Archives of physical medicine and rehabilitation · 2026
Effect of Extracorporeal Shock Wave Therapy Combined With Kinesio Taping on Shoulder Function in Patients With Long-Head Biceps Tendinopathy: A Randomized Controlled Trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Liu Kun, Yin Lulu, Ma Yanhong, Huang Lihua
Аннотация
OBJECTIVE: To evaluate the main effects of extracorporeal shock wave therapy (ESWT) and Kinesio taping (KT) and their interaction on shoulder function and symptoms in adults with long-head biceps tendinopathy.
DESIGN: Factorial randomized controlled trial.
SETTING: Hospital outpatient rehabilitation department.
PARTICIPANTS: A total of 144 adults (18-65y) with clinically diagnosed long-head biceps tendinopathy were randomly allocated to ESWT+KT, sham ESWT+KT, ESWT+sham KT, or double-sham groups. Thirteen participants (9.0%) were lost to follow-up; analyses followed intention-to-treat principle.
INTERVENTIONS: All participants received a standardized 4-week rehabilitation program including stretching, strengthening, and manual therapy. ESWT or sham ESWT was delivered once weekly for 4 sessions (2000 pulses, 8 Hz, 0.12-0.25 mJ/mm²). KT or sham taping (no tension) was applied using standardized procedures.
MAIN OUTCOME MEASURES: The primary outcome was the Constant-Murley Score. Secondary outcomes included pain intensity on the Numerical Rating Scale during rest, activity, and sleep; pressure pain threshold; tissue hardness; and Global Rating of Change. Outcomes were measured at baseline, immediately after the intervention (week 4), and at the 2-week follow-up (week 6).
RESULTS: In the factorial mixed model, all outcomes improved over time (P<.001). For Constant-Murley Score, ESWT showed a significant main effect posttreatment (mean difference, 15.90; 95% confidence interval, 12.70∼19.10) and at follow-up (16.15; 13.25∼19.05), whereas KT showed no significant main effect posttreatment (2.40; -1.72 to 6.52) or at follow-up (1.95; -1.97 to 5.87). There was no evidence of an ESWT × KT interaction for Constant-Murley Score posttreatment (4.80; -1.55 to 11.15) or at follow-up (3.70; -2.07 to 9.47). For secondary outcomes, ESWT reduced pain across rest, activity, and sleep domains; KT effects were smaller, and interaction effects were outcome-dependent, with evidence consistent with additional benefit for sleep pain and patient-perceived recovery.
CONCLUSION: In the short term, ESWT improved shoulder function and reduced pain in adults with long-head biceps tendinopathy. KT provided limited additional benefit for overall function but may improve selected pain domains and perceived recovery.
DESIGN: Factorial randomized controlled trial.
SETTING: Hospital outpatient rehabilitation department.
PARTICIPANTS: A total of 144 adults (18-65y) with clinically diagnosed long-head biceps tendinopathy were randomly allocated to ESWT+KT, sham ESWT+KT, ESWT+sham KT, or double-sham groups. Thirteen participants (9.0%) were lost to follow-up; analyses followed intention-to-treat principle.
INTERVENTIONS: All participants received a standardized 4-week rehabilitation program including stretching, strengthening, and manual therapy. ESWT or sham ESWT was delivered once weekly for 4 sessions (2000 pulses, 8 Hz, 0.12-0.25 mJ/mm²). KT or sham taping (no tension) was applied using standardized procedures.
MAIN OUTCOME MEASURES: The primary outcome was the Constant-Murley Score. Secondary outcomes included pain intensity on the Numerical Rating Scale during rest, activity, and sleep; pressure pain threshold; tissue hardness; and Global Rating of Change. Outcomes were measured at baseline, immediately after the intervention (week 4), and at the 2-week follow-up (week 6).
RESULTS: In the factorial mixed model, all outcomes improved over time (P<.001). For Constant-Murley Score, ESWT showed a significant main effect posttreatment (mean difference, 15.90; 95% confidence interval, 12.70∼19.10) and at follow-up (16.15; 13.25∼19.05), whereas KT showed no significant main effect posttreatment (2.40; -1.72 to 6.52) or at follow-up (1.95; -1.97 to 5.87). There was no evidence of an ESWT × KT interaction for Constant-Murley Score posttreatment (4.80; -1.55 to 11.15) or at follow-up (3.70; -2.07 to 9.47). For secondary outcomes, ESWT reduced pain across rest, activity, and sleep domains; KT effects were smaller, and interaction effects were outcome-dependent, with evidence consistent with additional benefit for sleep pain and patient-perceived recovery.
CONCLUSION: In the short term, ESWT improved shoulder function and reduced pain in adults with long-head biceps tendinopathy. KT provided limited additional benefit for overall function but may improve selected pain domains and perceived recovery.