ÖZET

Amaç:

Omuz impingement (sıkışma) sendromu (OİS) olan hastalarda kinezyobantlamanın (KT) ağrı, fonksiyonellik ve ultrason parametreleri üzerine etkisini araştırmayı amaçladık

Gereç ve Yöntem:

Toplam 75 OİS hastası randomize olarak üç grupta sınıflandırıldı: KT, konvansiyonel egzersiz (KE) ve sham-kinezyobantlama (sham-KT). Her gruba iki haftalık tedavi programı uygulandı. Hastalar tedavi öncesi ve sonrası görsel analog skala (GAS), eklem hareket açıklığı, kol, omuz ve el sorunları (DASH) anketi kullanılarak değerlendirildi. Ayrıca supraspinatus tendonu (SsT) kalınlığı ve akromiohumeral mesafe (AHM) parametreleri ultrasonografi (US) kullanılarak ölçüldü.

Bulgular:

Gruplar arasında tedavi sonrası gece ve aktivite-GAS skorları açısından istatistiksel olarak anlamlı fark vardı. Post-hoc analize göre, bu farklılıklar KE grubu lehine gözlenmiştir (p<0,016). Gruplar arasında tedavi öncesi DASH skorlarında bir fark olduğu için, gruplar tedavi öncesi ve sonrası DASH skorundaki değişiklikler açısından incelendi; sham-KT ve KT ile sham-KT ve KE grupları arasında KT ve KE grupları lehine anlamlı bir fark tespit edilmiştir. US, KE grubunun hem SsT kalınlığındaki azalma hem de AHD’deki artış açısından sham-KT grubundan daha üstün olduğunu ortaya koymuştur (p<0,016). Ayrıca, KT AHD’nin artmasında etkili olmuştur.

Sonuç:

KT, ağrı dışındaki tüm parametrelerde sham-KT’den üstün görülmüştür. KT’nin tüm parametrelerde KE kadar etkili olduğu bulunmuştur. Ek olarak, US nesnel olarak supraspinatus tendinitinin azaltılabileceğini ve AHD’nin artırılabileceğini ortaya koymuştur. KT, OİS’li hastalarda alternatif bir tedavi seçeneğidir ve KE ile uyumlu olmayan hastalarda tek başına veya KE ile kombinasyon halinde kullanılabilir.

References

Bagcier F, Külcü Geler D, Yorulmaz E, Altınok EÇ. Intra-and inter-rater reliability of ultrasound measurements of supraspinatus tendon thickness, acromiohumeral distance, and occupation ratio in patients with shoulder impingement syndrome. Arch Rheumatol 2020;35:385-93.

Özsoy MH, Fakıoğlu O, Aydoğan NH. Subacromial impingement syndrome. Acta Orthop Traumatol Turc 2013;340-52.

Clausen MB, Bandholm T, Rathleff MS, Christensen KB, Zebis MK, Graven-Nielsen T, et al. The Strengthening Exercises in Shoulder Impingement trial (The SExSI-trial) investigating the effectiveness of a simple add-on shoulder strengthening exercise programme in patients with long-lasting subacromial impingement syndrome: Study protocol for a pragmatic, assessor blinded, parallel-group, randomised, controlled trial. Trials 2018;19:154.

Petri M, Hufman SL, Waser G, Cui H, Snabes MC, Verburg KM. Celecoxib effectively treats patients with acute shoulder tendinitis/bursitis. J Rheumatol 2004;31:1614-20.

Dong W, Goost H, Lin XB, Burger C, Paul C, Wang ZL, et al. Treatments for shoulder impingement syndrome: a PRISMA systematic review and network metaanalysis. Medicine (Baltimore) 2015;94:e510. doi: 10.1097/MD.0000000000000510.

Mostafavifar M, Wertz, J, Borchers J. A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. Phys Sports Med 2012;40:33-40.

Reneker JC, Latham L, McGlawn R, Reneker MR. Effectiveness of kinesiology tape on sports performance abilities in athletes: a systematic review. Phys Ther Sport 2018;31:83-98.

Kul A, Ugur M. Comparison of the Efficacy of conventional physical therapy modalities and kinesio taping treatments in Shoulder Impingement syndrome. Eurasian J Med 2019;51:139-44.

Kinesiotaping method. KinesioTaping Association International Website 2015. Available from: http://www.kinesiotaping.com/about/kinesio-taping-method. Accessed February 25.

Çelik D, Akyüz G, Yeldan İ. Comparison of the effects of two different exercise programs on pain in subacromial impingement syndrome. Acta Orthop Traumatol Turc 2019;43:504-9.

Düger T, Yakut E, Öksüz Ç, Yörükan S, Bilgütay BS, Ayhan Ç, et al. Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Turk J Phys Med Rehab 2006;17:99-107.

Michener LA, Subasi Yesilyaprak SS, Seitz AL, Timmons MK, Walsworth MK. Supraspinatus tendon and subacromial space parameters measured on ultrasonographic imaging in subacromial impingement syndrome. Knee Surg Sports Traumatol Arthrosc 2015;23:363-9.

Ozsahin M, Akgün K, Aktaş İ, Kurtaiş Y. Adaptation of the Shoulder Disability Questionnaire to the Turkish population, its reliability and validity. Int J Rehabil Res 2008;31:241-5.

Michener LA, Walsworth MK, Burnet EN. Effectiveness of rehabilitation for patients with subacromial impingement syndrome: a systematic review. J Hand Ther 2004;17:152-64.

Kocyigit F, Acar M, Turkmen MB, Kose T, Guldane N, Kuyucu E. Kinesio taping or just taping in shoulder subacromial impingement syndrome? A randomized, double-blind, placebo-controlled trial. Physiother Theory Pract 2016;32;501-8.

Celik D, Akyuz G, Yeldan İ. Comparison of the effects of two different exercise programs on pain in subacromial impingement syndrome. Acta Orthop Traumatol Turc 2009;43:504-9.

Kaya E, Zinnuroglu M, Tugcu İ. Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome. Clin Rheumatol 2011;30:201-7.

Thelen MD, James AD, Paul DS. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports phys Ther 2008;3389-395.

Şimşek HH, Balki S, Keklik SS, Öztürk H, Elden H. Does Kinesio taping in addition to exercise therapy improve the outcomes in subacromial impingement syndrome? A randomized, double-blind, controlled clinical trial. Acta Orthop Traumatol Turc 2013;47:104-10.

Kaya DO, Baltacı G, Toprak U, Atay AO. The clinical and sonographic effects of kinesiotaping and exercise in comparison with manual therapy and exercise for patients with subacromial impingement syndrome: a preliminary trial. J Manipulative Physiol Ther 2014;37:422-32.

Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries. Sports Med 2012;42;153-64.

Saavedra-Hernández M, Arroyo-Morales M, Cantarero-Villanueva I, Fernández-Lao C, Castro-Sánchez AM, Puentedura EJ, et al. Short-termeffects of spinal thrust joint manipulation in patients with chronic neck pain: a randomized clinical trial. Clin Rehabil 2013;27:504-12.

Shakeri H, Keshavarz R, Arab AM, Ebrahimi I. Clinical effectiveness of kinesiological taping on pain and pain-free shoulder range of motion in patients with shoulder impingement syndrome: a randomized, double blinded, placebo-controlled trial. Int J Sports Phys Ther 2013;8:800-10.

Pekyavas, NO, Baltaci G. Short-term effects of high-intensity laser therapy, manual therapy, and Kinesio taping in patients with subacromial impingement syndrome. Lasers Med Sci 2016;31:1133-41.

Lyman KJ, Keister K, Gange K, Mellinger CD, Hanson TA. Investigating the effectiveness of kinesio® taping space correction method in healthy adults on patellofemoral joint and subcutaneous space. Int J Sports Phys Ther 2017;12:250-7.

Kase K, Wallis J, Kase T. Clinical therapeutic applications of the kinesio taping method. 3rd ed. Tokyo: Ken Ikai Co. Ltd; 2003.

Dias EM, Portella G, Lemos TV. Bandagens e imobilizadores. profisio esportiva Traumato- Ortopedica 2012;1:89-155.

Cholewinski JJ, Kusz DJ, Wojciechowski P, Cielinski LS, Zoladz MP. Ultrasound measurement of rotator cuff thickness and acromio-humeral distance in the diagnosis of subacromial impingement syndrome of the shoulder. Knee Surg Sports Traumatol Arthrosc 2008;16:408-14.

Leong HT, Tsui S, Ying M, Leung VY, Fu SN. Ultrasound measurements on acromio-humeral distance and supraspinatus tendon thickness: test–retest reliability and correlations with shoulder rotational strengths. J Sci Med Sport 2012;15:284-91.

Omuz Sıkışma Sendromlu Hastalarda Kinezyobantlamanın Ağrı, Fonksiyonellik ve Ultrason Parametreleri Üzerine Etkisi: Randomize Sham-kontrollü Bir Çalışma

ÖZET

References