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. 2021 Aug 8;2021(8):CD012720. doi: 10.1002/14651858.CD012720.pub2

Hsu 2009.

Study characteristics
Methods Study design: a cross‐over, pretest/post‐test repeated measures design was used.
Setting: not reported
Timing: not reported
Interventions: an elastic taping (Kinesio TexTM) versus a placebo taping (3 MMicropore tape) over the lower trapezius muscle
Sample size: seventeen baseball players with shoulder impingement were recruited and completed the tests. Power analyses demonstrated a need for at least 30 participants per group given an SD of 20 mm VAS, a difference in pain intensity between groups of 20 mm on the VAS, at a level of 0.05 with power set at 60%.
Analysis: per‐protocol analysis was executed.
Participants Criteria for defining the condition being treated: subjects were included if they showed a positive sign in two or more shoulder impingement screening items, and in at least one of the specific subacromial impingement tests. The shoulder impingement screening items were: (1) a history of proximal anterior or lateral shoulder pain persisting for more than 1 week during the last six months; (2) painful arc with active shoulder elevation; (3) tenderness to palpation of rotator cuff tendons; (4) pain with resisted isometric shoulder abduction; (5) positive Jobe’s test (empty can test). Specific subacromial impingement tests used in this study were the Neer sign and Hawkins sign.
Restriction on duration of symptoms: more than 1 week during the last six months

Inclusion criteria: baseball players

Exclusion criteria: (1) a history of dislocation or traumatic injuries on the tested shoulder complex; (2) a history of shoulder surgery within the last 6 months; (3) reproduction of symptoms in the cervical screening examination (active and passive range of motion, and overpressure); (4) failure to complete two testing sessions
Baseline characteristics:
Overall cohort of participants:
Number randomised: 17
Number included in analyses: 17
Age: 23 ± 2.8 years
Sex: NR
Diagnosis: shoulder impingement
Duration of symptoms: from 0 to 24 months (median = 2 months)
 
Intervention: kinesio Taping
Mean (SD) pain not measured
Mean (SD) function not measured
Comparator: sham taping
Mean (SD) pain not measured
Mean (SD) function not measured
Pretreatment group differences: no between‐group differences were observed. 
Interventions Intervention: kinesio Taping
Tape: Kinesio tape 2 in (5 cm); taping method: Kase protocol; target: lower trapezius; number of applications: 1; single application duration: immediate; provider: not reported
Control: sham taping
The placebo tape was a same‐sized Y‐shaped 3 M Micropore tape (3 M, St. Paul, USA), applied over the same position without any stretch force.
Outcomes
  • Muscle strength: a hand‐held dynamometer (Power track II, JTech Medical industries, Utah, USA) was used to test the muscle strength of the lower trapezius.

  • Electromyographic (EMG) activities of the upper and lower trapezius and the serratus anterior muscles during arm elevation: An 8‐channel FM/FM Telemetric EMG system (Telemyo 900,Noraxon USA, Inc., Scottsdale, AZ) was used to record the myoelectric data.

  • Scapular ROM during arm elevation: electromagnetic tracking system

  • Adverse events


Outcomes used in this review
The following outcomes were considered at the end of treatments:
  • Range of motion

  • Muscle strength

  • Adverse events

Notes Funding: this study was sponsored by China Medical University (CMU94‐038) and Taipei City Hospital.
Conflict of interest: not reported
Trial registration: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "All subjects received both types of taping with the order of taping randomly assigned as the elastic taping first or the placebo taping first". No information for judgement
Allocation concealment (selection bias) Unclear risk "All subjects received both types of taping with the order of taping randomly assigned as the elastic taping first or the placebo taping first". No information for judgement
Blinding of participants (performance bias) Low risk "the placebo tape was same sized..."
Blinding of personnel (performance bias) High risk Nature of delivered intervention
Blinding of outcome assessment (detection bias)
self‐reported outcomes Low risk Participants were blinded to the interventions.
Blinding of outcome assessment (detection bias)
assessor‐reported outcomes Low risk Appropriate outcome measurements for ROM, muscle strength, EMG. "the lower trapezius muscle strength was tested by a blinded examiner."
Incomplete outcome data (attrition bias)
All outcomes Low risk No missing data
Selective reporting (reporting bias) Unclear risk No published protocol
Unequal use of co‐intervention Low risk No co‐interventions