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The effects of rigid scapular taping on the subacromial space in athletes with and without rotator cuff tendinopathy: a randomized controlled study
Leong HT, Fu SN
Journal of Sport Rehabilitation 2019 Mar;28(3):250-255
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

CONTEXT: Reduction of the subacromial space (SAS) during arm elevation may contribute to rotator cuff (RC) tendinopathy. The effects of scapular taping on the SAS in athletes with and without RC tendinopathy are unknown. OBJECTIVE: To investigate the immediate effects of scapular taping on the SAS in athletes with and without RC tendinopathy. DESIGN: Randomized controlled study with repeated measures. SETTING: University laboratory. PARTICIPANTS: A total of 43 male volleyball players (17 asymptomatic and 26 with RC tendinopathy, mean age 22.9 (3.5) y) participated in the study. INTERVENTION: Three scapular taping protocols-no taping (control), taping with tension (therapeutic taping), and taping without tension (sham taping). MAIN OUTCOME MEASURES: Ultrasound measurements of the SAS with the arm at 0 degrees and 60 degrees of shoulder abduction, and the change in the SAS between 0 degrees and 60 degrees of shoulder abduction (SAS (0 degrees to 60 degrees)) were calculated. RESULTS: Athletes with RC tendinopathy demonstrated larger SAS with therapeutic taping at 60 degrees of shoulder abduction (6.9 (1.9) mm versus 5.8 (1.7) mm, mean difference 1.1 mm, 95% confidence interval -1.80 to -0.39, p = 0.002) when compared with the no taping condition. The tendinopathy group also showed less reduction in the SAS with therapeutic taping during SAS (0 degrees to 60 degrees) (2.0 (1.4) mm versus 2.8 (1.4) mm, p = 0.02) when compared with the no taping condition. When tape was applied to the scapula in asymptomatic athletes, our results showed a relatively small increase in the SAS with therapeutic taping during arm resting at 0 degrees of abduction when compared with the no taping condition (8.7 (0.9) mm versus 8.3 (0.8) mm, mean difference 0.4 mm, 95% confidence interval -0.71 to -0.11, p = 0.01). CONCLUSIONS: Athletes with RC tendinopathy demonstrated less reduction of the SAS with rigid scapular taping during early arm abduction. Such observation was not evidenced in asymptomatic athletes.
Copyright Human Kinetics. Reprinted with permission from Human Kinetics (Champaign, IL).

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