Article

The aim of this study was to investigate whether kinesiotaping or
subacromial corticosteroid injection provides additional benefit when used with
nonsteroidal anti-inflammatory drugs (NSAIDs) in patients with shoulder
impingement syndrome.
DESIGN: Patients with shoulder impingement syndrome were
divided into 3 groups as follows: NSAID group (n = 33), kinesiotaping group
(kinesiotaping + NSAID) (n = 33), and injection group (subacromial corticosteroid
injection + NSAID) (n = 33). Outcome measures including visual analog scale,
shoulder ranges of motion, Shoulder Disability Questionnaire, and University of
California-Los Angeles (UCLA) scale were evaluated before and after the treatment
(fourth week). RESULTS: A total of 99 patients (21 male and 78 female patients)
were enrolled in this study. Demographic and baseline clinical characteristics of
the groups (except for body mass index and visual analog scale at night, both P =
0.05) were similar between the groups (all P > 0.05). Clinical parameters were
found to have improved in the 3 groups (all P < 0.001). While the kinesiotaping
and injection groups showed similar improvements (all P > 0.05), each group had
better outcome than did the NSAID group as regards pain (activity visual analog
scale), ranges of motion, and Shoulder Disability Questionnaire and UCLA scale
scores (all P < 0.05). CONCLUSIONS: Addition of kinesiotaping or subacromial
corticosteroid injection to NSAID treatment seems to have better/similar
effectiveness in patients with shoulder impingement syndrome. Therefore,
kinesiotaping might serve as an alternative treatment in case (injection of)
corticosteroids are contraindicated. TO CLAIM CME CREDITS: Complete the
self-assessment activity and evaluation online at
http://www.physiatry.org/JournalCME CME OBJECTIVES:: Upon completion of this
article, the reader should be able to: (1) Delineate appropriate treatment
options for shoulder impingement syndrome; (2) Identify treatment benefits of
kinesiotaping and corticosteroid injections in shoulder impingement syndrome; and
(3) Incorporate kinesiotaping and corticosteroid injections into the treatment
plan for patients with shoulder impingement syndrome.
LEVEL: Advanced
ACCREDITATION: : The Association of Academic Physiatrists is accredited by the
Accreditation Council for Continuing Medical Education to provide continuing
medical education for physicians. The Association of Academic Physiatrists
designates this activity for amaximumof 1.5 AMA PRA Category 1 Credit(s).
Physicians should only claim credit commensurate with the extent of their
participation in the activity.

Langue : ANGLAIS