Table of Contents
ISRN Rehabilitation
Volume 2014, Article ID 510137, 12 pages
Clinical Study

Effect of Box Taping as an Adjunct to Stretching-Strengthening Exercise Program in Correction of Scapular Alignment in People with Forward Shoulder Posture: A Randomised Trial

1School of Rehabilitation Sciences, McMaster University 1400, Main Street West, Hamilton, ON, Canada L8S 1C7
2JSS College of Physiotherapy, JSS Hospital Campus, Mysore, Karnataka 570004, India
3Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Manipal, Karnataka 576104, India
4Hand and Upper Limb Centre, St. Joseph’s Health Centre, London, ON, Canada N6A 4L6

Received 19 September 2013; Accepted 3 December 2013; Published 20 January 2014

Academic Editors: B. Kuran and K. Masani

Copyright © 2014 Neha Dewan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. The objective of this study was to provide preliminary estimates of effects of box taping as an adjunct to stretching-strengthening exercise program on scapular alignment in healthy subjects with forward shoulder posture (FSP). Methods. Sixty subjects were screened and 38 asymptomatic subjects with FSP were allocated into box taping and standard treatment group using block randomization. Both groups received a supervised stretching-strengthening exercise program and postural advice for 15 sessions over 3 weeks. In addition, box taping was applied to the intervention group. Static and dynamic scapular alignment was recorded at baseline, 7th and 15th sessions. Differences over time and between the treatment groups were determined using repeated measures of analysis of variance (ANOVA). Results. Twenty subjects completed the study. Both interventions were well tolerated and resulted in improvements in static and dynamic postural indicators over time in both groups ( ) except for dynamic scapular alignment by the 15th session. We were under powered to detect differences between the groups ( ). Conclusions. This study suggests postural exercises improve scapular alignment; but a large RCT is required to determine whether the addition of box taping is indicated, and whether this preventative approach reduces the incidence of upper quarter musculoskeletal disorders. This trial is registered with CTRI/2013/10/004095.