization Exercises in people with Subacromial Impingement Syndrome, run by Sehat Medical Complex at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 22 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Imran Ghafoor Dr., DPT, M.phill (+923344292887, imran.ghafoor@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Shoulder Pain And Disability Index (SPADI). (time frame: 1 week). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06688214, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jan 2025.

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