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Kinesiotaping for scapular dyskinesis: The influence on scapular kinematics and on the activity of scapular stabilizing muscles
Institution:1. Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, South Korea;2. Global Center for Shoulder & Elbow, Department of Orthopedic Surgery, Konkuk University Hospital, Seoul, South Korea;3. Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University Medical College, Chuncheon-si, Gangwon-do, South Korea;4. Department of Radiology, Konkuk University Hospital, Seoul, South Korea;5. Gem Fitness, Seoul, South Korea;1. Department of Molecular Medicine, Sapienza University of Rome, Rome, Italy;2. Universitätsklinik für Unfallchirurgie und Sporttraumatologie, Paracelsus Medizinische Privatuniversität, Salzburg, Austria;3. Medizinische Universitat Innsbruck, Innsbruck, Austria;4. Department of Anatomical, Histological, Forensic, Medicine and Orthopedic Science, Sapienza University of Rome, Rome, Italy;5. Schulter & Ellbogen Zentrum, Lindenhofspital, Bern, Switzerland;1. Department of Physical Therapy, Unidad de Investigación Musculoesquelética – UIM, Instituto Universitario del Gran Rosario – IUGR, Argentina;2. Department of Physical Therapy, Federal University of Juiz de Fora – UFJF, Brazil
Abstract:Scapular dyskinesis is observed in 61% of overhead athletes (Burn et al., 2016). For most of them, it remains asymptomatic. However, scapular dyskinesis is considered a risk factor for shoulder injury by some authors (Clarsen et al., 2014). The aim of this study is to explore the effectiveness of kinesiotaping in modifying scapular kinematics and peri-scapular muscle activity in dyskinetic athletes. The 3-dimensional position and orientation of the scapula as well as the activation of upper trapezius, lower trapezius and serratus anterior were recorded in twenty asymptomatic athletes during shoulder movements (flexion and abduction), in loaded and unloaded conditions and in three circumstances (standard, kinesiotaping 1, kinesiotaping 2). A significant decrease between 9 and 12% in upper trapezius activity was observed with kinesiotaping 1 and 2. Lower trapezius activity was slightly increased with kinesiotaping 1 while it was significantly decreased about 15–20% with kinesiotaping 2. No change was observed in serratus anterior activity, for either kinesiotaping 1 or 2. Considering scapular kinematics, both kinesiotaping 1 and 2 significantly increased posterior tilt and upward rotation. External rotation was decreased with kinesiotaping 2, in comparison to standard condition. Kinesiotaping, and especially taping 1, seems to be an effective method for changing periscapular muscle activity and scapular kinematics.
Keywords:Electromyographic  Scapular dyskinesis  Kinesiotaping  Scapular kinematics  Rehabilitation
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