Taping for Shoulder Subluxation

Level 2: RCT or obserational study with dramatic effect

PEDro scale: 9/11

1. Eligibility criteria were specified: yes

2. Subjects were randomly allocated to the groups: yes

3. Allocation was concealed: yes

4. The groups were similar at baseline regarding the most important prognostic indicators: yes

5. There were blinding of all subjects: yes

6. There was blinding of therapists providing treatments: no

7. There was blinding of all assessors who measured at least one key outcome: no

8. Measure of at least one key outcome were obtained from more than 85% of the subjects initially allocated to the group: yes

9. All subjects for whom outcome measures were available received the treatment or control condition as allocated or, where this was not the case, data for at least one key outcome was analysed by the intention to treat: yes

10. The results of between group statistical comparisons are reported for at least one key outcome: yes

11. The study provides both point measures and measures of variability of at least one key outcome: yes

Clinical Bottom Line

Based on this study, it is recommended to use this method in the clinic. The outcome measures showed a significantly different outcome that was better than the controlled group. The controlled group just used physical therapy on the shoulder subluxation, but the experimental group which had a better outcome which used physical therapy and inelastic tape.

The Process

Citation

Overall Experience

Yeong, M., Kim, C., & Nam, C. (2015). Influence of the Application of Inelastic Taping on Shoulder Subluxation and Pain Changes in Acute Stroke Patients. Journal of Physical Therapy Science, 27(201), 3393-3395. Retrieved June 10, 2016, from http://web.b.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=264fb6dd-03f1-44a1-b2d7-504068a5dc0e@sessionmgr104&vid=1&hid=118

I learned a lot during this process and filling out my CAT such as:

• search terms
• databases
• to add limits

Performing my CAT was a little difficult and took some time, due to the fact I had to change my PICO question to a PIO question, due to the articles for electrical stimulation.

Search Strategy

PIO Question

Unable to perform a PICO question due to the articles for electrical stimulation.

How problems can be resolved

P

I learned to use more databases, to make sure you use search terms, and add limits to your searches when looking for articles.

What went well/ what didn't

Male

Left Shoulder Subluxation

I

What went well:

• doing a more accurate search
• using more databases for articles

What didn't go well:

• doing a wide search
• not using the appropriate terms

Taping

Databases/Terms

O

Databases:

• PTJ
• Google Scholar
• APTA Article Search at PTnow
• Pubmed
• JOSPT website

• Terms:
• Shoulder subluxation treatments
• Shoulder Subluxation AND taping
• Shoulder subluxation AND treatment AND recovery
• Shoulder subluxation
• English language only
• Last 15 years
• Shoulder subluxation articles
• Used more than one patient

Decrease pain and the separation present in the shoulder and increase ROM

Application to the Patient

After performing my study we did provide tape to the L shoulder.

Study Setting

Procedure

The study setting about patients did match my patient I was seeing at the time. The setting was different because they saw their patients in an ICU and I was seeing mine in a SNF.

While I was on my clinical 2 rotation we did implement this procedure on this patient. He did get results in a positive way.

Results

The experimental group, which used tape, had the best outcome than the patients who did not receive tape.

Author's Conclusion

Validity

After the 8 week period the authors concluded that using inelastic tape and physical therapy had greater effects on the patient in a positive way than the ones who only had physical therapy. With taping and therapy they saw that the separation was decreased more than the controlled group at the end of the study, and the patients who had tape their pain levels were lower than the ones who did not have tape.

Describe Study

Randomized controlled study, the patients were assigned to a group either the experimental group which used inelastic tape and physical therapy or the controlled group which just used physical therapy. There was 36 patients in total, and there was 18 patients in the experimental group and 18 patients in the controlled group.

Setting/Participants

Intervention/Outcomes

Setting: ICU with acute stroke patients, seen in their room for PT

Participants: 36 patients in total, 18 patients in the experimental group and 18 in the controlled group

Controlled group did not receive tape, but the experimental group did. They still had the same exercises, and tape was replaced every three days.

Experimental Group:

• measurements: PRE: 31.2, 4 weeks: 25.0, 8 weeks: 21.0
• Pain: PRE: 5.5, 4 weeks: 3.9, 8 weeks: 3.2 (out of a 10 point scale)

Controlled Group:

• measurements: PRE: 31.0, 4 weeks: 28, 8 weeks: 25
• Pain: Pre: 5.1, 4 weeks: 4.7, 8 weeks: 4.8 (out of a 10 point scale)

Article

Influence of the Application of Inelastic Taping on Shoulder Subluxation and pain changes in acute stroke patients.

Why This Article

Purpose of Study

• Compared taping to non-taping
• full article, with information and charts
• related to my patient
• was a recent study, 2015

To help the patient with his shoulder subluxation and to find the most appropriate intervention to perform on him.

Clinical Scenario

SNF setting

65+ age adults

Medicare

Rural

Situation

Clinical Experience

Patient

I was seeing a male patient at a SNF setting who had a stroke and suffered with a shoulder subluxation that was four finger width separation. He was he in a great deal of pain and had lack range of motion.

I wanted to do research and find out if taping would be a beneficial for the patient to help with his pain and ROM.

With patients in this population and age they have received positive results with doing tape throughout the years on the patients who have suffered from shoulder subluxation.

Taping for Shoulder Subluxation

Based on Jim Harvey's speech structures