Simsek 2013.
Study characteristics | ||
Methods | Study design: a randomised, double‐blind, controlled clinical trial Setting: not reported Timing: not reported Interventions: therapeutic kinesio taping and exercise therapy versus sham kinesio taping and exercise therapy Sample size: thirty‐eight (25 female, 13 male) patients with SIS were randomly divided into therapeutic KT (n = 19) and sham KT (n = 19) groups. A minimum of 17 patients per group was necessary for 80% statistical power. Analysis: intention‐to‐treat analysis executed | |
Participants | Criteria for defining the condition being treated: pain interfering with the patient’s daily routine and positivity at Neer and Hawkin’s impingement tests
Restriction on duration of symptoms: pain lasting for one month or longer
Inclusion criteria: patients between the ages of 18 and 70
Exclusion criteria: calcific tendinitis and degenerative arthritis in plain roentgenograms, pathological findings in addition to subacromial effusion in MR images, a history of shoulder, waist and chest surgery, fracture or dislocation of the affected shoulder, cervical problems accompanied by radicular symptoms, inflammatory joint disease, and physiotherapy for the shoulder within last three months Baseline characteristics: Overall cohort of participants: Number of participants at enrolment: 38 Number randomised: 38 Number included in analyses: 38 Age: 51 years, range: 18 to 69 years Sex: M 13; F 25 Diagnosis: subacromial impingement syndrome Intervention: Kinesio Taping (KT) Number randomised: 19 Number included in analyses: 19 Age: 48 years Sex: M 8; F 11 Dominant shoulder affected: 52% Duration of symptoms: 10.37 ± 8.26 months Mean (SD) pain (VAS 0‐10): 2.74 (2.73) Mean (SD) function (DASH): 46.15 (19.83) Control: Sham Taping (ST) Number randomised: 19 Number included in analyses: 19 Age: 53 years Sex: M 5; F 14 Dominant shoulder affected: 63% Duration of symptoms: 10.37 ± 6.65 months Mean (SD) pain (VAS 0‐10): 3.21 (2.92) Mean (SD) function (DASH): 52.69 (16.42) Pretreatment group differences: shoulder flexion strength, active ROM in flexion, painless ROM during internal rotation |
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Interventions | Interventions:
Tape: kinesio tape 2 in (5 cm); taping method: Kase protocol; target: deltoid, supraspinatus; number of applications: 4; single application duration: 3 dd; provider: certified physiotherapist. Co‐intervention: patients were given exercises defined by Hughston and Riivald. All exercises were begun with 5 repeats and increased to 15 repeats, as tolerated. Training was performed once a day, for 5 days a week under supervision of a physiotherapist and lasted two weeks. Patients were asked to repeat the exercises as one set during weekdays and two sets on weekends at home. Control: sham kinesio tape Co‐intervention: patients were given exercises defined by Hughston and Riivald. All exercises were begun with 5 repeats and increased to 15 repeats, as tolerated. Training was performed once a day, for 5 days a week under supervision of a physiotherapist and lasted two weeks. Patients were asked to repeat the exercises as one set during weekdays and two sets on weekends at home. |
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Outcomes | All assessments were performed before the treatment and on the 5th and 12th days:
Outcomes used in this review The following outcomes were considered at the end of treatments:
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Notes | Funding: Scientific Research Project Fund of Cumhuriyet University 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 | "Thirty‐eight (25 female, 13 male) patients with SIS were randomly divided into therapeutic KT (n = 19) and sham KT (n = 19) groups". No information for judgement |
Allocation concealment (selection bias) | Unclear risk | "Thirty‐eight (25 female, 13 male) patients with SIS were randomly divided into therapeutic KT (n = 19) and sham KT (n = 19) groups". No 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 | "Assessments were performed before the treatment and on the 5th and 12th days by a researcher blinded to the information about the patient and the group". However, no information for blinding of participants was present. |
Blinding of outcome assessment (detection bias) assessor‐reported outcomes | Low risk | Appropriate measurements for assessor‐reported outcomes (i.e. ROM and muscle strength). "Assessments were performed before the treatment and on the 5th and 12th days by a researcher blinded to the information about the patient and the group". |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | It was not clear whether participants were lost to follow‐up. |
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 |