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Upper extremity injuries
Published in Youlian Hong, Roger Bartlett, Routledge Handbook of Biomechanics and Human Movement Science, 2008
Ronald F. Zernicke, William C. Whiting, Sarah L. Manske
Shoulder impingement happens when rotator cuff tendons are pinched as they pass through the subacromial space created between the acromion, coracoacromial ligament, and acromioclavicular joint above, and the humeral head below. These tendons experience irritation due to the impingement that can lead to soft-tissue swelling and damage. The etiology for the change in the tendon or space that leads to the impingement, however, has not been confirmed. Clinically, rotator cuff impingement is considered a sign rather than a diagnosis, as it is a sign associated with a host of different diagnoses (e.g., subacromial bone spurs and/or bursal hypertrophy, acromioclavicular joint arthrosis and/or bone spurs, rotatorn cuff disease, superior labral injury, glenohumeral internal rotation deficit, glenohumeral instability, biceps tendinopathy, scapular dyskinesis, glenohumeral instability or superior labral injury, and cervical radiculopathy (Brukner and Khan, 2007)). Thus, we use the collective term impingement, generically, rather than impingement syndrome.
Efficacy of Kinesio Taping Compared to Other Treatment Modalities in Musculoskeletal Disorders: A Systematic Review and Meta-Analysis
Published in Research in Sports Medicine, 2023
Linh Tran, Abdelrahman M Makram, Omar Mohamed Makram, Muhammed Khaled Elfaituri, Sara Morsy, Sherief Ghozy, Ahmed Helmy Zayan, Nguyen Hai Nam, Marwa Mostafa Mohamed Zaki, Elizabeth L Allison, Truong Hong Hieu, Loc Le Quang, Dang The Hung, Nguyen Tien Huy
Studies surrounding kinesiology tape application provide controversial results regarding its efficacy according to the location, severity, and duration/timing of use in MSK disorders. For instance, Kaya et al. discuss the use of KT for shoulder impingement syndrome, and results demonstrated that it was most effective when used within the first week post-presentation, and as such, is recommended for cases in which urgent relief of symptoms is indicated (Kaya et al., 2011). Conversely, Thelen et al. argue that KT, when used for shoulder pain specifically, results in only minor improvement with regards to ROM while its efficacy on pain-free ROM is indeed proven after initial taping but not in long-term pain relief (Thelen et al., 2008). This controversy in option is further supported by a few studies, trials, and research that differ in their conclusions surrounding the efficacy of kinesiology tape. Namely, a trial utilizing KT for lateral epicondylitis found that there is no significant effect on pain regardless of the tape’s application method (Shakeri et al., 2018). A systematic review found that KT lacked efficacy in clinical practice regardless of the affected joint (Kalron & Bar-Sela, 2013). Furthermore, a study suggested that the use of KT in combination with targeted shoulder exercise aids in the relief of shoulder impingement syndrome (Kaya et al., 2011). Comparable results were noted in a meta-analysis conducted by Ghozy et al. in which they concluded that combination therapy of exercise and KT results in major recovery of shoulder pain and disability (Ghozy et al., 2020).
Evidence for taping in overhead athlete shoulders: a systematic review
Published in Research in Sports Medicine, 2023
Elif Turgut, Ezgi Nur Can, Cigdem Demir, Annelies Maenhout
The characteristics of the studies included are summarized in Table 2. The sample size of the studies varied from 9 to 81 participants. Thirteen studies recruited asymptomatic overhead athletes (Bradley et al., 2009; Gulpinar et al., 2019; Harput et al., 2016; McConnell et al., 2011, 2012; McConnell & McIntosh, 2009; Müller & Brandes, 2015; Ozer et al., 2018; Tanoori et al., 2016; Tooth, Schwartz, Colman et al., 2020; Tooth, Schwartz, Fransolet et al., 2020; Van Herzeele et al., 2013; Yun et al., 2020), six studies recruited symptomatic overhead athletes (shoulder impingement syndrome (SIS), rotator cuff tendinopathy, or non-specific shoulder pain) (Fong et al., 2018; Hsu et al., 2009; Intelangelo et al., 2016; Leong et al., 2017; Shih et al., 2018; Smith et al., 2009), and one study (Leong & Fu, 2019) recruited both asymptomatic and symptomatic (rotator cuff tendinopathy) athletes and analysed them separately. The studies reviewed included samples involving different types of overhead athletes. The majority of the participants were volleyball, handball, and tennis players.
Functional and morphological changes in shoulder girdle muscles after repeated climbing exercise
Published in Research in Sports Medicine, 2022
Sebastian Klich, Pascal Madeleine, Krzysztof Ficek, Klaudia Sommer, Cesar Fernández-de-Las-Peñas, Lori A Michener, Adam Kawczyński
Schöffl et al. (2011) reported shoulder impingement syndrome as the most frequent disorder of the shoulder in climbers. Understanding both muscle stiffness and tendon morphology changes might be a novel approach to provide the advancement in our understanding of mechanisms for the development of shoulder pain related to tendinopathy. Therefore, the aim of this study was to investigate the acute effect of repeated climbing actions on functional and morphological measures of the shoulder girdle. Specifically, we hypothesized that after repeated climbing exercise protocols: (1) the rotator cuff tendons would be thicker with a concurrent reduction of the subacromial space, and the supraspinatus tendon will occupy a greater proportion of the subacromial space; (2) there would be an increase in rotator cuff muscle stiffness.