Subasi 2016.
Study characteristics | ||
Methods | Study design: single‐centre RCT Setting: outpatients who reported to the Physical Medicine & Rehabilitation Department of Antalya Training and Research Hospital Timing: not reported Interventions: kinesiological taping versus subacromial injection therapy Sample size: 70 patients were recruited for the study. Analysis: intention‐to‐treat analysis planned and executed; or ITT planned, but per‐protocol executed; not reported | |
Participants | Criteria for defining the condition being treated: the patients with one or more positive results for specific tests such as Neer’s, Hawkins, painful arc, supraspinatus and 0° abduction, or supraspinatus lesion revealed by radiological imaging were diagnosed as SIS.
Restriction on duration of symptoms: shoulder pain which had been ongoing for over a month
Exclusion criteria: other disorders causing shoulder pain
Baseline characteristics:
Intervention: Kinesio Taping (KT)
Number randomised: 35
Number included in analyses: 35
Age: 53.46 ± 10.7 years
Sex: M 15; F 20
Diagnosis: subacromial impingement syndrome
Duration of symptoms: 2.9 ± 1.5 months
Mean (SD) pain (VAS 0‐10): 6.60 (1.6) Mean (SD) function (SPADI): 76.9 (18.9) Control: Subacromial injection Number randomised: 35 Number included in analyses: 35 Age: 54.29 ± 10.4 years Sex: M 8; F 27 Diagnosis: subacromial impingement syndrome Duration of symptoms: 2.7 ± 1.3 months Mean (SD) pain (VAS 0‐10): 6.8 (1.5) Mean (SD) function (SPADI): 74.8 (19.9) Pretreatment group differences: in the baseline assessment, no significant differences were detected between the groups. |
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Interventions | Intervention: KT
Tape: Kinesio tape 2 in (5 cm); taping method: Kase protocol; target: deltoid, supraspinatus, glenohumeral articulation; number of applications: 3; single application duration: 5 dd; provider: the same physiotherapist. Co‐intervention: Home Exercise Program: A 3‐month exercise program was prescribed for both groups including stretching and strength exercises. Stretching exercises were prescribed for 7 days per week over 3 months. The exercises were performed as a home‐based program and described by the same physiotherapist. All patients were given an illustrated leaflet containing descriptions of the recommended exercises. Control: subacromial injection Betamethasone (sodium phosphate and acetate) (1 cc) plus prilocaine (4 cc) was injected into the subacromial space in the group 1 patients, by the same physiatrist. The posterior approach was preferred and was performed at 1 cm medial and inferior to the posterior corner of the acromion. Co‐intervention: Home Exercise Program, a 3‐month exercise program was prescribed for both groups including stretching and strength exercises. Stretching exercises were prescribed for 7 days per week over 3 months. The exercises were performed as a home‐based program and described by the same physiotherapist. All patients were given an illustrated leaflet containing descriptions of the recommended exercises. |
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Outcomes | All patients were assessed at baseline and at 1 and 3 months post‐intervention
Outcomes used in this review The following outcomes were considered at the end of treatments:
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Notes | Funding: none 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 | "The patients were randomly assigned into two groups using the numbered envelopes method". |
Allocation concealment (selection bias) | Unclear risk | "The patients were randomly assigned into two groups using the numbered envelopes method". |
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 | Poor reporting prevented any judgement. |
Blinding of outcome assessment (detection bias) assessor‐reported outcomes | Low risk | Appropriate measurements for assessor‐reported outcomes (i.e. active ROM) |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | No flow chart was reported and no information for judgement |
Selective reporting (reporting bias) | High risk | No protocol was published; passive ROM was planned but not reported in the Results section. |
Unequal use of co‐intervention | Low risk | KT with co‐intervention versus conservative treatment with the same co‐intervention |