Effect of Extracorporeal Shock Wave Combined with Kinesio Taping on Upper Limb Function During Individuals with Biceps Brachii Tendinopathy：protocol for a Double-blind, Randomised Controlled Trial

Overview

Journal BMJ Open

Specialty General Medicine

Date 2024 Jan 8

PMID 38191256

Authors

Kun Liu

Lulu Yin

Ye Zhang

Lihua Huang

Gongliang Liu

Ran Zhu

Ping Fang

Yanhong Ma

Zheng Ma

Affiliations

Soon will be listed here.

Abstract

Introduction: Long head of biceps brachii tendinopathy (LHBT) is characterised by persistent pain and disability of shoulder joint, impairing patients' quality of life. Extracorporeal shock wave therapy (ESWT) is a non-invasive treatment, which promotes tissue regeneration and repair. However, ESWT has a side effect that often causes short-term pain and swelling in the treatment area. It is known that the effects of Kinesio taping (KT) on relieving swelling and pain. Due to insufficient clinical evidence from current limited studies, this randomised controlled study aims to explore the effects of ESWT combined with KT on upper limb function during individuals with LHBT.

Methods And Analysis: A 2×2 factorial design, double-blind, randomised controlled trial will be conducted. A total of 144 participants will be randomly allocated into one of four groups (KT+ESWT, KT+sham ESWT, sham KT+ESWT or sham KT+sham ESWT) to participate in a 4-week treatment programme. Measurements will be taken at pretreatment (baseline), immediately after treatment and 6 weeks after treatment. The primary endpoint will be the Constant-Murley score (CMS), the secondary endpoints will include the pain Numerical Rating Scale, range of motion, pressure pain threshold and soft tissue hardness of biceps, speed test and global rating of change. Repeated measures analysis of variance will be used to compare differences among the effects of different interventions.

Ethics And Dissemination: Ethics approval was obtained from the Ethics Committee of the Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine. In addition to international conference reports, findings will be disseminated through international publications in peer-reviewed journals.

Trial Registration Number: ChiCTR2100051324.

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References

Nho S, Strauss E, Lenart B, Provencher M, Mazzocca A, Verma N . Long head of the biceps tendinopathy: diagnosis and management. J Am Acad Orthop Surg. 2010; 18(11):645-56. DOI: 10.5435/00124635-201011000-00002. View

Liu K, Duan Z, Chen L, Wen Z, Zhu S, Qu Q . Short-Term Effect of Different Taping Methods on Local Skin Temperature in Healthy Adults. Front Physiol. 2020; 11:488. PMC: 7251151. DOI: 10.3389/fphys.2020.00488. View

McDevitt A, Cleland J, Addison S, Calderon L, Snodgrass S . Physical Therapy Interventions for the Management of Biceps Tendinopathy: An International Delphi Study. Int J Sports Phys Ther. 2022; 17(4):677-694. PMC: 9159730. DOI: 10.26603/001c.35256. View

Jaeschke R, Singer J, Guyatt G . Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials. 1989; 10(4):407-15. DOI: 10.1016/0197-2456(89)90005-6. View

Alkhawashki H . Shock wave therapy of fracture nonunion. Injury. 2015; 46(11):2248-52. DOI: 10.1016/j.injury.2015.06.035. View

Matheus J, Zille R, Matheus L, Lemos T, Luiz Carregaro R, Shimano A . Comparison of the mechanical properties of therapeutic elastic tapes used in sports and clinical practice. Phys Ther Sport. 2017; 24:74-78. DOI: 10.1016/j.ptsp.2016.08.014. View

Teys P, Bisset L, Vicenzino B . The initial effects of a Mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders. Man Ther. 2006; 13(1):37-42. DOI: 10.1016/j.math.2006.07.011. View

Tezel N, Umay E, Bulut M, Cakci A . Short-Term Efficacy of Kinesiotaping versus Extracorporeal Shockwave Therapy for Plantar Fasciitis: A Randomized Study. Saudi J Med Med Sci. 2020; 8(3):181-187. PMC: 7485659. DOI: 10.4103/sjmms.sjmms_624_19. View

Henseler J, Kolk A, van der Zwaal P, Nagels J, Vliet Vlieland T, Nelissen R . The minimal detectable change of the Constant score in impingement, full-thickness tears, and massive rotator cuff tears. J Shoulder Elbow Surg. 2014; 24(3):376-81. DOI: 10.1016/j.jse.2014.07.003. View

10.

Rocourt M, Radlinger L, Kalberer F, Sanavi S, Schmid N, Leunig M . Evaluation of intratester and intertester reliability of the Constant-Murley shoulder assessment. J Shoulder Elbow Surg. 2008; 17(2):364-9. DOI: 10.1016/j.jse.2007.06.024. View

11.

Mailloux C, Beaulieu L, Wideman T, Masse-Alarie H . Within-session test-retest reliability of pressure pain threshold and mechanical temporal summation in healthy subjects. PLoS One. 2021; 16(1):e0245278. PMC: 7802960. DOI: 10.1371/journal.pone.0245278. View

12.

Frassanito P, Cavalieri C, Maestri R, Felicetti G . Effectiveness of Extracorporeal Shock Wave Therapy and kinesio taping in calcific tendinopathy of the shoulder: a randomized controlled trial. Eur J Phys Rehabil Med. 2017; 54(3):333-340. DOI: 10.23736/S1973-9087.17.04749-9. View

13.

Savoie A, Mercier C, Desmeules F, Fremont P, Roy J . Effects of a movement training oriented rehabilitation program on symptoms, functional limitations and acromiohumeral distance in individuals with subacromial pain syndrome. Man Ther. 2015; 20(5):703-8. DOI: 10.1016/j.math.2015.04.004. View

14.

Ghozy S, Dung N, Morra M, Morsy S, Elsayed G, Tran L . Efficacy of kinesio taping in treatment of shoulder pain and disability: a systematic review and meta-analysis of randomised controlled trials. Physiotherapy. 2020; 107:176-188. DOI: 10.1016/j.physio.2019.12.001. View

15.

Lee J, Lim Y, Won Y, Kim D . Effect of gel seat cushion on chronic low back pain in occupational drivers: A double-blind randomized controlled trial. Medicine (Baltimore). 2018; 97(40):e12598. PMC: 6200541. DOI: 10.1097/MD.0000000000012598. View

16.

Wilk K, Hooks T . The Painful Long Head of the Biceps Brachii: Nonoperative Treatment Approaches. Clin Sports Med. 2015; 35(1):75-92. DOI: 10.1016/j.csm.2015.08.012. View

17.

Buchbinder R, Ramiro S, Huang H, Gagnier J, Jia Y, Whittle S . Measures of Adult Shoulder Function. Arthritis Care Res (Hoboken). 2020; 72 Suppl 10:250-293. DOI: 10.1002/acr.24230. View

18.

Gunaydin O, Tunay V . Comparison of the added effects of kinesio taping and extracorporeal shockwave therapy to exercise alone in knee osteoarthritis. Physiother Theory Pract. 2020; 38(5):661-669. DOI: 10.1080/09593985.2020.1780657. View

19.

Zhai L, Sun N, Zhang B, Liu S, Zhao Z, Jin H . Effects of Focused Extracorporeal Shock Waves on Bone Marrow Mesenchymal Stem Cells in Patients with Avascular Necrosis of the Femoral Head. Ultrasound Med Biol. 2015; 42(3):753-62. DOI: 10.1016/j.ultrasmedbio.2015.10.021. View

20.

Kaya Mutlu E, Mustafaoglu R, Birinci T, Ozdincler A . Does Kinesio Taping of the Knee Improve Pain and Functionality in Patients with Knee Osteoarthritis?: A Randomized Controlled Clinical Trial. Am J Phys Med Rehabil. 2016; 96(1):25-33. DOI: 10.1097/PHM.0000000000000520. View