Postural; DefectNCT05186701
Effects of Kinesio Taping in Protracted Shoulder Posture
A study testing Kinesio Tape and Conventional Physical Therapy in people with Postural; Defect, run by Riphah International University at 1 site in Pakistan.
Trial summary
To determine the effects of kinesio taping in protracted shoulder posture. Read more about this study
- Who is it for?
- Ages 25 to 40 yearsHealthy volunteers can take part
- Conditions the study is for
- Postural; Defect
- What is being tested?
- Kinesio Tape and Conventional Physical Therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 68 participants
- Where
- 1 sitePakistan
- Study dates
- 15 Jul 2019to 31 Dec 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 25 to 40 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Subjects having bilateral protracted shoulder posture
- Work for at least 7 hours/day, 5 days/week, in a seated position
Who cannot join
- History of serious pathology (e.g., malignancy, inflammatory disorder, infection)
- History of cervical and thoracic spine and shoulder surgery in previous12 months
- History of trauma or fractures in cervical and thoracic spine
- Any spinal deformities such as Sprengel's deformity, scoliosis, kyphosis etc.
- Diagnosis of psychiatric disorders such as anxiety and depression
- Cervical and thoracic spondylolisthesis, radiculopathy and spinal stenosis
- Severe skin allergy
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Kinesio Taping in Protracted Shoulder Posture: a Randomized Control Trial
To determine the effects of kinesio taping in protracted shoulder posture.
Read the detailed description
Office workers generally adopt slumped sitting posture while working at desk for longer durations. Computer use has rapidly increased from past 30 years in various offices so that employees spend plenty of time using computers. Excessive increase in sustained sitting while using computers lead individuals to faulty postures, such as protracted shoulder posture. Changes in posture are related to modifications in muscular functions which alter position of joints and produce movement impairment.
Protracted shoulder/ forward head posture is one of the most prevalent faulty postures in upper quarter. This posture is associated with forwardly tilted, protracted, internally rotated, elevated and abducted position of scapula along with exaggerated cervical lordosis and upper thoracic spine kyphosis.
Muscle imbalance that occurs in this posture includes tightening of anterior shoulder muscles namely pectoralis minor and major, upper trapezius and serratus anterior and the muscles that become weak are posterior shoulder muscles, middle and lower trapezius and rhomboids. This uncoordinated muscle work causes change in scapular kinematics and orientation of glenohumeral complex that further leads to pain in neck, shoulder and arms. The scapulohumeral rhythm disturbs due to the forward shifting of shoulder joint.
Length of pectoralis minor and inadequate strength of lower trapezius are considered to be the vital muscular elements causing protracted shoulder posture in literature review. Tightening of the pectoralis minor is one of the significant feature to cause this posture. This muscle is found to be required for lengthening in individuals having protracted shoulder posture. 78% of variance in this posture was accounted by pectoralis minor muscle.
Protracted shoulder posture is a multifactorial condition and have several treatment protocols including exercises that involves lengthening of hyperactive muscles, strengthening of weak muscles, scapular posterior tilting exercises, massage, bracing or taping, postural correction and soft tissue mobilization.
Kinesio taping is a widely used technique that have ability to stretch longitudinally up to 140-150% of its actual length and was manufactured to replicate the skeletal muscle's elasticity. Depending on direction of pull and percentage of stretch during its application, it provides several benefits i.e it facilitates or inhibit range of motion, gives positional stimulus, produces further space by lifting skin, soft tissues and fascia, provides proper alignment of fascial tissues, decreases pain and edema. The technique which is utilized by clinicians in order to inhibit or facilitate muscles is mechanical correction.
There was limited use of this technique in our society especially for faulty postures and lack of postural awareness in our settings. Current study was planned to examine the effect of Kinesio tape on protracted shoulders.
- Conditions
- Postural; Defect
- Being tested
- Kinesio Tape, Conventional Physical Therapy
- Keywords
- Double square, Kinesio taping, Protracted shoulder posture, Tapeline, Total scapular distance, Rrotracted shoulder posture
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Kinesio TapeOther
Kinesio tape was applied with mechanical correction technique having I shaped with 50-100% tension for 72 hours on both shoulders in retracted position from the anterior aspect of the acromion to the spinous process of the 10th thoracic vertebra of the both shoulders.
Conventional Physical; Therapy:
Thermotherapy (hot pack) applied for 10 minutes. Myofacial release. Active isolated unilateral stretching of pectoralis minor muscle for 30 seconds (3 set × 3 reps/day).
Strengthening of shoulder retractors (lower trapezius and rhomboids). (3 set × 15 reps/day).
Participants were asked to do exercises at home on daily basis.
Conventional Physical TherapyOther
Conventional Treatment: Hot pack, Myofascial Releaase, Stretching and Strengthening with Theraband
| Study group | Role | What they receive |
|---|---|---|
| Kinesio taping and Conventional Physical Therapy | Experimental | Standardized therapeutic kinesio taping (I shaped with 50-100% tension for 72 hours on both shoulders) along with Conventional Physical Therapy including Thermotherapy, myofacial release, exercise therapy (active isolated unilateral stretching of pectoralis minor muscle and strengthening of shoulder retractors). Receives: Other: Kinesio Tape |
| Conventional Physical Therapy | Active comparator | Thermotherapy, myofacial release, exercise therapy (active isolated unilateral stretching of pectoralis minor muscle and strengthening of shoulder retractors). Receives: Other: Conventional Physical Therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pectoralis Minor Length (PML)
Changes from baseline, Pectoralis Minor Length was assessed using tapeline. To determine the pectoralis minor length, distance in inches from the inferior and medial aspect of coracoid process to the inferior edge of fourth rib was taken.
Measured: 2nd week.
Total Scapular Distance (TSD)
Changes from baseline, Total Scapular Distance (TSD) was assessed using tapeline. It was measured by taking distance from third thoracic spinous process to caudal angle of acromion in inches.
Measured: 2nd week.
Supine measurement of protracted shoulder posture
Changes from baseline, Supine measurement of protracted shoulder was measure by Straight ruler which is a simple scale that give measurements in inches or centimeters. Participants lied supine and their arms rested on abdomen with flexed elbows. Then distance was measured from posterolateral aspect of acromion to examining table in inches.
Measured: 2nd week.
Standing measurement of protracted shoulder posture
Changes from baseline, Standing measurement of protracted shoulder posture was mesasure by Double square which is a 12 inches long carpenter square with another square hang over this 12 inch ruler. Participants were asked to stand against wall, this tool was placed parallel to wall over the shoulder to be assessed and positioned it's another extended square at the tip of acromion anteriorly. Then distance from wall to acromion was measured in inches.
Measured: 2nd week.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jan 2022
- Study start15 Jul 2019
- Primary completion31 Dec 2019
- Study completion31 Dec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Postural; DefectStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 68 participants were divided in two groups. Group A got Kinesio taping and conventional treatment while group B got only conventional treatment.
- Masking
- None (open label)
- Enrolment
- 68 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Shafaq Shahid, MSPT-OMPT, Principal investigator, Riphah International UniversityMuhammad Affan Iqbal, PhD*, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05186701
- Sponsor's protocol ID
- REC/00565 Anum Khalid
- Status last verified
- Dec 2021
- First submitted
- 7 Oct 2021
- Last updated
- 11 Jan 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Jan 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Kinesio Taping in Protracted Shoulder Posture: a Randomized Control Trial
- ClinicalTrials.gov ID
- NCT05186701
- Acronym / sponsor ID
- REC/00565 Anum Khalid
- Conditions
- Postural; Defect
- Keywords
- Double square, Kinesio taping, Protracted shoulder posture, Tapeline, Total scapular distance, Rrotracted shoulder posture
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 68 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 15 Jul 2019 (actual)
- Primary completion
- 31 Dec 2019 (actual)
- Study completion
- 31 Dec 2019 (actual)
- First posted
- 11 Jan 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To determine the effects of kinesio taping in protracted shoulder posture.
Detailed description
Office workers generally adopt slumped sitting posture while working at desk for longer durations. Computer use has rapidly increased from past 30 years in various offices so that employees spend plenty of time using computers. Excessive increase in sustained sitting while using computers lead individuals to faulty postures, such as protracted shoulder posture. Changes in posture are related to modifications in muscular functions which alter position of joints and produce movement impairment.
Protracted shoulder/ forward head posture is one of the most prevalent faulty postures in upper quarter. This posture is associated with forwardly tilted, protracted, internally rotated, elevated and abducted position of scapula along with exaggerated cervical lordosis and upper thoracic spine kyphosis.
Muscle imbalance that occurs in this posture includes tightening of anterior shoulder muscles namely pectoralis minor and major, upper trapezius and serratus anterior and the muscles that become weak are posterior shoulder muscles, middle and lower trapezius and rhomboids. This uncoordinated muscle work causes change in scapular kinematics and orientation of glenohumeral complex that further leads to pain in neck, shoulder and arms. The scapulohumeral rhythm disturbs due to the forward shifting of shoulder joint.
Length of pectoralis minor and inadequate strength of lower trapezius are considered to be the vital muscular elements causing protracted shoulder posture in literature review. Tightening of the pectoralis minor is one of the significant feature to cause this posture. This muscle is found to be required for lengthening in individuals having protracted shoulder posture. 78% of variance in this posture was accounted by pectoralis minor muscle.
Protracted shoulder posture is a multifactorial condition and have several treatment protocols including exercises that involves lengthening of hyperactive muscles, strengthening of weak muscles, scapular posterior tilting exercises, massage, bracing or taping, postural correction and soft tissue mobilization.
Kinesio taping is a widely used technique that have ability to stretch longitudinally up to 140-150% of its actual length and was manufactured to replicate the skeletal muscle's elasticity. Depending on direction of pull and percentage of stretch during its application, it provides several benefits i.e it facilitates or inhibit range of motion, gives positional stimulus, produces further space by lifting skin, soft tissues and fascia, provides proper alignment of fascial tissues, decreases pain and edema. The technique which is utilized by clinicians in order to inhibit or facilitate muscles is mechanical correction.
There was limited use of this technique in our society especially for faulty postures and lack of postural awareness in our settings. Current study was planned to examine the effect of Kinesio tape on protracted shoulders.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- 68 participants were divided in two groups. Group A got Kinesio taping and conventional treatment while group B got only conventional treatment.
| Arm | Type | Receives |
|---|---|---|
| Kinesio taping and Conventional Physical Therapy | Experimental | Other: Kinesio TapeStandardized therapeutic kinesio taping (I shaped with 50-100% tension for 72 hours on both shoulders) along with Conventional Physical Therapy including Thermotherapy, myofacial release, exercise therapy (active isolated unilateral stretching of pectoralis minor muscle and strengthening of shoulder retractors). |
| Conventional Physical Therapy | Active comparator | Other: Conventional Physical TherapyThermotherapy, myofacial release, exercise therapy (active isolated unilateral stretching of pectoralis minor muscle and strengthening of shoulder retractors). |
Who may qualify
- Ages
- 25 to 40 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Subjects having bilateral protracted shoulder posture
- Work for at least 7 hours/day, 5 days/week, in a seated position
Key exclusion criteria (7 listed)
- History of serious pathology (e.g., malignancy, inflammatory disorder, infection)
- History of cervical and thoracic spine and shoulder surgery in previous12 months
- History of trauma or fractures in cervical and thoracic spine
- Any spinal deformities such as Sprengel's deformity, scoliosis, kyphosis etc.
- Diagnosis of psychiatric disorders such as anxiety and depression
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Kinesio TapeKinesio tape was applied with mechanical correction technique having I shaped with 50-100% tension for 72 hours on both shoulders in retracted position from the anterior aspect of the acromion to the spinous process of the 10th thoracic vertebra of the both shoulders. Conventional Physical; Therapy: Thermotherapy (hot pack) applied for 10 minutes. Myofacial release. Active isolated unilateral stretching of pectoralis minor muscle for 30 seconds (3 set × 3 reps/day). Strengthening of shoulder retractors (lower trapezius and rhomboids). (3 set × 15 reps/day). Participants were asked to do exercises at home on daily basis. | Other | Kinesio taping and Conventional Physical Therapy |
| Conventional Physical TherapyConventional Treatment: Hot pack, Myofascial Releaase, Stretching and Strengthening with Theraband | Other | Conventional Physical Therapy |
Primary outcome
Pectoralis Minor Length (PML)
Time frame: 2nd week.
Changes from baseline, Pectoralis Minor Length was assessed using tapeline. To determine the pectoralis minor length, distance in inches from the inferior and medial aspect of coracoid process to the inferior edge of fourth rib was taken.
Total Scapular Distance (TSD)
Time frame: 2nd week.
Changes from baseline, Total Scapular Distance (TSD) was assessed using tapeline. It was measured by taking distance from third thoracic spinous process to caudal angle of acromion in inches.
Supine measurement of protracted shoulder posture
Time frame: 2nd week.
Changes from baseline, Supine measurement of protracted shoulder was measure by Straight ruler which is a simple scale that give measurements in inches or centimeters. Participants lied supine and their arms rested on abdomen with flexed elbows. Then distance was measured from posterolateral aspect of acromion to examining table in inches.
Standing measurement of protracted shoulder posture
Time frame: 2nd week.
Changes from baseline, Standing measurement of protracted shoulder posture was mesasure by Double square which is a 12 inches long carpenter square with another square hang over this 12 inch ruler. Participants were asked to stand against wall, this tool was placed parallel to wall over the shoulder to be assessed and positioned it's another extended square at the tip of acromion anteriorly. Then distance from wall to acromion was measured in inches.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jan 2022.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Shafaq Shahid, MSPT-OMPT principal investigator
Riphah International University
Muhammad Affan Iqbal, PhD* principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Kinesio Tape and Conventional Physical Therapy in people with Postural; Defect, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pectoralis Minor Length (PML) (time frame: 2nd week.). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jan 2022.