Journals / Turkish Journal of Kinesiology / 2026 / Volume: 11 Issue: 5

Comparative effects of kinesio taping and spinal manipulative therapy combined with exercise on pain, function, and range of motion in subacromial impingement syndrome: A randomized controlled trial

Pages
—
Publication Date
2025-10-30
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, neither showed consistent additional effects on overall pain, disability, or quality of life compared to the control protocol.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This randomized controlled trial investigated the additional effects of kinesio taping (KT) and spinal manipulative therapy (SMT), each combined with scapulothoracic mobilization and exercise, in individuals with subacromial impingement syndrome (SIS).
📊
Key Findings & Data:Sixty-six participants were block randomized into three groups: Control protocol (mobilization + home exercise), KT (Control protocol + KT twice weekly), and SMT (Control protocol + SMT twice weekly) for 3 weeks.
💡
Conclusion & Impact:However, neither showed consistent additional effects on overall pain, disability, or quality of life compared to the control protocol.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Exercise therapy · kinesio taping · orthopedic mobilization

Abstract

This randomized controlled trial investigated the additional effects of kinesio taping (KT) and spinal manipulative therapy (SMT), each combined with scapulothoracic mobilization and exercise, in individuals with subacromial impingement syndrome (SIS). To date, no randomized controlled trial has directly compared KT and SMT in individuals with SIS. Sixty-six participants were block randomized into three groups: Control protocol (mobilization + home exercise), KT (Control protocol + KT twice weekly), and SMT (Control protocol + SMT twice weekly) for 3 weeks. Outcomes were assessed at baseline (Week 0), post-treatment (Week 3), and follow-up (Week 6). Primary outcomes included pain at rest and during movement measured by the Visual Analog Scale (VAS), shoulder range of motion (flexion, abduction, internal/external rotation) with goniometry, upper extremity disability assessed by the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), and health-related quality of life measured by the Short Form-12 Health Survey (SF-12). All groups showed significant improvements over time (p-values reported in full). From baseline to follow-up, SMT produced greater improvements than the control group in VAS activity (p = 0.01) and abduction ROM (p = 0.02), while KT led to greater gains in external rotation ROM (p = 0.01). No other between-group differences were found. Adding KT or SMT to scapulothoracic mobilization and exercise may yield selective ROM benefits, with SMT favoring abduction and activity pain, and KT aiding external rotation. However, neither showed consistent additional effects on overall pain, disability, or quality of life compared to the control protocol.

🔖

Cite This Article

Karaca, İ., Erel, S. (2025). Comparative effects of kinesio taping and spinal manipulative therapy combined with exercise on pain, function, and range of motion in subacromial impingement syndrome: A randomized controlled trial. Turkish Journal of Kinesiology, Volume: 11 Issue: 5. https://doi.org/10.31459/turkjkin.1764999

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (31)

  1. de Amorim, H., de Noronha, M., Hunter, J., Barrett, S., & Kingsley, M. (2025). Barriers and facilitators to exercise-based rehabilitation in people with musculoskeletal conditions: A systematic review. Musculoskelet Sci Pract, 77, 103279. Doi: 10.1016/j.msksp.2025.103279
  2. Araya-Quintanilla, F., Gutiérrez-Espinoza, H., Sepúlveda-Loyola, W., Probst, V., Ramírez-Vélez, R., & Álvarez-Bueno, C. (2022). Effectiveness of kinesiotaping in patients with subacromial impingement syndrome: A systematic review with meta-analysis. Scand J Med Sci Sports, doi: 10.1111/sms.14084
  3. Camargo, P. R., Alberquerque Sendín, F., & Avila, M. A. (2015). Effects of stretching and strengthening exercises, with and without manual therapy, on scapular kinematics, function, and pain in individuals with shoulder impingement: A randomized controlled trial. J Orthop Sports Phys Ther, 45(12), 984–997. doi: 10.2519/jospt.2015.5939
  4. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates. https://doi.org/10.4324/9780203771587
  5. Demircioğlu, G., & Genç, H. (2024). Immediate effects of Kinesio taping on pain, proprioception, and posture in round shoulder individuals with subacromial impingement syndrome: A randomized, double blinded controlled trial. Medicine (Baltimore), 103(50), e40498. doi: 10.1097/MD.0000000000040498
  6. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods, 39(2), 175–191. doi: 10.3758/BF03193146
  7. Hudak, P. L., Amadio, P. C., & Bombardier, C. (1996). Development of an upper extremity outcome measure: The DASH (disabilities of the arm, shoulder, and hand). Am J Ind Med, 29(6), 602–608. doi: 10.1002/(SICI)1097-0274(199606)29:6 3.0.CO;2-L
  8. Ghozy, S., Dung, N. M., Morra, M. E., Morsy, S., Elsayed, G. G., Tran, L.,. & Huy, N. T. (2020). Efficacy of kinesio taping in treatment of shoulder pain and disability: a systematic review and meta-analysis of randomised controlled trials. Physiotherapy, 107, 176-188.
  9. Kang, H. (2021). Sample size determination and power analysis using the G*Power software. J Educ Eval Health Prof, 18, 17. https://doi.org/10.3352/jeehp.2021.18.17
  10. Kiatkulanusorn, S., Luangpon, N., Srijunto, W., Watechagit, S., Pitchayadejanant, K., Kuharat, S., & Suato, B. P. (2023). Analysis of the concurrent validity and reliability of five common clinical goniometric devices. Sci Rep, 13, 20931. doi: 10.1038/s41598-023-48344-6
  11. Koldaş Doğan, S., Ay, S., Evcik, D., & Başer, Ö. (2011). Adaptation of Turkish version of the questionnaire Quick Disability of the Arm, Shoulder, and Hand (Quick-DASH) in patients with carpal tunnel syndrome: Reliability and validity. Clin Rheumatol, 30(2), 241–247. doi: 10.1007/s10067-010-1470-y
  12. Lang, S., McLelland, C., MacDonald, D., & Hamilton, D. F. (2022). Do digital interventions increase adherence to home exercise rehabilitation? A systematic review of randomised controlled trials. Archives of physiotherapy, 12(1), 24. https://doi.org/10.1186/s40945-022-00148-z
  13. Ludewig, P. M., & Braman, J. P. (2011). Shoulder impingement: Biomechanical considerations in rehabilitation. Man Ther, 16(1), 33–39. doi: 10.1016/j.math.2010.08.004
  14. McCormack, H. M., Horne, D. J., & Sheather, S. (1988). Clinical applications of visual analogue scales: A critical review. Psychol Med, 18(4), 1007–1019. doi: 10.1017/S0033291700009934
  15. Michener, L. A., McClure, P. W., Tate, A. R., Bailey, L. B., Seitz, A. L., Straub, R. K., & Thigpen, C. A. (2024). Adding manual therapy to an exercise program improves long term patient outcomes over exercise alone in patients with subacromial shoulder pain: A randomized clinical trial. JOSPT Open, 2(1), 29–48. doi: 10.2519/josptopen.2023.1134
  16. Neer C. S., 2nd (1972). Anterior acromioplasty for the chronic impingement syndrome in the shoulder: A preliminary report. J Bone Joint Surg Am, 54(1), 41–50.
  17. Qureshi, H., Omer, A., Khan, A., Rauf, U., Ahmad, U., & Ur Rehman, M. M. (2024). The effects of functional kinesiotaping on acromiohumeral distance, pain, quality of life, and disability in overhead athletes with rotator cuff tendinopathy: A randomized control trial. Advances in Rehabilitation, 38(4), 25–33. doi: 10.5114/areh.2024.144634
  18. Razali, N. M., & Wah, Y. B. (2011). Power comparisons of Shapiro Wilk, Kolmogorov Smirnov, Lilliefors and Anderson Darling tests. Journal of Statistical Modeling and Analytics, 2(1), 21–33.
  19. Saracoglu, İ., Emuk, Y., & Taşpinar, F. (2018). Does taping in addition to physiotherapy improve the outcomes in subacromial impingement syndrome? A systematic review. Physiother Theory Pract, 34(4), 251–263. doi: 10.1080/09593985.2017.1400138
  20. Schober, P., & Vetter, T. R. (2020). Nonparametric statistical methods in medical research. Anesthesia & Analgesia, 131(6), 1862-1863. doi: 10.1213/ANE.0000000000005101
  21. Soylu, C., & Kütük, B. (2022). Reliability and validity of the Turkish version of SF-12 Health Survey. Turk Psikiyatri Derg, 33(2), 108–117. doi: 10.5080/u25700
  22. Tauqeer, S., Arooj, A., & Shakeel, H. (2024). Effects of manual therapy in addition to stretching and strengthening exercises to improve scapular range of motion, functional capacity and pain in patients with shoulder impingement syndrome: a randomized controlled trial. BMC Musculoskelet Disord, 25(1), 192. doi: 10.1186/s12891-024-07294-4
  23. Tedeschi, R., Platano, D., & Melotto, G. (2024). Effectiveness of manual thoracic therapy in treating impingement syndrome: A systematic review. Manuelle Medizin, 62, 178–186. doi: 10.1007/s00337-024-01040-6
  24. Vicente, J., & Wooley, R. (2025). The addition of thoracic spine manipulation or mobilization to exercise in adults with subacromial ımpingement syndrome: A critically appraised topic. J Sport Rehabil, 34(6), 677–685. doi: 10.1123/jsr.2024-0135
  25. Wang, S., Mani, R., Zeng, J., Chapple, C. M., & Ribeiro, D. C. (2023). Test-retest reliability of movement-evoked pain and sensitivity to movement evoked pain in patients with rotator cuff-related shoulder pain. B Braz J Phys Ther, 27(4), 100535. Doi: 10.1016/j.bjpt.2023.100535
  26. Ware, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Med Care, 34(3), 220–233. doi: 10.1097/00005650-199603000-00003
  27. Yang, F., et al. (2024). Efficacy of different analgesic strategies combined with conventional physiotherapy program for treating chronic shoulder pain: A systematic review and network meta analysis. J Orthop Surg Res, 19, 544. doi: 10.1186/s13018-024-05037-8
  28. Yu, S. (2025). The effectiveness of thoracic spine manual therapy in treating subacromial impingement syndrome: A systematic review and meta analysis. Arch Phys Med Rehabil, S0003-9993(25)00815-9. Advance online publication. doi: 10.1016/j.apmr.2025.07.008
  29. Yüksel, E., & Yesilyaprak, S. S. (2024). Scapular stabilization exercise training improves scapular dyskinesis, pain, muscle strength, and shoulder disability in people with subacromial impingement syndrome. J Bodyw Mov Ther, 37, 101-108. doi: 10.1016/j.jbmt.2023.11.005
  30. Zanjani, B., Shojaedin, S. S., & Abbasi, H. (2024). "Investigating the combined effects of scapular-focused training and Mulligan mobilization on shoulder impingement syndrome" a three-arm pilot randomized controlled trial. BMC Musculoskelet Disord, 25(1), 897. doi: 10.1186/s12891-024-07966-1
  31. Ghozy, S., Dung, N. M., Morra, M. E., Morsy, S., Elsayed, G. G., Tran, L.,. & Huy, N. T. (2020). Efficacy of kinesio taping in treatment of shoulder pain and disability: a systematic review and meta-analysis of randomised controlled trials. Physiotherapy, 107, 176-188.