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Four weeks of exercise regimen for sedentary workers with rounded shoulder posture: a randomized controlled study |
Gunaydin OE, Ertekin E, Gunaydin G |
Revista Paulista de Medicina [Sao Paulo Medical Journal] 2022 Sep;141(3);e2022257 |
clinical trial |
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: Yes; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; 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* |
BACKGROUND: Rounded shoulder (RS) posture causes neck and shoulder pathologies. Mechanical correction taping (MCT) is often incorporated into postural corrective therapies; however, its effects on muscle stiffness are unclear. OBJECTIVE: We investigated the effect of MCT with different tape fabrics, along with exercise, on upper trapezius and pectoralis minor muscle stiffness and the posture of sedentary workers. DESIGN AND SETTING: A randomized controlled study was performed at Aydin Adnan Menderes University, Aydin, Turkey. METHODS: The study included 39 workers with RS posture. Two intervention groups (performance tape: PT and classic tape: CT) were taped twice a week and administered a home exercise program for 4 weeks. The control (C) group performed only home exercises. RS was measured using an acromion-testing table (AT), stiffness using shear wave elastography ultrasound, and shoulder angle (SA) using a smartphone application at baseline and 4 weeks. Time and group interactions were determined using 3 x 2 mixed analysis of variance. RESULTS: Intragroup analyses revealed a significant main effect of time on AT distance (eta2 = 0.445) and SA (eta2 = 0.325) in the PT and C groups (p < 0.05) and left upper trapezius stiffness (eta2 = 0.287) in the CT and C groups (p < 0.05). In the post hoc analyses, no difference was noted between the groups from baseline to 4 weeks (p > 0.05). CONCLUSION: Scapular MCT added to postural exercises did not show any difference between the intervention groups and controls in terms of muscle stiffness and posture in sedentary workers.
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