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. |
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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. |
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Outcomes |
Outcomes used in this review The following outcomes were considered at the end of treatments:
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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 |
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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 |