Document Type : Original Articles
Authors
1 Iran University of Medical Sciences
2 Tehran University of Medical Sciences
Abstract
Background: Rounded shoulder posture is a common abnormal posture in upper quarter. Kinesiotape is a new intervention that recently used in rehabilitation. There are no studies have examined the effect of kinesiotape on rounded shoulder posture. Therefore the purpose of this study was to determine the effect of scapular kinesiotaping and pectoralis minor stretching exercise on forward shoulder angle in female subjects with rounded shoulder posture.Methods: Twenty female students aged between 18 to 25 years old with rounded shoulder posture participated in this study. Then, the subjects were randomly and equally assigned to two groups: the stretch group and the stretch plus kinesiotape group. Both groups were trained for doing home exercise to stretch Pectoralis minor bilaterally for two weeks. Kinesiotape group received kinesiotape on scapular area additionally. Forward shoulder angle was measured in four sessions including pre-intervention (first session), immediately after the first intervention (second session), fourth day (third session) and at the end of two weeks (fourth session). Two-way repeated measures ANOVA (4x2) was used for data analysis.Results: kinesiotape group showed significant within-group decrease in forward shoulder angle between first session with three other sessions (P≤0.05).There was no significant within-group difference in stretch group and between groups (P=0.20) forward shoulder angle-by-group interaction in measurement sessions was significantly different (P=0.02)Conclusion: scapular kinesiotaping along with pectoralis minor stretching exercise improved rounded shoulder posture in subjects of the present study. kinesiotape is suggested as a complementary treatment with immediate effects on postural correction of rounded shoulder.
Keywords
- Kendall, and B. McCreary, Muscle testing and function Baltimore. Editor: Williams and Wilkins, Baltimore:1993, 235-237
- Roddey, Toni S. Olson, and S. Grant, The effect of pectoralis muscle stretching on the resting position of the scapula in persons with varying degrees of forward head/rounded shoulder posture. J Man Manip Ther, 2002. 10(3): p. 124-128.
- Wong C.K., Coleman D, Dipersia V, Song j, Wright D, The effects of manual treatment on rounded-shoulder posture, and associated muscle strength. J Bodyw Mov Ther.2009.14(4): p. 326-333.
- Lewis, J.S., C. Wright, and A. Green, Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement. J Orthop Sports Phys Ther, 2005. 35(2): p. 72-87.
- Thigpen C.A., Padua DA, Michener LA, Guskiewicz K, Giuliani C, Keener JD, Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. J Electromyogr Kinesiol.2010. 20(4): p. 701-709.
- Wang C.H., McClure P, Pratt NE, Nobilini R, Stretching and strengthening exercises: their effect on three-dimensional scapular kinematics. Arch Phys Med Rehabil, 1999. 80(8): p. 923-929.
- John,A. round shoulder syndrome. Ideal health and fitness source, 2000.
- Sahrmann, S., Diagnosis and treatment of movement impairment syndromes. Editor: St. Louis: mosby: 2002, 294-296
- Harman, K., C.L. Hubley-Kozey, and H. Butler, Effectiveness of an exercise program to improve forward head posture in normal adults: a randomized, controlled 10-week trial. J Man Manip Ther, 2005. 13(3): p. 163-176.
- Ha SM, Kwon OY, Jeon HS, Lee WH, Effects of passive correction of scapular position on pain, proprioception, and range of motion in neck-pain patients with bilateral scapular downward-rotation syndrome. Manual Ther.2011. 16(6): p. 585-589.
- Morrissey, D., Proprioceptive shoulder taping. J Bodyw Mov Ther, 2000. 4(3): p. 189-194.
- Yoo, W.-g., Effect of the Neck Retraction Taping (NRT) on Forward Head Posture and the Upper Trapezius Muscle during Computer Work. J Phys Ther Sci.2013. 25(5): p. 581.
- Hwang-Bo, G., J.-H. Lee, and H.-D. Kim, Efficacy of kinesiology taping for recovery of dominant upper back pain in female sedentary worker having a rounded shoulder posture. Technol Health Care.2013. 21(6): p. 607-612.
- Borstad, J.D. and P.M. Ludewig, Comparison of three stretches for the pectoralis minor muscle. J Shoulder Elbow Surg, 2006. 15(3): p. 324-330.
- Kase, K., J. Wallis, and T. Kase, Clinical therapeutic applications of the kinesio taping method. 2003: 21-22.
- Greig A.M., Bennell KL, Briggs AM, Hodges PW, Postural taping decreases thoracic kyphosis but does not influence trunk muscle electromyographic activity or balance in women with osteoporosis. Manual Ther, 2008. 13(3): p. 249-257.
- Kumar, N.S.S., A. Nehru, and D. Rajalakshmi, Effect of taping as a component of conservative treatment for subacromial impingement syndrome. Health.2012. 4(4): p. 237-241.
- Shaheen A.F., Villa C, Lee YN, Bull AM, Alxander CM, Scapular taping alters kinematics in asymptomatic subjects. J Electromyogr Kinesiol.2013. 23(2): p. 326-333.
- Lephart S.M., Pincivero PM, Giraldo JL, Fu FH, The role of proprioception in the management and rehabilitation of athletic injuries. T Am J Sports Med, 1997. 25(1): p. 130-137.
- Lohrer, H., W. Alt, and A. Gollhofer, Neuromuscular properties and functional aspects of taped ankles. T Am J Sports Med, 1999. 27(1): p. 69-75.
- Robbins, S., E. Waked, and R. Rappel, Ankle taping improves proprioception before and after exercise in young men. Br. J. Sports Med, 1995. 29(4): p. 242-247.
- Host, H.H., Scapular taping in the treatment of anterior shoulder impingement. Phys Ther, 1995. 75(9): p. 803-812.
)