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

Sikha 2017.

Study characteristics
Methods Study design: study sampled with random allocation
Setting: NIOH, Kolkata
Timing: not reported
Interventions: only conventional therapy (n = 15) verus both kinesio taping and conventional therapy (n = 15)
Sample size: not reported
Analysis: not reported
Participants Inclusion criteria: subjects having a history of proximal anterior/lateral shoulder pain; pain beginning prior to 150 degrees of active shoulder elevation in any plane and if two or more of the specific impingement tests were found positive (Empty can test or Jobe test, Hawkins‐kennedy test, Neer’s sign); subjects with complaint of having difficulty in performing the activities of daily living
Exclusion criteria: shoulder girdle fracture, glenohumeral dislocation/subluxation, cervical spine symptoms verified by Spurling’s test, history of shoulder surgery in the past 12 weeks. osteoarthritis of glenohumeral joint and clinically verified rheumatoid arthritis
Restriction on duration of symptoms: not reported

Baseline characteristics:
Intervention: Kinesio Taping (KT) + conventional therapy
Number randomised: 15
Number included in analyses: 15
Age: 44.33 (7.22) years
Sex: M 9; F 6
Diagnosis: subacromial impingement syndrome
Mean (SD) pain not measured
Mean (SD) function (Penn Shoulder score): 32.24 (2.51)
Control: only conventional therapy
Number randomised: 15
Number included in analyses: 15
Age: 43.40 (7.55) years
Sex: M 9; F 6
Diagnosis: subacromial impingement syndrome
Mean (SD) pain not measured
Mean (SD) function (Penn Shoulder score): 32.64 (4.45)
Pretreatment group differences: description of both groups which were homogenous
Interventions Intervention: kinesio taping and conventional therapy. Dosage of intervention 5 days in a week for 4 weeks (that included 15 minutes in application of KT followed by 30 minutes rest; subsequently 40 minutes engagement in activity). Tape: Kase (size not specified); taping method: Kase protocol; target: deltoid, supraspinatus, glenohumeral articulation; number of applications: not reported; duration: not reported; provider: not reported
Co‐intervention: conventional exercise protocol/standard exercise protocol, adapted from the exercise given by American Association of Orthopaedic Surgeon (AAOS). Intervention of 40 min, 5 days in a week for 4 weeks in conjunction with occupational therapy remedial activities: Shoulder wheel, Finger ladder, Wall mounted overhead sanding unit, Rope and pulley, Arm ergometer
Control: conventional exercise protocol/standard exercise protocol, adapted from the exercise given by American Association of Orthopaedic Surgeon (AAOS). Intervention of 40 min, 5 days in a week for 4 weeks in conjunction with occupational therapy remedial activities: Shoulder wheel, Finger ladder, Wall mounted overhead sanding unit, Rope and pulley, Arm ergometer
Outcomes Active range of motion ‐ free of pain: flexion abduction and external rotation
Function: Penn Shoulder Score (including pain, satisfaction and function)
Quality of life: Health‐related quality of life: SF‐12
Outcomes used in this review
The following outcomes were considered at the end of treatments:
  • Active range of motion ‐ free of pain

  • Function (Penn Shoulder Score). We changed the direction of the scale in order to conduct the meta‐analysis. 

  • Quality of life (health‐related quality of life, SF‐12)

Notes Funding: not reported
Conflict of interest: none
Trial registration: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "The participants in this study were [a] sample of convenience with random allocation comprised of total 30 subjects in two groups". Insufficient information for judgement
Allocation concealment (selection bias) Unclear risk "The participants in this study were [a] sample of convenience with random allocation comprised of total 30 subjects in two groups". Insufficient information for judgement
Blinding of participants (performance bias) Unclear risk Poor reporting prevented any judgement.
Blinding of personnel (performance bias) Unclear risk Poor reporting prevented any judgement.
Blinding of outcome assessment (detection bias)
self‐reported outcomes Unclear risk "The subjects (between age of 18 to 65 years) included in this study were referred from main assessment clinic of NIOH, Kolkata".  Insufficient information for judgement
Blinding of outcome assessment (detection bias)
assessor‐reported outcomes Unclear risk "The subjects (between age of 18 to 65 years) included in this study were referred from main assessment clinic of NIOH, Kolkata". Insufficient information for judgement
Incomplete outcome data (attrition bias)
All outcomes Low risk "There was no drop out during the study". No information for intention‐to‐treat analysis
Selective reporting (reporting bias) Unclear risk No published protocol
Unequal use of co‐intervention Low risk KT with other conservative treatment versus the same conservative treatment