Semptomatik Rotator Kaf Tendinopatili Bireylerde Dinamik Bantın Akromiohumeral Mesafe, Omuz Propriosepsiyonu ve Eklem Hareket Açıklığı Üzerindeki Akut Etkisinin Araştırılması
Öz
Giriş: Dinamik bant 2009 yılında kas-iskelet sistemi fizyoterapisti Ryan Kendrick tarafından geliştirilen, dört yönde ve %200'den fazla esneme özeliği olan elastik terapötik bir banttır. Tedavide nörofizyolojik etkisinin yanı sıra güçlü biomekanik etkisi bulunmaktadır. Amaç: Bu araştırmanın amacı, semptomatik rotator kaf tendinopatili (RKT) bireylerde semptomatik omuza uygulanan dinamik bantın akromiohumeral mesafe, omuz eklem hareket açıklığı ve propriosepsiyon üzerindeki akut etkisini araştırmaktı. Yöntem: Çalışmaya RKT’li, yaşları 34-65 arasında değişen ve yaş ortalamaları 54.35±8.04 olan 17 birey dahil edildi. Akromiohumeral mesafe (AHM) Ultrason cihazı ile omuz nötral ve 60° abduksiyon pozisyonunda değerlendirildi. Omuz eklemi propriosepsiyon duyusu dijital inklinometre ile aktif repozisyon testi kullanılarak 30° ve 60° omuz fleksiyon açılarında değerlendirildi. Omuz ağrısız ve tam eklem hareket açıklığı (fleksiyon, abduksiyon, internal ve external rotasyon) standart gonyometre ile değerlendirildi. Bütün değerlendirmeler bantlama öncesi ve sonrası (30 dakika) olmak üzere 2 kez tekrar edildi. Karşılaştırmalarda normal dağılım gösteren veriler için eşleştirilmiş t testi, normal dağılım göstermeyen veriler için Wilcoxon testi kullanıldı. Bulgular: Bantlama öncesi ve sonrası AHM nötral (0°) ve 60º abduksiyon ölçümlerinde istatistiksel olarak anlamlı fark vardı (p<0,001) ve bantlama sonrası AHM değeri daha yüksekti. Benzer şekilde olguların bantlama öncesi ve sonrası propriosepsiyon ölçümleri istatistiksel olarak anlamlıydı (p<0,001). Ağrısız ve tam omuz eklem hareket açıklığı ölçümlerinde ise istatistiksel olarak anlamlı fark yoktu. Sonuç: Bu çalışmada elde edilen verilere göre dinamik bantın semptomatik RKT olan bireylerde akut dönemde AHM’yi arttırmak ve propriosepsiyonu iyileştirmek için etkili bir yöntem olduğu görülmüştür. Omuz ağrısız ve tam eklem hareket açıklığı üzerinde ise değişiklik yaratmadığı tespit edilmiştir
Anahtar Kelimeler
Rotator kaf tendinopatisi Akromiohumeral mesafe Ultrason Propriosepsiyon Eklem hareket açıklığı
Destekleyen Kurum
TÜBİTAK
Teşekkür
Meltem Koç, doktora eğitimi sırasında Türkiye Bilimsel ve Teknolojik Araştırma Kurumu'ndan (TÜBİTAK) burs almıştır. Bu çalışma onun doktora tezinin bir parçasıdır. Doktora eğitimine verdiği destekten dolayı TÜBİTAK’ a teşekkürlerini sunar.
Kaynakça
- 1. Luime J, Koes B, Hendriksen I, Burdorf A, Verhagen A, Miedema H, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33(2):73-81.
- 2. Navarro-Ledesma S, Luque-Suarez A. Comparison of acromiohumeral distance in symptomatic and asymptomatic patient shoulders and those of healthy controls. Clin Biomech. 2018;53:101-6.
- 3. Lewis J. Rotator cuff related shoulder pain: assessment, management and uncertainties. Man Ther. 2016;23:57-68.
- 4. Burfeind SM, Chimera N. Randomized control trial investigating the effects of kinesiology tape on shoulder proprioception. J Sport Rehabil. 2015;24(4):405-12.
- 5. Ottenheijm RP, Joore MA, Walenkamp GH, Weijers RE, Winkens B, Cals JW, et al. The Maastricht Ultrasound Shoulder pain trial (MUST): Ultrasound imaging as a diagnostic triage tool to improve management of patients with non-chronic shoulder pain in primary care. BMC Musculoskeletal Disord. 2011;12(1):1-9.
- 6. de Oliveira FCL, Pairot de Fontenay B, Bouyer LJ, Desmeules F, Roy J-S. Kinesiotaping for the Rehabilitation of Rotator Cuff–Related Shoulder Pain: A Randomized Clinical Trial. Sports health. 2021;13(2):161-172.
- 7. McClure PW, Michener LA, Karduna AR. Shoulder function and 3-dimensional scapular kinematics in people with and without shoulder impingement syndrome. Phys Ther. 2006;86(8):1075-90.
- 8. Kuhn JE. Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol. J Shoulder Elbow Surg. 2009;18(1):138-60.
- 9. Myers JB, Wassinger CA, Lephart SM. Sensorimotor contribution to shoulder stability: effect of injury and rehabilitation. Man Ther. 2006;11(3):197-201.
- 10. McLaren C, Colman Z, Rix A, Sullohern C. The effectiveness of scapular taping on pain and function in people with subacromial impingement syndrome: a systematic review. Int Musculoskeletal Med. 2016;38(3-4):81-9.
- 11. de Oliveira FCL, de Fontenay BP, Bouyer LJ, Roy J-S. Immediate effects of kinesiotaping on acromiohumeral distance and shoulder proprioception in individuals with symptomatic rotator cuff tendinopathy. Clin Biomech. 2019;61:16-21.
- 12. De Oliveira FCL, De Fontenay BP, Bouyer LJ, Desmeules F, Roy J-S. Effects of kinesiotaping added to a rehabilitation programme for patients with rotator cuff tendinopathy: protocol for a single-blind, randomised controlled trial addressing symptoms, functional limitations and underlying deficits. BMJ open. 2017;7(9):e017951.
- 13. Gumina S, Camerota F, Celletti C, Venditto T, Candela V. The effects of rotator cuff tear on shoulder proprioception. Int Orthop. 2019;43(1):229-35.
- 14. Martins da Silva L, Maciel Bello G, Chuaste Flores B, Silva Dias L, Camargo P, Mengue L, et al. Kinesio Tape In Shoulder Rotator Cuff Tendinopathy: A Randomized, Blind Clinical Trial. Muscles Ligaments Tendons J. 2020;10(3):364-375
- 15. McNeill W, Pedersen C. Dynamic tape. Is it all about controlling load? J Bodyw Mov Ther. 2016;20(1):179-88.
- 16. Robinson N, Spratford W, Welvaert M, Gaida J, Fearon A. Does Dynamic Tape change the walking biomechanics of women with greater trochanteric pain syndrome? A blinded randomised controlled crossover trial. Gait & posture. 2019;70:275-83.
- 17. Alahmari KA, Rengaramanujam K, Reddy RS, Samuel PS, Tedla JS, Kakaraparthi VN, et al. The immediate and short-term effects of dynamic taping on pain, endurance, disability, mobility and kinesiophobia in individuals with chronic non-specific low back pain: A randomized controlled trial. PloS one. 2020;15(9):e0239505.
- 18. Park SJ, Kim SY. The effect of scapular dynamic taping on pain, disability, upper body posture and range of motion in the postoperative shoulder. Korean Soc Phys Med. 2018;13(4):149-62.
- 19. Bittencourt N, Leite M, Zuin A, Pereira M, Gonçalves G, Signoretti S. Dynamic Taping and high frontal plane knee projection angle in female volleyball athletes. Br J Sports Med. 2017;51(4):297-8.
- 20. McCreesh KM, Anjum S, Crotty JM, Lewis JS. Ultrasound measures of supraspinatus tendon thickness and acromiohumeral distance in rotator cuff tendinopathy are reliable. J Clin Ultrasound. 2016;44(3):159-66.
- 21. Riddle DL, Rothstein JM, Lamb RL. Goniometric reliability in a clinical setting: shoulder measurements. Phys Ther. 1987;67(5):668-73.
- 22. Kabak B, Kocahan T, Akinoğlu B, Hasanoğlu A. Okçularda Tutuş ve Çekme Kollarının Omuz Eklemi Kas Kuvveti, Esneklik ve Propriosepsiyon Duyusunun Karşılaştırılması. Spor Bilimleri Dergisi. 2020;31(1):20-8.
- 23. Yang JL, Chen S, Jan MH, Lin YF, Lin JJ. Proprioception assessment in subjects with idiopathic loss of shoulder range of motion: joint position sense and a novel proprioceptive feedback index. J Orthop Res. 2008;26(9):1218-1224.
- 24. Upper Limb Offload Tecnic. [cited 2021 17.08.2021]; Available from: https://dynamictape.com/intro-videos/. 25. Saupe N, Pfirrmann CW, Schmid MR, Jost B, Werner CM, Zanetti M. Association between rotator cuff abnormalities and reduced acromiohumeral distance. Am J Roentgenol. 2006;187(2):376-82.
- 26. McCreesh KM, Crotty JM, Lewis JS. Acromiohumeral distance measurement in rotator cuff tendinopathy: is there a reliable, clinically applicable method? A systematic review. Br J Sports Med. 2015;49(5):298-305.
- 27. Azzoni R, Cabitza P, Parrini M. Sonographic evaluation of subacromial space. Ultrasonics. 2004;42(1-9):683-7.
- 28. Pijls BG, Kok FP, Penning LI, Guldemond NA, Arens HJ. Reliability study of the sonographic measurement of the acromiohumeral distance in symptomatic patients. J Clin Ultrasound. 2010;38(3):128-34.
- 29. Desmeules F, Minville L, Riederer B, Côté CH, Frémont P. Acromio-humeral distance variation measured by ultrasonography and its association with the outcome of rehabilitation for shoulder impingement syndrome. Clin J Sport Med. 2004;14(4):197-205.
- 30. Bey MJ, Brock SK, Beierwaltes WN, Zauel R, Kolowich PA, Lock TR. In vivo measurement of subacromial space width during shoulder elevation: technique and preliminary results in patients following unilateral rotator cuff repair. Clin Biomech. 2007;22(7):767-73.
- 31. McCreesh KM, Crotty JM, Lewis JS. Acromiohumeral distance measurement in rotator cuff tendinopathy: is there a reliable, clinically applicable method? A systematic review. Br J Sports Med. 2015;49(5):298-305.
- 32. Luque-Suarez A, Navarro-Ledesma S, Petocz P, Hancock M, Hush J. Short term effects of kinesiotaping on acromiohumeral distance in asymptomatic subjects: a randomised controlled trial. Man Ther. 2013;18(6):573-7.
- 33. Harput G, Guney H, Toprak U, Colakoglu F, Baltaci G. Acute effects of scapular Kinesio Taping® on shoulder rotator strength, ROM and acromiohumeral distance in asymptomatic overhead athletes. J Sports Med Phys Fitness. 2016;57(11):1479-85.
- 34. Park SY, Kim MJ, Seol SE, Hwang C, Hong JS, Kim HO, et al., Effects of dynamic taping on shoulder joint proprioception. Phys Ther. 2020;9(4):269-274.
- 35. Ager AL, Borms D, Deschepper L, Dhooghe R, Dijkhuis J, Roy JS, et al., Proprioception: How is it affected by shoulder pain? A systematic review. J Hand Ther. 2020;33(4):507-516.
- 36. Shih YF, Lee YF, Chen WY. Effects of kinesiology taping on scapular reposition accuracy, kinematics, and muscle activity in athletes with shoulder impingement syndrome: a randomized controlled study. J Sport Reh. 2018;27(6):560-9.
- 37. Park SJ and Kim SY. The effect of scapular dynamic taping on pain, disability, upper body posture and range of motion in the postoperative shoulder. Korean Soc Phys Med. 2018;13(4):149-162.
INVESTIGATION OF THE ACUTE EFFECTS OF DYNAMIC TAPE ON ACROMIOHUMERAL DISTANCE, SHOULDER PROPRIOCEPTION AND RANGE OF MOTION IN INDIVIDUALS WITH SYMPTOMATIC ROTATOR CUFF TENDINOPATHY
Öz
Backgraund: Dynamic tape is an elastic therapeutic tape developed in 2009 by Ryan Kendrick, a musculoskeletal system physiotherapist, with four directions and more than 200% stretch. In addition to its neurophysiological effect, it has a strong biomechanical effect in the treatment. Aim: The aim of this study was to investigate the acute effect of dynamic tape applied to the symptomatic shoulder on acromiohumeral distance, shoulder range of motion, and proprioception in individuals with symptomatic rotator cuff tendinopathy (RCT). Method: Seventeen individuals with RCT, aged between 34-65 and a mean age of 54.35±8.04, were included in the study. Acromiohumeral distance (AHD) was evaluated with the ultrasound device when the shoulder was in neutral and 60° abduction position. The sense of proprioception of the shoulder joint was evaluated at 30° and 60° shoulder flexion angles using the active reposition test with a digital inclinometer. The painless and full range of motion of the shoulder (flexion, abduction, internal and external rotation) was evaluated with a standard goniometer. All evaluations were repeated twice, before and after taping (30 minutes). Paired sample t-test was used for normally distributed data in comparisons, and Wilcoxon test was used for non-normally distributed data. Results: There was a statistically significant difference in AHD neutral (0°) and 60º abduction measurements before and after taping (p<0.001), and the AHD value was higher after taping. Similarly, proprioception measurements of the cases before and after taping were statistically significant (p<0.001). There was no statistically significant difference in painless and full shoulder range of motion measurements. Conclusion: According to the data obtained in this study, it was seen that dynamic tape is an effective method to increase AHD and improve proprioception in the acute period in individuals with symptomatic RCT. It was found that shoulder painless and full range of motion no change in were found
Anahtar Kelimeler
Rotator cuff tendinopathy Acromiohumeral distance Ultrasound Proprioception Range of motion
Kaynakça
- 1. Luime J, Koes B, Hendriksen I, Burdorf A, Verhagen A, Miedema H, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33(2):73-81.
- 2. Navarro-Ledesma S, Luque-Suarez A. Comparison of acromiohumeral distance in symptomatic and asymptomatic patient shoulders and those of healthy controls. Clin Biomech. 2018;53:101-6.
- 3. Lewis J. Rotator cuff related shoulder pain: assessment, management and uncertainties. Man Ther. 2016;23:57-68.
- 4. Burfeind SM, Chimera N. Randomized control trial investigating the effects of kinesiology tape on shoulder proprioception. J Sport Rehabil. 2015;24(4):405-12.
- 5. Ottenheijm RP, Joore MA, Walenkamp GH, Weijers RE, Winkens B, Cals JW, et al. The Maastricht Ultrasound Shoulder pain trial (MUST): Ultrasound imaging as a diagnostic triage tool to improve management of patients with non-chronic shoulder pain in primary care. BMC Musculoskeletal Disord. 2011;12(1):1-9.
- 6. de Oliveira FCL, Pairot de Fontenay B, Bouyer LJ, Desmeules F, Roy J-S. Kinesiotaping for the Rehabilitation of Rotator Cuff–Related Shoulder Pain: A Randomized Clinical Trial. Sports health. 2021;13(2):161-172.
- 7. McClure PW, Michener LA, Karduna AR. Shoulder function and 3-dimensional scapular kinematics in people with and without shoulder impingement syndrome. Phys Ther. 2006;86(8):1075-90.
- 8. Kuhn JE. Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol. J Shoulder Elbow Surg. 2009;18(1):138-60.
- 9. Myers JB, Wassinger CA, Lephart SM. Sensorimotor contribution to shoulder stability: effect of injury and rehabilitation. Man Ther. 2006;11(3):197-201.
- 10. McLaren C, Colman Z, Rix A, Sullohern C. The effectiveness of scapular taping on pain and function in people with subacromial impingement syndrome: a systematic review. Int Musculoskeletal Med. 2016;38(3-4):81-9.
- 11. de Oliveira FCL, de Fontenay BP, Bouyer LJ, Roy J-S. Immediate effects of kinesiotaping on acromiohumeral distance and shoulder proprioception in individuals with symptomatic rotator cuff tendinopathy. Clin Biomech. 2019;61:16-21.
- 12. De Oliveira FCL, De Fontenay BP, Bouyer LJ, Desmeules F, Roy J-S. Effects of kinesiotaping added to a rehabilitation programme for patients with rotator cuff tendinopathy: protocol for a single-blind, randomised controlled trial addressing symptoms, functional limitations and underlying deficits. BMJ open. 2017;7(9):e017951.
- 13. Gumina S, Camerota F, Celletti C, Venditto T, Candela V. The effects of rotator cuff tear on shoulder proprioception. Int Orthop. 2019;43(1):229-35.
- 14. Martins da Silva L, Maciel Bello G, Chuaste Flores B, Silva Dias L, Camargo P, Mengue L, et al. Kinesio Tape In Shoulder Rotator Cuff Tendinopathy: A Randomized, Blind Clinical Trial. Muscles Ligaments Tendons J. 2020;10(3):364-375
- 15. McNeill W, Pedersen C. Dynamic tape. Is it all about controlling load? J Bodyw Mov Ther. 2016;20(1):179-88.
- 16. Robinson N, Spratford W, Welvaert M, Gaida J, Fearon A. Does Dynamic Tape change the walking biomechanics of women with greater trochanteric pain syndrome? A blinded randomised controlled crossover trial. Gait & posture. 2019;70:275-83.
- 17. Alahmari KA, Rengaramanujam K, Reddy RS, Samuel PS, Tedla JS, Kakaraparthi VN, et al. The immediate and short-term effects of dynamic taping on pain, endurance, disability, mobility and kinesiophobia in individuals with chronic non-specific low back pain: A randomized controlled trial. PloS one. 2020;15(9):e0239505.
- 18. Park SJ, Kim SY. The effect of scapular dynamic taping on pain, disability, upper body posture and range of motion in the postoperative shoulder. Korean Soc Phys Med. 2018;13(4):149-62.
- 19. Bittencourt N, Leite M, Zuin A, Pereira M, Gonçalves G, Signoretti S. Dynamic Taping and high frontal plane knee projection angle in female volleyball athletes. Br J Sports Med. 2017;51(4):297-8.
- 20. McCreesh KM, Anjum S, Crotty JM, Lewis JS. Ultrasound measures of supraspinatus tendon thickness and acromiohumeral distance in rotator cuff tendinopathy are reliable. J Clin Ultrasound. 2016;44(3):159-66.
- 21. Riddle DL, Rothstein JM, Lamb RL. Goniometric reliability in a clinical setting: shoulder measurements. Phys Ther. 1987;67(5):668-73.
- 22. Kabak B, Kocahan T, Akinoğlu B, Hasanoğlu A. Okçularda Tutuş ve Çekme Kollarının Omuz Eklemi Kas Kuvveti, Esneklik ve Propriosepsiyon Duyusunun Karşılaştırılması. Spor Bilimleri Dergisi. 2020;31(1):20-8.
- 23. Yang JL, Chen S, Jan MH, Lin YF, Lin JJ. Proprioception assessment in subjects with idiopathic loss of shoulder range of motion: joint position sense and a novel proprioceptive feedback index. J Orthop Res. 2008;26(9):1218-1224.
- 24. Upper Limb Offload Tecnic. [cited 2021 17.08.2021]; Available from: https://dynamictape.com/intro-videos/. 25. Saupe N, Pfirrmann CW, Schmid MR, Jost B, Werner CM, Zanetti M. Association between rotator cuff abnormalities and reduced acromiohumeral distance. Am J Roentgenol. 2006;187(2):376-82.
- 26. McCreesh KM, Crotty JM, Lewis JS. Acromiohumeral distance measurement in rotator cuff tendinopathy: is there a reliable, clinically applicable method? A systematic review. Br J Sports Med. 2015;49(5):298-305.
- 27. Azzoni R, Cabitza P, Parrini M. Sonographic evaluation of subacromial space. Ultrasonics. 2004;42(1-9):683-7.
- 28. Pijls BG, Kok FP, Penning LI, Guldemond NA, Arens HJ. Reliability study of the sonographic measurement of the acromiohumeral distance in symptomatic patients. J Clin Ultrasound. 2010;38(3):128-34.
- 29. Desmeules F, Minville L, Riederer B, Côté CH, Frémont P. Acromio-humeral distance variation measured by ultrasonography and its association with the outcome of rehabilitation for shoulder impingement syndrome. Clin J Sport Med. 2004;14(4):197-205.
- 30. Bey MJ, Brock SK, Beierwaltes WN, Zauel R, Kolowich PA, Lock TR. In vivo measurement of subacromial space width during shoulder elevation: technique and preliminary results in patients following unilateral rotator cuff repair. Clin Biomech. 2007;22(7):767-73.
- 31. McCreesh KM, Crotty JM, Lewis JS. Acromiohumeral distance measurement in rotator cuff tendinopathy: is there a reliable, clinically applicable method? A systematic review. Br J Sports Med. 2015;49(5):298-305.
- 32. Luque-Suarez A, Navarro-Ledesma S, Petocz P, Hancock M, Hush J. Short term effects of kinesiotaping on acromiohumeral distance in asymptomatic subjects: a randomised controlled trial. Man Ther. 2013;18(6):573-7.
- 33. Harput G, Guney H, Toprak U, Colakoglu F, Baltaci G. Acute effects of scapular Kinesio Taping® on shoulder rotator strength, ROM and acromiohumeral distance in asymptomatic overhead athletes. J Sports Med Phys Fitness. 2016;57(11):1479-85.
- 34. Park SY, Kim MJ, Seol SE, Hwang C, Hong JS, Kim HO, et al., Effects of dynamic taping on shoulder joint proprioception. Phys Ther. 2020;9(4):269-274.
- 35. Ager AL, Borms D, Deschepper L, Dhooghe R, Dijkhuis J, Roy JS, et al., Proprioception: How is it affected by shoulder pain? A systematic review. J Hand Ther. 2020;33(4):507-516.
- 36. Shih YF, Lee YF, Chen WY. Effects of kinesiology taping on scapular reposition accuracy, kinematics, and muscle activity in athletes with shoulder impingement syndrome: a randomized controlled study. J Sport Reh. 2018;27(6):560-9.
- 37. Park SJ and Kim SY. The effect of scapular dynamic taping on pain, disability, upper body posture and range of motion in the postoperative shoulder. Korean Soc Phys Med. 2018;13(4):149-162.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 24 Aralık 2021 |
| Gönderilme Tarihi | 18 Temmuz 2021 |
| Kabul Tarihi | 22 Ağustos 2021 |
| Yayımlandığı Sayı | Yıl 2021 Cilt: 6 Sayı: 3 |