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  • Author: Fang Wen x
  • Athletic Training, Therapy, and Rehabilitation x
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Yi-Fen Shih, Ya-Fang Lee and Wen-Yin Chen

Context: Scapular proprioception is a key concern in managing shoulder impingement syndrome (SIS). However, no study has examined the effect of elastic taping on scapular proprioception performance. Objective: To investigate the immediate effect of kinesiology taping (KT) on scapular reposition accuracy, kinematics, and muscle activation in individuals with SIS. Design: Randomized controlled study. Setting: Musculoskeletal laboratory, National Yang-Ming University, Taiwan. Participants: Thirty overhead athletes with SIS. Interventions: KT or placebo taping over the upper and lower trapezius muscles. Main Outcome Measures: The primary outcome measures were scapular joint position sense, measured as the reposition errors, in the direction of scapular elevation and protraction. The secondary outcomes were scapular kinematics and muscle activity of the upper trapezius, lower trapezius, and serratus anterior during arm elevation in the scapular plane (scaption). Results: Compared with placebo taping, KT significantly decreased the reposition errors of upward/downward rotation (P = .04) and anterior/posterior tilt (P = .04) during scapular protraction. KT also improved scapular kinematics (significant group by taping effect for posterior tilt, P = .03) during scaption. Kinesiology and placebo tapings had a similar effect on upper trapezius muscle activation (significant taping effect, P = .003) during scaption. Conclusions: Our study identified the positive effects of KT on scapular joint position sense and movement control. Future studies with a longer period of follow-up and clinical measurement might help to clarify the clinical effect and mechanisms of elastic taping in individuals with SIS.

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Rong-Ju Cherng, Hua-Fang Liao, Henry W.C. Leung and Ai-Wen Hwang

This study investigated the effectiveness of a16-week therapeutic horseback riding (THR) program on the gross motor function measures (GMFM) and the muscle tone of hip adductors in 14 children with spastic cerebral palsy (age: 3 years, one month to 11 years, 5 months). In the first phase of 16 weeks, nine of the children received the THR in addition to their regular treatment, while the rest received their regular treatment only. In the second phase (also 16 weeks), the arrangements were reversed. After THR, some of the children improved significantly in the GMFM E (walk/run/jump) score and the total score. The effect appears to be sustained for at least 16 weeks. No effect of THR on muscle tone was noted. We conclude that THR may be beneficial for some children with spastic cerebral palsy.