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Kinesio Taping Technique Versus Virtual Reality in Patients With Chronic Shoulder Impingement Syndrome

Primary Purpose

Impingement Syndrome, Shoulder

Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Kinsiotaping
Motion-controlled VR games
Conventional treatment
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Impingement Syndrome, Shoulder

Eligibility Criteria

25 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: 1. Patients will be diagnosed with chronic shoulder impingement syndrome (who had supraspinatus tendinitis stage (II) 2. Ages 25-40 years 3. Both sexes will be included. 4. Patients complaint from limitation in the ROM in abduction flexion and external rotation. 5. Patient complaint from pain and tendinitis in subacromial area more than 3 in VAS. 6. All patients complaint from difficulties in joining ADL activities. 7. All patients will assign written consent form. Exclusion Criteria: Subjects with the following criteria will be excluded from the study: Shoulder fracture or instability. Previous shoulder surgery. Arthritis of the glenohumeral or acromioclavicular joints. Cervical radiculopathy Patients with visual disorders. Diabetic patients. Balance and coordination disorders. Tumor and breast cancer. Major trauma.

Sites / Locations

  • Outpatient clinic, Faculty of Physical Therapy, Cairo University, Egypt.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Kinsiotaping

Virtual Reality training

conventional treatment

Arm Description

patients who received kinesiotaping plus conventional treatment for chronic shoulder impingement syndrome.

patients who received VR training plus conventional treatment for chronic shoulder impingement syndrome.

patients who received conventional treatment for chronic shoulder impingement syndrome only.

Outcomes

Primary Outcome Measures

Assessing the change in musculoskeletal disorders of the upper limbs
Assessment by using Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH). The DASH is a 30-item self-report questionnaire designed to assess musculoskeletal disorders of the upper limbs. Scoring the DASH 30-item disability/symptom section: 1) Item responses range from 1 (e.g. no difficulty, not at all, not limited, none, strongly disagree) to 5 (e.g. unable, extremely, unable, strongly agree). Scoring the optional 2 4-item high performance sections: 1) Add values of each response, then divide by 4, subtract 1 and multiply by 25: [((sum of values/4) - 1)*25]. 2) Optional modules should not be scored if items are missing. Arabic version of DASH questionnaire will be used, Which is reliable and valid to be used for evaluating upper extremity work related injuries.
Assessing the change in pain intensity
Assessment by using visual analouge scale (VAS). It was used to assess the intensity of pain. Operationally a VAS is usually a horizontal line, l00 mm in length, anchored by word descriptors at each end. The patient marks on the line the point that they feel represents their perception of their current state. The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks.
Assessing the change in shoulder range of motion
Assessment by using Electro goniometer. It was used to measure shoulder ROM (flexion, abduction, internal rotation).
Assessing the change in muscle activity of Supraspinatus muscle
Assessment by using Electromyogram (EMG). It was used to measure muscle activity of Supraspinatus, infraspinatus, anterior and middle deltoid.

Secondary Outcome Measures

Full Information

First Posted
November 1, 2022
Last Updated
November 1, 2022
Sponsor
Cairo University
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1. Study Identification

Unique Protocol Identification Number
NCT05607264
Brief Title
Kinesio Taping Technique Versus Virtual Reality in Patients With Chronic Shoulder Impingement Syndrome
Official Title
Kinesio Taping Technique Versus Virtual Reality in Rehabilitation of Patients With Chronic Shoulder Impingement Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
March 1, 2021 (Actual)
Primary Completion Date
January 1, 2022 (Actual)
Study Completion Date
June 1, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Cairo University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Purpose of the Study: to compare between the effect of kinesio taping technique versus virtual reality technique in rehabilitation of patients with chronic shoulder impingement syndrome.
Detailed Description
Rotator cuff disorders are considered to be among the most common causes of shoulder pain and disability encountered in both primary and secondary care, with subacromial impingement syndrome in particular being the most common disorder, resulting in functional loss and disability, of the shoulder. There is a lack of literature about virtual reality exergaming in subjects with orthopedic problems. To reduce UL impairment, new therapeutic approaches, such as constraint-induced movement therapy, robotic arm training, and virtual reality therapy (VRT), have been successfully employed over the last decade. Kinesio taping is the increasingly popular method for preventing and treating sports injuries. The tape helps to maintain the joint position, increases the proprioceptive awareness, and assists in removal of exudates thereby reducing pain and improves the muscle function. So as there is lag in literature regarding the best type of treatment for patients with chronic impingement syndrome so this study will be conducted to compare between kinesiotaping and virtual reality and to determine the best treatment for patients with chronic Shoulder Impingement Syndrome (SIS).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Impingement Syndrome, Shoulder

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
66 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Kinsiotaping
Arm Type
Experimental
Arm Description
patients who received kinesiotaping plus conventional treatment for chronic shoulder impingement syndrome.
Arm Title
Virtual Reality training
Arm Type
Experimental
Arm Description
patients who received VR training plus conventional treatment for chronic shoulder impingement syndrome.
Arm Title
conventional treatment
Arm Type
Active Comparator
Arm Description
patients who received conventional treatment for chronic shoulder impingement syndrome only.
Intervention Type
Other
Intervention Name(s)
Kinsiotaping
Intervention Description
Patients received the kinesiotaping over supraspinatus muscle and deltoid muscle, tape will be removed every three days and subjects will return back to the clinic to reapplication of tape again. Patients received the same therapeutic treatment 3 times/ week for four weeks. KT is air permeable and water resistant, allowing it to stay in place for three to five days.
Intervention Type
Other
Intervention Name(s)
Motion-controlled VR games
Intervention Description
Virtual Rehab utilizes the unique characteristics of Microsoft Kinects motion technology to track and capture the movements of the patients so that patients become immersed in a 3D environment where they interact with the game. Subjects will include in a supervised virtual reality exergaming program for shoulder movements for 4 weeks, 3 days per week and 10 minutes for session.
Intervention Type
Other
Intervention Name(s)
Conventional treatment
Intervention Description
patients received conventional treatment for chronic shoulder impingement syndrome only.
Primary Outcome Measure Information:
Title
Assessing the change in musculoskeletal disorders of the upper limbs
Description
Assessment by using Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH). The DASH is a 30-item self-report questionnaire designed to assess musculoskeletal disorders of the upper limbs. Scoring the DASH 30-item disability/symptom section: 1) Item responses range from 1 (e.g. no difficulty, not at all, not limited, none, strongly disagree) to 5 (e.g. unable, extremely, unable, strongly agree). Scoring the optional 2 4-item high performance sections: 1) Add values of each response, then divide by 4, subtract 1 and multiply by 25: [((sum of values/4) - 1)*25]. 2) Optional modules should not be scored if items are missing. Arabic version of DASH questionnaire will be used, Which is reliable and valid to be used for evaluating upper extremity work related injuries.
Time Frame
at baseline and after 4 weeks of intervention
Title
Assessing the change in pain intensity
Description
Assessment by using visual analouge scale (VAS). It was used to assess the intensity of pain. Operationally a VAS is usually a horizontal line, l00 mm in length, anchored by word descriptors at each end. The patient marks on the line the point that they feel represents their perception of their current state. The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks.
Time Frame
at baseline and after 4 weeks of intervention
Title
Assessing the change in shoulder range of motion
Description
Assessment by using Electro goniometer. It was used to measure shoulder ROM (flexion, abduction, internal rotation).
Time Frame
at baseline and after 4 weeks of intervention
Title
Assessing the change in muscle activity of Supraspinatus muscle
Description
Assessment by using Electromyogram (EMG). It was used to measure muscle activity of Supraspinatus, infraspinatus, anterior and middle deltoid.
Time Frame
at baseline and after 4 weeks of intervention

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 1. Patients will be diagnosed with chronic shoulder impingement syndrome (who had supraspinatus tendinitis stage (II) 2. Ages 25-40 years 3. Both sexes will be included. 4. Patients complaint from limitation in the ROM in abduction flexion and external rotation. 5. Patient complaint from pain and tendinitis in subacromial area more than 3 in VAS. 6. All patients complaint from difficulties in joining ADL activities. 7. All patients will assign written consent form. Exclusion Criteria: Subjects with the following criteria will be excluded from the study: Shoulder fracture or instability. Previous shoulder surgery. Arthritis of the glenohumeral or acromioclavicular joints. Cervical radiculopathy Patients with visual disorders. Diabetic patients. Balance and coordination disorders. Tumor and breast cancer. Major trauma.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hend Ahmed, Physiotherapist
Organizational Affiliation
Cairo University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Outpatient clinic, Faculty of Physical Therapy, Cairo University, Egypt.
City
Dokki
ZIP/Postal Code
35111
Country
Egypt

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Kinesio Taping Technique Versus Virtual Reality in Patients With Chronic Shoulder Impingement Syndrome

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