Lai C-C1, Chen S-Y2,3, Yang J-L1, Lin J-J4
1National Taiwan University Hospital, Department of Physical Medicine and Rehabilitation, Taipei, Taiwan, 2Department of Physical Medicine and Rehabilitation, Taipei Medical University-Wan Fang Hospital, Taipei, Taiwan, 3School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan, 4School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan
Background: Shortness of pectoralis minor (PM) is a potential mechanism for subacromial impingement. There are limited studies to examine the effect of kinesiotaping and stretching exercises based on consideration of the length of PM.
Purpose: The purpose of this systemic review and network meta-analyses is to analyze the effect of stretching exercise and kinesiotaping on the length of PM in the adults.
Methods: This study followed the PRISMA (preferred Reporting Items for Systemic Reviews and Meta-Analyses) guidelines. Randomized controlled trials among adults with or without symptomatic shoulders were included. Data were pooled using random effect model. Heterogeneity between studies was assessed using I2 statics, and publication bias was evaluated by funnel plot.
Results: We extracted data from 4 randomized control trials with 188 participants (age range was 18-50 year-old). No significant differences were found between the effects of stretching exercise or usual care on length of PM. Kinesiotaping achieved greater length of PM improvement than did usual care (1.15 cm; 95% confidence interval [CI]: 0.20-2.10 cm). There was no significant difference in the change of the length of PM between stretching group and control group.
Conclusion(s): Intervention with stretching exercise only has no effect on the length of PM. Combining with the other strengthening/stabilization exercises, stretching exercise may have improvement on the length of PM. Kinesiotaping has benefits in the length of PM when comparing with non-intervention.
Implications: This study would provide practical information for subjects with scapular dyskinesis and poor shoulder posture related to PM tightness.
Keywords: pectoralis minor ,stretching exercise ,kinesiotaping
Funding acknowledgements: National Taiwan University Hospital
Purpose: The purpose of this systemic review and network meta-analyses is to analyze the effect of stretching exercise and kinesiotaping on the length of PM in the adults.
Methods: This study followed the PRISMA (preferred Reporting Items for Systemic Reviews and Meta-Analyses) guidelines. Randomized controlled trials among adults with or without symptomatic shoulders were included. Data were pooled using random effect model. Heterogeneity between studies was assessed using I2 statics, and publication bias was evaluated by funnel plot.
Results: We extracted data from 4 randomized control trials with 188 participants (age range was 18-50 year-old). No significant differences were found between the effects of stretching exercise or usual care on length of PM. Kinesiotaping achieved greater length of PM improvement than did usual care (1.15 cm; 95% confidence interval [CI]: 0.20-2.10 cm). There was no significant difference in the change of the length of PM between stretching group and control group.
Conclusion(s): Intervention with stretching exercise only has no effect on the length of PM. Combining with the other strengthening/stabilization exercises, stretching exercise may have improvement on the length of PM. Kinesiotaping has benefits in the length of PM when comparing with non-intervention.
Implications: This study would provide practical information for subjects with scapular dyskinesis and poor shoulder posture related to PM tightness.
Keywords: pectoralis minor ,stretching exercise ,kinesiotaping
Funding acknowledgements: National Taiwan University Hospital
Topic: Musculoskeletal: upper limb
Ethics approval required: No
Institution: Nil
Ethics committee: Nil
Reason not required: Nil
All authors, affiliations and abstracts have been published as submitted.
