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Aydan Aytar, Gul Baltaci, Tim Uhl, Handan Tuzun, Pinar Oztop and Metin Karatas

Objective:

To determine the effects of scapular mobilization on function, pain, range of motion, and satisfaction in patients with subacromial impingement syndrome (SAIS).

Design:

Randomized, double-blind, placebo-controlled clinical trial.

Setting:

University hospital clinics in Turkey.

Participants:

66 participants (mean ± SD age 52.06 ± 3.71 y) with SAIS.

Interventions:

Participants were randomized into 3 groups: scapular mobilization, sham scapular mobilization, and supervised exercise. Before the interventions transcutaneous electrical stimulation and hot pack were applied to all groups. Total intervention duration for all groups was 3 wk with a total of 9 treatment sessions.

Main Outcome Measures:

Shoulder function and pain intensity were primary outcome measures; range of motion and participant satisfaction were secondary outcome measures. Shoulder function was assessed with the short form of the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH). A visual analog scale was used to evaluate pain severity. Active range of motion was measured with a universal goniometer. A 7-point Likert scale was used to evaluate satisfaction. Outcome measurements were performed at baseline, before visits 5 and 10, 4 wk after visit 9, and 8 wk after visit 9.

Results:

There was no group difference for DASH score (P = .75), pain at rest (P = .41), pain with activity (P = .45), pain at night (P = .74), and shoulder flexion (P = .65), external rotation (P = .63), and internal rotation (P = .19). There was a significant increase in shoulder motion and function and a significant decrease in pain across time when all groups were combined (P < .001). The level of satisfaction was not significantly different for any of the questions about participant satisfaction between all groups (P > .05).

Conclusion:

There was not a significant advantage of scapular mobilization for shoulder function, pain, range of motion, and satisfaction compared with sham or supervised-exercise groups in patients with SAIS.

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Neslihan Duruturk, Nihan Ozunlu Pekyavas, Atakan Yρlmaz and Metin Karatas

Objective:

Aerobic and anaerobic exercise capacities are important components of athletic performance. The use of Kinesio Taping® (KT) as a supplementary treatment in athletic settings has increased in the recent years. KT can facilitate muscle contraction, which may be useful for improving performance. The purpose of this study was to determine whether the application of KT to the quadriceps muscle has any effect on anaerobic and aerobic performance in young healthy individuals.

Design:

Randomized, controlled, double-blind clinical study.

Setting:

Baskent University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation.

Patients:

Thirty-two healthy male participants were randomly assigned to either the KT group or a sham KT (SKT) group.

Interventions:

The KT muscle facilitation technique was applied to the quadriceps muscle bilaterally and measurements were taken 45 min later to ensure full adhesion.

Main Outcome Measures:

The Wingate cycle ergometer test was used to assess peak anaerobic power (peak AnP, in Watts) and exercise capacity (Watt/kg), while the 6-minute walk test (6MWT) was used to assess aerobic exercise capacity of the participants. Comparisons between groups were performed using the nonparametric Mann-Whitney U test, while those between baseline and posttaping used the nonparametric Wilcoxon test.

Results:

No significant difference was found between the two groups in the aerobic or anaerobic test parameters (p > .05). Within the groups, a significant improvement in time factors in peak AnP (929.7 2 ± 184.37 W to 1043.49 ± 224.42 W) was found only in the KT group (p = .028) and no other parameter was significantly different (p > .05).

Conclusions:

KT applied to the quadriceps muscle can positively improve anaerobic exercise performance and athletic performance capacity. However, KT did not affect aerobic capacity. Further research is needed to show that KT can improve and support anaerobic and aerobic exercise capacity in healthy participants or athletes.