Effectiveness Of Manual Direction Test (MDT) With Kinesio Taping Fascia Correction Technique For The Immediate Improvement Of Shoulder Pain Free Range Of Motion In Patients With Rotator Cuff Disease
Keywords:
Rotator Cuff Disease, Manual Direction Test, Kinesio Taping, Fascia Correction, Shoulder Pain, Range of MotionAbstract
Rotator cuff disease, caused by injury or overuse, leads to pain and limited mobility. Common conditions include tears and tendinitis. Kinesio Taping and Manual Direction Test (MDT) can aid healing by improving tissue mobility and reducing pain.
The objective of this study was to evaluate the immediate effect of Manual Direction Test with Kinesio-taping fascia correction technique in improving pain-free shoulder range of motion (ROM) in rotator cuff disease patients.
An interventional pretest-posttest design was conducted with 40 patients diagnosed with rotator cuff disease and painful shoulder ROM, selected via non-probability convenience sampling from Kerala. Shoulder assessments were performed pre- and post-taping using the Visual Analogue Scale (VAS) for pain and a goniometer for ROM.
The result showed that intervention significantly improved the range of motion in both flexion (from M = 103.75 to M = 121.05) and abduction (from M = 97.57 to M = 115.7), with (t(39) = -6.340, p < 0.01). VAS scores also significantly decreased from (M = 7.31 to M = 6.00) with (t(39) = 10.952, p < 0.01). These findings demonstrate the intervention's effectiveness by noticeable progress in mobility, with increased flexibility and movement post-intervention. Additionally, there was a decrease in pain levels.
The study concluded that the Kinesio-taping fascia correction technique with MDT, significantly improves Range of Motion and reduces shoulder pain in rotator cuff disease patients.
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Varacallo MA, El Bitar Y, Sina RE, Mair SD. Rotator Cuff Syndrome. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK531506/
Hermans J, Luime JJ, Meuffels DE, Reijman M, Simel DL, Bierma-Zeinstra SM. Does this patient with shoulder pain have rotator cuff disease?: the Rational Clinical Examination systematic review. JAMA. 2013;310:837–47.
Abrams JS. Management of the failed rotator cuff surgery: causation and management. Sports Medicine and Arthroscopy Review. 2010 Sep 1;18(3):188-97.
Oliva, F.; Piccirilli, E.; Bossa, M.; Via, A.G.; Colombo, A.; Chillemi, C.; Gasparre, G.; Pellicciari, L.; Franceschetti, E.; Rugiero, C.; et al. IS Mu. LT-Rotator Cuff Tears Guidelines. Muscle Ligaments Tendons J. 2015, 5, 227–263
Nho, S.J.; Yadav, H.; Shindle, M.K.; MacGillivray, J.D. Rotator Cuff Degeneration: Etiology and pathogenesis. Am. J. Sports Med. 2008, 36, 987–993.
Zong, L.-Z.; Duan, M.-M.; Yuan, W.-W.; Lu, H.-D. Efficacy of shoulder arthroscopic surgery for the treatment of rotator cuff injury: A protocol of systematic review and meta-analysis. Medicine 2020, 99, e20591.
Karimi MT, Khademi S. Investigation of the range of motion of the shoulder joint in subjects with rotator cuff arthropathy while performing daily activities. Clinics in Shoulder and Elbow. 2021 May 31;24(2):88.
Simons SM, Roberts FM. Patient education: Rotator cuff tendinitis and tear (Beyond the Basics).
Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports medicine. 2012 Feb;42:153-64.
Gianola S, Iannicelli V, Fascio E, Andreano A, Li LC, Valsecchi MG, Moja L, Castellini G. Kinesio taping for rotator cuff disease. Cochrane Database of Systematic Reviews. 2021(8).
Mehta A. Kinesio taping Method Instructions. Samarpan Physiotherapy Clinic. 2015.
Physiopedia. Kinesio Taping. https://www.physio-pedia.com/Kinesio_Taping
Kase K. Clinical therapeutic applications of the Kinesio (! R) taping method. Albuquerque. 2003.
Dias EM, Portella G, Lemos TV. Bandagens e imobilizadores. Profisio Esportiva Traumato-Ortopedica. 2012;1:89-155.
Kojić S, Katana B, Remić D, Zlatičanin R, Vranešić AE, Pleho D, Nuspahić S. APPLICATION OF KINESIO TAPE TECHNIQUE IN TREATMENT OF MUSCULOSKELETAL DISORDERS. KNOWLEDGE-International Journal. 2024 Mar 31;63(4):509-16.
Desjardins‐Charbonneau A, Roy JS, Dionne CE, Desmeules F. The efficacy of taping for rotator cuff tendinopathy: a systematic review and meta‐analysis. International journal of sports physical therapy. 2015 Aug;10(4):420.
Arslan SA, Erbahçeci F, Yorulmaz E, Baltacı G. Clinical effectiveness of rigid or kinesio taping and manual therapy on pain and function in patients with shoulder impingement syndrome. Journal of Exercise Therapy and Rehabilitation. 2021;8(2):133-43.
Durgut E, Gurses HN, Bilsel K, Alpay K, Hosbay Z, Uzer G, Yıldız F, Elmalı N. Short-Term Effects of Cold Therapy and Kinesio Taping on Pain Relief and Upper Extremity Functionality in Individuals with Rotator Cuff Tendonitis: A Randomized Study. Medicina. 2024 Jul 23;60(8):1188.
de Oliveira FC, Pairot de Fontenay B, Bouyer LJ, Desmeules F, Roy JS. Kinesiotaping for the rehabilitation of rotator cuff–related shoulder pain: a randomized clinical trial. Sports health. 2021 Mar;13(2):161-72.
Bubelis J, Masiulytė I. EFFECT OF KINESIOLOGY TAPING AFTER ROTATOR CUFF TEAR. PROFESSIONAL STUDIES: Theory And Practice. 2020;22(7):20-6.
Reynard F, Vuistiner P, Léger B, Konzelmann M. Immediate and short-term effects of kinesiotaping on muscular activity, mobility, strength and pain after rotator cuff surgery: a crossover clinical trial. BMC musculoskeletal disorders. 2018 Dec;19:1-1.
Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. journal of orthopaedic & sports physical therapy. 2008 Jul;38(7):389-95.
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