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February 05, 2013; 80 (6) Article

Shoulder taping reduces injury and pain in stroke patients

Randomized controlled trial

Jeyaraj D. Pandian, Paramdeep Kaur, Rajni Arora, Dheeraj K. Vishwambaran, Gagan Toor, Santhosh Mathangi, Pamidimukkala Vijaya, Ashok Uppal, Tanvinder Kaur, Hisatomi Arima
First published January 23, 2013, DOI: https://doi.org/10.1212/WNL.0b013e318281550e
Jeyaraj D. Pandian
From the Stroke Unit, Department of Neurology (J.D.P., P.K., G.T.), College of Physiotherapy (R.A., D.K.V.), and the Department of Physical Medicine and Rehabilitation (S.M.), Christian Medical College, Ludhiana, Punjab; Heart and Brain Center (P.V.), Guntur, Andhra Pradesh; Uppal Neuro Hospital (A.U., T.K.), Amritsar, Punjab, India; and The George Institute for Global Health (H.A.), University of Sydney, Sydney, Australia.
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Paramdeep Kaur
From the Stroke Unit, Department of Neurology (J.D.P., P.K., G.T.), College of Physiotherapy (R.A., D.K.V.), and the Department of Physical Medicine and Rehabilitation (S.M.), Christian Medical College, Ludhiana, Punjab; Heart and Brain Center (P.V.), Guntur, Andhra Pradesh; Uppal Neuro Hospital (A.U., T.K.), Amritsar, Punjab, India; and The George Institute for Global Health (H.A.), University of Sydney, Sydney, Australia.
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Rajni Arora
From the Stroke Unit, Department of Neurology (J.D.P., P.K., G.T.), College of Physiotherapy (R.A., D.K.V.), and the Department of Physical Medicine and Rehabilitation (S.M.), Christian Medical College, Ludhiana, Punjab; Heart and Brain Center (P.V.), Guntur, Andhra Pradesh; Uppal Neuro Hospital (A.U., T.K.), Amritsar, Punjab, India; and The George Institute for Global Health (H.A.), University of Sydney, Sydney, Australia.
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Dheeraj K. Vishwambaran
From the Stroke Unit, Department of Neurology (J.D.P., P.K., G.T.), College of Physiotherapy (R.A., D.K.V.), and the Department of Physical Medicine and Rehabilitation (S.M.), Christian Medical College, Ludhiana, Punjab; Heart and Brain Center (P.V.), Guntur, Andhra Pradesh; Uppal Neuro Hospital (A.U., T.K.), Amritsar, Punjab, India; and The George Institute for Global Health (H.A.), University of Sydney, Sydney, Australia.
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Gagan Toor
From the Stroke Unit, Department of Neurology (J.D.P., P.K., G.T.), College of Physiotherapy (R.A., D.K.V.), and the Department of Physical Medicine and Rehabilitation (S.M.), Christian Medical College, Ludhiana, Punjab; Heart and Brain Center (P.V.), Guntur, Andhra Pradesh; Uppal Neuro Hospital (A.U., T.K.), Amritsar, Punjab, India; and The George Institute for Global Health (H.A.), University of Sydney, Sydney, Australia.
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Santhosh Mathangi
From the Stroke Unit, Department of Neurology (J.D.P., P.K., G.T.), College of Physiotherapy (R.A., D.K.V.), and the Department of Physical Medicine and Rehabilitation (S.M.), Christian Medical College, Ludhiana, Punjab; Heart and Brain Center (P.V.), Guntur, Andhra Pradesh; Uppal Neuro Hospital (A.U., T.K.), Amritsar, Punjab, India; and The George Institute for Global Health (H.A.), University of Sydney, Sydney, Australia.
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Pamidimukkala Vijaya
From the Stroke Unit, Department of Neurology (J.D.P., P.K., G.T.), College of Physiotherapy (R.A., D.K.V.), and the Department of Physical Medicine and Rehabilitation (S.M.), Christian Medical College, Ludhiana, Punjab; Heart and Brain Center (P.V.), Guntur, Andhra Pradesh; Uppal Neuro Hospital (A.U., T.K.), Amritsar, Punjab, India; and The George Institute for Global Health (H.A.), University of Sydney, Sydney, Australia.
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Ashok Uppal
From the Stroke Unit, Department of Neurology (J.D.P., P.K., G.T.), College of Physiotherapy (R.A., D.K.V.), and the Department of Physical Medicine and Rehabilitation (S.M.), Christian Medical College, Ludhiana, Punjab; Heart and Brain Center (P.V.), Guntur, Andhra Pradesh; Uppal Neuro Hospital (A.U., T.K.), Amritsar, Punjab, India; and The George Institute for Global Health (H.A.), University of Sydney, Sydney, Australia.
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Tanvinder Kaur
From the Stroke Unit, Department of Neurology (J.D.P., P.K., G.T.), College of Physiotherapy (R.A., D.K.V.), and the Department of Physical Medicine and Rehabilitation (S.M.), Christian Medical College, Ludhiana, Punjab; Heart and Brain Center (P.V.), Guntur, Andhra Pradesh; Uppal Neuro Hospital (A.U., T.K.), Amritsar, Punjab, India; and The George Institute for Global Health (H.A.), University of Sydney, Sydney, Australia.
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Hisatomi Arima
From the Stroke Unit, Department of Neurology (J.D.P., P.K., G.T.), College of Physiotherapy (R.A., D.K.V.), and the Department of Physical Medicine and Rehabilitation (S.M.), Christian Medical College, Ludhiana, Punjab; Heart and Brain Center (P.V.), Guntur, Andhra Pradesh; Uppal Neuro Hospital (A.U., T.K.), Amritsar, Punjab, India; and The George Institute for Global Health (H.A.), University of Sydney, Sydney, Australia.
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Citation
Shoulder taping reduces injury and pain in stroke patients
Randomized controlled trial
Jeyaraj D. Pandian, Paramdeep Kaur, Rajni Arora, Dheeraj K. Vishwambaran, Gagan Toor, Santhosh Mathangi, Pamidimukkala Vijaya, Ashok Uppal, Tanvinder Kaur, Hisatomi Arima
Neurology Feb 2013, 80 (6) 528-532; DOI: 10.1212/WNL.0b013e318281550e

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Abstract

Objectives: We aimed to study the effectiveness of shoulder taping and conventional treatment vs sham taping and conventional treatment in prevention of shoulder injuries in patients with acute stroke.

Methods: This study was a multicenter, interventional, prospective, randomized, outcome-blinded trial (PROBE design). All first-ever stroke patients were included within 48 hours of stroke onset (August 2009–October 2011). The treatment group included shoulder taping and conventional treatment, and the control group received sham taping and conventional treatment. Primary outcomes were changes in visual analog scale (VAS) and shoulder pain and disability index (SPADI), and secondary outcomes were changes in shoulder range of motion (flexion and abduction) at days 14 and 30. Clinical trials registration no. NCT 01062308.

Results: There were 80 patients in the treatment arm and 82 in the control arm. There was a better reduction of VAS (on day 14: mean difference 3.7 mm, p = 0.45; on day 30: 11.9 mm, p = 0.03) and SPADI scores (on day 14: mean difference 3.5, p = 0.33; on day 30: 9.3, p = 0.04) in the treatment arm.

Conclusions: Although there was a trend toward pain reduction and functional improvement associated with shoulder taping for 2 weeks after acute stage of stroke, this did not reach statistical significance. The long-term effects of taping need to be studied in large trials.

Classification of evidence: This study provided Class III evidence that tri-pull shoulder taping was ineffective in significantly reducing shoulder pain in patients with acute stoke.

GLOSSARY

CI=
confidence interval;
ROM=
range of motion;
SPADI=
shoulder pain and disability index;
VAS=
visual analog scale

Footnotes

  • Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • Supplemental data at www.neurology.org

  • Received July 3, 2012.
  • Accepted October 5, 2012.
  • © 2013 American Academy of Neurology
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  • All Pain
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