Effects of Kinesio Taping on Thoracolumbar Fascia Flexibility in Patients With Shoulder Injury

Subacromial Impingement Syndrome (SIS) is one of the most common causes of shoulder painand is characterized by pain, movement limitation, and functional impairment.Contemporary biomechanical perspectives suggest that shoulder function is influenced notonly by local anatomical structures but also by proximal structures such as the thorax,spine, and thoracolumbar fascia. The thoracolumbar fascia plays an important role inforce transmission between the upper and lower extremities and contributes to posturalcontrol and movement coordination. Therefore, interventions targeting the thoracolumbarfascia may influence shoulder function and related clinical outcomes.This randomized controlled trial will include a total of 60 participants diagnosed withSubacromial Impingement Syndrome. Participants will be randomly assigned into two groups:an intervention group receiving fascia correction Kinesio Taping using the Ram's Headtechnique applied to the thoracolumbar fascia, and a control group receiving sham KinesioTaping without therapeutic fascia correction.In the intervention group, Y‐shaped Kinesio Tape will be applied to the thoracolumbarregion using the fascia correction technique. Low‐to‐moderate tape tension (10‐50%)combined with manual oscillatory movements will be used to facilitate fascialmobilization and modulate tissue glide capacity. The sham group will receive tapingwithout therapeutic fascial correction.Assessments will be performed immediately before the intervention and 45 minutes aftertape application. Outcome measures will include pain intensity during rest and activityassessed using the Visual Analog Scale (VAS), trunk range of motion measured bygoniometry, trunk flexibility assessed by tape measurements, thoracolumbar fasciaflexibility evaluated using a goniometric platform, lumbar mobility assessed by theModified Schober Test, and posterior shoulder capsule tightness measurement.The primary aim of this study is to investigate the acute clinical effects of fasciacorrection Kinesio Taping applied to the thoracolumbar fascia in individuals withSubacromial Impingement Syndrome and to provide evidence regarding the potential effectsof fascial modulation on pain, mobility, range of motion, and tissue flexibility.