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IRCT20170114031942N3 IRCT 2018-02-17 Shahroud University of Technology Kinesio Taping as an adjunct to Exercise Therapy for Swimmers with Forward-head, Forward-shoulder Posture Comparison of the Effects of Kinesio Taping in Combination with Exercise Training with only Exercise Training on the Static and Dynamic Posture of Forward-head, Forward-shoulder Posture Swimmers with and without pain 2018-01-20 anticipated 40 Complete https://irct.ir/trial/28688 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Basic scienece, Randomization description: Participants are enrolled by one of the research colleagues. An independent assessor, blinded person who had no further involvement in the study made a random allocation sequence using a computer Software prior to the initiation of the study that was used to randomize participants with 1:1 allocation ratio. A block randomization design (block size of 2, 4) were applied to ensure an equal number of participants in each group. Randomization was stratified by pain (with pain vs. without pain) to ensure equal numbers of with pain and without pain swimmers in each study group. Group allocation was concealed in sequentially numbered, opaque, sealed envelopes, and corresponding envelopes were opened after enrolled participants completed all baseline assessments. As it is impossible to blind, laboratory specialists assessing the variables and data analyst were blinded to the allocation. Participants and corrective specialist providing the exercise training and physical therapist providing the KT were not blinded to group allocation. 3 Forward head and forward posture. Intervention 1: Intervention group: kinsiotape -exercise group received a 10-week stretching and strengthening exercise program comprised of three 45-min sessions per week. Intervention sessions were conducted by a corrective exercise specialist in two group (n=10). Strengthening exercises targeted the scapular retractor and shoulder external rotator muscles. Participants performed three sets of 10 repetitions of all strengthening exercises. The stretching exercises aimed at increasing the flexibility of the pectoralis muscles, cervical neck extensors, and shoulder internal rotator muscles. Exercises were selected based on previous literatures. In addition to exercise training, receives kinetic typing for a period of 10 weeks. First two KT strips were used for mechanical correction with 50-100% stress. Tape was applied from the anterior aspect of the acromioclavicular joint to the T12 spinous process in a diagonal fashion. Other KT strip were used to supraspinatus muscle which mainly provides scapular stability. We used the KT Y-shaped strip to the deltoid muscle that was placed 3 cm below the deltoid tuberosity of the humerus without tension. Intervention 2: Control group: The exercise group received a 10-week stretching and strengthening exercise program comprised of three 45-min sessions per week. Intervention sessions were conducted by a corrective exercise specialist in two group (n=10). Strengthening exercises targeted the scapular retractor and shoulder external rotator muscles. Participants performed three sets of 10 repetitions of all strengthening exercises. The stretching exercises aimed at increasing the flexibility of the pectoralis muscles, cervical neck extensors, and shoulder internal rotator muscles. Exercises were selected based on previous literatures. Yes - There is a plan to make this available What will be shared: The total potential data can be shared after unidentifiable participants When: Starting the access period 1 year after printing the results for duration1 year To whom: Both researchers working in academic and scientific institutions and those employed in the industry can access to data or other documentation. Conditions: If the requesting person applies for reasonable documentation and data and apply for proper purposes. Where to obtain: Contact the telephone number 09177217462 or e-mail ay.naderi@yahoo.com to receive the documentation or data. How to obtain: After the message is sent by the requesting person, the documents or data are send to the requesting person for one week. Comments:
public Aynollah Naderi
Tehran avenue, Shahroud, Semnan Province
Shahroud Iran (Islamic Republic of) 3619995161 +98 23 3239 2204 ay.naderi@shahroodut.ac.ir Shahrood University of Technology scientific Aynollah Naderi
Tehran avenue, Shahroud, Semnan Province
Shahroud Iran (Islamic Republic of) 3619995161 +98 23 3239 2204 ay.naderi@shahroodut.ac.ir Shahrood University of Technology Iran (Islamic Republic of) Swimmers 11 to 22 years old FHP angle >47 degrees FSP angle >50 degree At least 1 month history of shoulder pain for participants with pain At least pain severity 4 out of 10 during activity on VAS for participants with pain Confirmation of informed consent form 11 years 22 years Male History of fracture, surgery and/or arthritic diseases in upper extremity, shoulder girdle or/and spinal column Tear of the rotator cuff Cervical radiculopathy Shoulder instability Systemic musculoskeletal disease ُStructural chest deformity Hyper-kyphosis or scoliosis Sever pain during assessments or tape application Skin problems in the taped area or tape application contraindication Rehabilitation Rehabilitation Intervention group: kinsiotape -exercise group received a 10-week stretching and strengthening exercise program comprised of three 45-min sessions per week. Intervention sessions were conducted by a corrective exercise specialist in two group (n=10). Strengthening exercises targeted the scapular retractor and shoulder external rotator muscles. Participants performed three sets of 10 repetitions of all strengthening exercises. The stretching exercises aimed at increasing the flexibility of the pectoralis muscles, cervical neck extensors, and shoulder internal rotator muscles. Exercises were selected based on previous literatures. In addition to exercise training, receives kinetic typing for a period of 10 weeks. First two KT strips were used for mechanical correction with 50-100% stress. Tape was applied from the anterior aspect of the acromioclavicular joint to the T12 spinous process in a diagonal fashion. Other KT strip were used to supraspinatus muscle which mainly provides scapular stability. We used the KT Y-shaped strip to the deltoid muscle that was placed 3 cm below the deltoid tuberosity of the humerus without tension. Control group: The exercise group received a 10-week stretching and strengthening exercise program comprised of three 45-min sessions per week. Intervention sessions were conducted by a corrective exercise specialist in two group (n=10). Strengthening exercises targeted the scapular retractor and shoulder external rotator muscles. Participants performed three sets of 10 repetitions of all strengthening exercises. The stretching exercises aimed at increasing the flexibility of the pectoralis muscles, cervical neck extensors, and shoulder internal rotator muscles. Exercises were selected based on previous literatures. Forward head- forward shoulder posture. Timepoint: Measurement of forward head-forward shoulder postures at the beginning of the study (before the intervention) and immediately and 10 weeks after the start of the exercise training and kinesiotyping programs. Method of measurement: side-view photograph taken in a relaxed-standing posture. Resting pectoralis minor length. Timepoint: Measurement of resting pectoralis minor length at the beginning of the study (before the intervention) and immediately and 10 weeks after the start of the exercise training and kinesiotyping programs. Method of measurement: Tape measure. Glenohumeral internal- and external-rotation ROM. Timepoint: Measurement of glenohumeral internal- and external-rotation ROM at the beginning of the study (before the intervention) and immediately and 10 weeks after the start of the exercise training and kinesiotyping programs. Method of measurement: Digital inclinometer. Scapular upward rotation. Timepoint: Measurement of scapular anterior tilting at the beginning of the study (before the intervention) and immediately and 10 weeks after the start of the exercise training and kinesiotyping programs. Method of measurement: Ruler. Pain severity. Timepoint: Measurement of pain severity at the beginning of the study (before the intervention) and immediately and 10 weeks after the start of the exercise training and kinesiotyping programs. Method of measurement: 100-mm visual analogue scale (VAS). Shahroud University of Technology Approved 2018-01-01 Ethics committee of shahroud university of medical sciences Seventh Tir Square, Shahroud shahroud Semnan Iran (Islamic Republic of)