Effectiveness of Extracorporeal Shock Wave Therapy and kinesio taping in calcific tendinopathy of the shoulder: a randomized controlled trial

Paolo Frassanito, Carlo Cavalieri, Roberto Maestri, Guido Felicetti

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Extracorporeal Shock Wave Therapy (ESWT) is effective in the treatment of calcific tendinopathy of the rotator cuff, eliciting an analgesic/anti-inflammatory action and promoting tissue regeneration. Kinesio taping (KT), another recently-introduced rehabilitative tool, exerts an analgesic and biomechanical action on joints and muscles. ESWT and KT may have a synergic effect when used in combination, but the effectiveness of the association has not been established.

AIM: The aim of this study was to test if the association of KT with ESWT is superior to ESWT alone in the treatment of rotator cuff calcific tendinopathy.

DESIGN: Randomized controlled trial.

SETTING: Rehabilitation Institute outpatients.

POPULATION: Forty-two patients with rotator cuff calcific tendinopathy were randomly assigned to the experimental group (ESWT+KT, N.=21) or control (ESWT, N.=21).

METHODS: In the experimental group, patients underwent three sessions (once a week for 3 weeks) of ESWT with KT applied at the end of each session. Controls underwent three sessions of ESWT only. All patients were assessed before treatment (T0) and at 1 (T1), 4 (T2) and 12 weeks (T3) after the end of treatment with the following outcome measures: a visual analogue scale (VAS), the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, Subjective Shoulder Rating Questionnaire (SSRQ), and Oxford Shoulder Score (OSS).

RESULTS: Both groups showed significant improvement in all outcome measures, but the time course differed between the two groups. At T1 vs. T0, the improvement was significantly better in ESWT+KT than ESWT on VAS (P=0.007), DASH (P<0.0001) and SSRQ (P=0.0001). Successive improvements at T2 vs. T1 and T3 vs. T2 did not differ significantly between the groups. At the end of follow-up, ESWT+KT still showed significantly greater improvement than ESWT on VAS (P=0.02) and SSRQ (P=0.038).

CONCLUSIONS: KT associated with ESWT seems to improve the recovery in rotator cuff calcific tendinopathy with a faster therapeutic response compared to ESWT only.

CLINICAL REHABILITATION IMPACT: Our results suggest the effectiveness of using KT as adjuvant therapy to ESWT in rotator cuff calcific tendinopathy, through enhancing the short-term analgesic action and the medium- to long-term biological-regenerative effects.

Original languageEnglish
Pages (from-to)333-340
Number of pages8
JournalEuropean Journal of Physical and Rehabilitation Medicine
Issue number3
Publication statusPublished - Jun 2018


  • Adult
  • Aged
  • Ambulatory Care/methods
  • Analysis of Variance
  • Athletic Tape/statistics & numerical data
  • Calcinosis/complications
  • Combined Modality Therapy
  • Extracorporeal Shockwave Therapy/methods
  • Female
  • Humans
  • Italy
  • Magnetic Resonance Imaging/methods
  • Male
  • Middle Aged
  • Pain Measurement
  • Prognosis
  • Range of Motion, Articular/physiology
  • Rehabilitation Centers
  • Risk Assessment
  • Rotator Cuff/diagnostic imaging
  • Shoulder Joint/physiopathology
  • Shoulder Pain/etiology
  • Tendinopathy/complications
  • Treatment Outcome


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