Effect of kinesio taping in myoelectric activity in patients with shoulder impingement
Introduction: The complex shoulder joint is equipped with the greater joint mobility of the body, however, is commonly injured in repetitive, sport or occupational activities. Shoulder Impact Syndrome (SIS) is one of the most common injuries affecting the shoulder, thus causing limitations in its functionality. Several strategies have been used by physiotherapy for prevention and rehabilitation of SIS, one of them is the Kinesio Taping (KT). However, even with its abundant use there is still no clear evidence of its benefits. Objective: The aim of the study was to examine the effect of KT on myoelectric activity and the level of pain in patients with SIS. Method: Seven women with SIS participated, which performed the flexion and shoulder abduction up to 90° with and without KT. During the gestures, the pain level and surface electromyography data of the upper trapezoid, middle deltoid and anterior serratus were acquired. The treatment of the electromyography data was performed in the BIOMEC-SAS software and presented as percentage values of the maximum voluntary contraction. To compare the myoelectric activity and pain levels, it was performed, respectively, one way ANOVA and the Wilcoxon test (α <0.05). Results: Pain reductions were observed and myoelectric activity of upper trapezius (46.0±34.4% MVIC to 35.6 ± 19.5% MVIC) and middle deltoid (39.0±11.5% MVIC to 35.2±12.5% MVIC) in motion abduction use of KT. No changes were observed in the signs during flexion movement. Conclusion: Finally, the KT generated a reduction in the level of pain and myoelectric activity of the middle deltoid and upper trapezius in the movement of abduction in patients with SIS.
2. Phadke V, Camargo PR, Ludewig PM. Scapular and rotator cuff muscle activity during arm elevation: A review of normal function and alterations with shoulder impingement. Revista Brasileira de Fisioterapia. 2009;13(1):1-9.
3. Politti F, Palomari ET, Furtado R, Amorim CF. Análise eletromiográfica e da força do músculo deltóide em indivíduos com síndrome do impacto do ombro. Fisioterapia e Pesquisa. 2006;13(3):24-31.
4. Shaheen AF, Villa C, Lee YN, Bull AM, Alexander CM. Scapular taping alters kinematics in asymptomatic subjects. Journal of Electromyography and Kinesiology. 2013;23(2):326-33.
5. Mackenzie TA, Herrington L, Horlsey I, Cools A. An evidence-based review of current perceptions with regard to the subacromial space in shoulder impingement syndromes: is it important and what influences it? Clinical biomechanics. 2015;30(7):641-8.
6. Lewis J, McCreesh K, Roy JS, Ginn K. Rotator cuff tendinopathy: navigating the diagnosis-management conundrum. Journal of orthopaedic & sports physical therapy. 2015;45(11):923-37.
7. Huang TS, Ou HL, Huang CY, Lin JJ. Specific kinematics and associated muscle activation in individuals with scapular dyskinesis. Journal of Shoulder and Elbow Surgery. 2015;24(8):1227-34.
8. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Physical therapy. 2000;80(3):276.
9. Diederichsen LP, Norregaard J, Dyhre-Poulsen P, Winther A, Tufekovic G, Bandholm T, et al. The activity pattern of shoulder muscles in subjects with and without subacromial impingement. Journal of Electromyography and Kinesiology. 2009;19(5):789-99.
10. Spall P, Ribeiro DC, Sole G. EMG Activity of shoulder girdle muscles in patients with symptomatic and asymptomatic rotator cuff tears: a systematic review and meta-analysis. PM and R. 2016;8(9):894-906.
11. Kase K, Wallis J, Kase T. Clinical therapeutic applications of the Kinesio Taping Method. 2 ed: Ken Ikai Co Ltd; 2003.
12. Kaya DO, Baltaci G, Toprak U, Atay AO. The clinical and sonographic effects of kinesiotaping and exercise in comparison with manual therapy and exercise for patients with subacromial impingement syndrome: a preliminary trial. Journal of manipulative and physiological therapeutics. 2014;37(6):422-32.
13. Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. Journal of Orthopaedic and Sports Physical Therapy. 2008;38(7):389-95.
14. Gonzalez-Iglesias J, Fernandez-de-Las-Penas C, Cleland JA, Huijbregts P, Del Rosario Gutierrez-Vega M. Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. Journal of orthopaedic and sports physical therapy. 2009;39(7):515-21.
15. Van Herzeele M, Van Cingel R, Maenhout A, De Mey K, Cools A. Does the application of kinesiotape change scapular kinematics in healthy female handball players? International Journal of Sports Medicine. 2013;34(11):950-5.
16. Fu TC, Wong AM, Pei YC, Wu KP, Chou SW, Lin YC. Effect of Kinesio taping on muscle strength in athletes-a pilot study. Journal of Science and Medicine in Sport. 2008;11(2):198-201.
17. Oliveira VMA, Batista LSP, Pitangui ACR, Araújo RC. Efeito do Kinesio Taping na dor e discinesia escapular em atletas com síndrome do impacto do ombro. Revista Dor. 2013;14:27-30.
18. Cools AM, Witvrouw EE, Danneels LA, Cambier DC. Does taping influence EMG muscle activity in the scapular rotators in healthy shoulders? Manual Therapy. 2002;7(3):154-62.
19. Hsu YH, Chen WY, Lin HC, Wang WT, Shih YF. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. Journal of Electromyography and Kinesiology. 2009;19(6):1092-9.
20. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. Journal of Electromyography and Kinesiology. 2000;10(5):361-74.
21. Selkowitz DM, Chaney C, Stuckey SJ, Vlad G. The effects of scapular taping on the surface EMG signal amplitude of shoulder girdle muscles during upper extremity elevation in individuals with suspected shoulder impingement syndrome. Journal of orthopaedic & sports physical therapy. 2007;37(11):694-702.
22. Grupo de Investigação da Mecânica do Movimento. BIOMEC SAS v.1.3. Available from: http://www.ufrgs.br/biomec/materiais.html.
23. Takasaki H, Delbridge BM, Johnston V. Taping across the upper trapezius muscle reduces activity during a standardized typing task–An assessorblinded randomized cross-over study. Journal of Electromyography and Kinesiology. 2015;25(1):115-20.
24. Lin JJ, Hung CJ, Yang PL. The effects of scapular taping on EMG muscle activity and proprioception feedback in healthy shoulders. Journal of Orthopaedic Research. 2011;29(1):53-7.
25. Shaheen AF, Bull AM, Alexander CM. Rigid and Elastic taping changes scapular kinematics and pain in subjects with shoulder impingement syndrome; an experimental study. Journal of Electromyography and Kinesiology. 2015;25(1):84-92.
26. Subaşı V, Çakır T, Arıca Z, Sarıer RN, Filiz MB, Doğan ŞK, et al. Comparison of efficacy of kinesiological taping and subacromial injection therapy in subacromial impingement syndrome. Clinical rheumatology. 2016;35(3):741-6.
27. Morris D, Jones D, Ryan H, Ryan C. The clinical effects of Kinesio Tex taping: a systematic review. Physiotherapy theory and practice. 2013;29(4):259-70.
28. Mostafavifar M, Wertz J, Borchers J. A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. The Physician and sportsmedicine. 2012;40(4):33-40.
29. Ackermann B, Adams R, Marshall E. The effect of scapula taping on EMG activity and musical performance in professional violinists. Australian Journal of Physiotherapy. 2002;48(3):197-203.
30. Smith M, Sparkes V, Busse M, Enright S. Upper and lower trapezius muscle activity in subjects with subacromial impingement symptoms: is there imbalance and can taping change it? Physical Therapy in Sport. 2009;10(2):45-50.
31. Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Medicine. 2012;42(2):153-64.
32. Espejo L, Apolo M. Revisión bibliográfica de la efectividad del kinesiotaping. Rehabilitación. 2011;45(2):148-58.