Kocyigit 2016.
Study characteristics | ||
Methods | Study design: randomised, double‐blind, placebo‐controlled trial Setting: outpatient clinic Timing: not reported Interventions: KT versus sham taping Sample size: 45 patients were randomised; 41 completed the study. Type I error (α) was set at 0.05 and power of the test was selected as 0.80 and the calculated sample size appropriate to test the hypothesis and have confidence was 41. The number of patients to ensure that final sample size was achieved was calculated to be 46 when the proportion of attrition was 10%. Analysis: per‐protocol analysis was executed. | |
Participants | Criteria for defining the condition being treated: Neer’s impingement sign; Hawkins’ test; painful arc test; and the Jobe test applied to all participants by the same physiatrist at baseline. The patients with positive results for at least three of these tests were diagnosed with SIS.
Inclusion criteria: mild–moderate shoulder pain (VAS between 20 and 70 mm); age between 18–70 years; no previous application of KTs
Exclusion criteria: history of previous shoulder fracture/surgery in last 6 months; previous or concurrent diagnosis of rotator cuff tear; glenohumeral joint/ACJ osteoarthritis; cervical disc herniation accompanied by radicular symptoms; inflammatory joint disease; history of electrotherapy or injection for the shoulder in the last 3 months
Baseline characteristics:
Overall cohort of participants:
Number of participants at enrolment: 55
Number randomised: 45
Number included in analyses: 41
Age (mean and SD, or range): 45 ± 15 years (range 20–65 years)
Diagnosis: subacromial impingement syndrome
Duration of symptoms: 38 ± 46 weeks (range 4–204 weeks)
Intervention: Kinesio Taping (KT)
Number randomised: 22
Number included in analyses: 21 (1 lost to follow‐up)
Age: 50.6 ± 10.1 (range 23–65 years)
Sex: M 6; F 15 Mean (SD) pain (VAS 0‐100): 48.14 (22.12) Mean (SD) function (Constant score): 54.6 (6.3) Control: sham Taping (ST) Number randomised: 23 Number included in analyses: 20 (3 lost to follow‐up) Age: 49.2 ± 8.8 (range 26–65 years) Sex: M 7; F 13 Mean (SD) pain (VAS 0‐100): 50 (21.7) Mean (SD) function (Constant scoreI): 50.5 (5.1) Pretreatment group differences: No between‐group differences were observed. |
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Interventions | Intervention: KT Tape: not reported; taping method: not specified; target: deltoid, ACJ articulation; number of applications: 3; single application duration: 4 dd; provider: not reported Control: ST The control group received sham taping (5 centimetres beta fix surgical hypoallergenic flexible tape) identical to the KT group. No force was applied to the tape during application, the tape merely being overlaid on the skin. Co‐interventions: An exercise program consisting of Codman pendulum exercises 10 repetitions/3 sets/day was prescribed to all patients. Use of nonsteroidal anti‐inflammatory drugs was restricted, and the participants were allowed to take paracetamol 500 mg tablets per day when they experienced pain interfering with functional activities. | |
Outcomes | Assessments were executed at baseline, at the end of the taping period (12th day), and at one month post‐intervention
Outcomes used in this review The following outcomes were considered at the end of treatments:
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Notes | Funding: not reported Conflict of interest: none Trial registration: not reported |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | "We used the numbered envelopes method for randomisation of patients into two groups". |
Allocation concealment (selection bias) | Unclear risk | "We used the numbered envelopes method for randomisation of patients into two groups". Insufficient information for judgement |
Blinding of participants (performance bias) | Low risk | "The control group received sham taping identical to the KT group". "We do believe that blinding of the subjects was appropriate". |
Blinding of personnel (performance bias) | High risk | High for nature of delivered intervention |
Blinding of outcome assessment (detection bias) self‐reported outcomes | Low risk | "The control group received sham taping identical to the KT group". " We do believe that blinding of the subjects was appropriate". |
Blinding of outcome assessment (detection bias) assessor‐reported outcomes | Low risk | Appropriate measurements for assessor‐reported outcome (i.e. active ROM) |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No high percentage and unbalanced loss to follow‐up. Per‐protocol analysis |
Selective reporting (reporting bias) | Unclear risk | No protocol published |
Unequal use of co‐intervention | Low risk | KT with co‐intervention versus sham taping with the same co‐intervention |