Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, 06100, Ankara, Turkey.
Department of Prevantative Oncology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Knee Surg Sports Traumatol Arthrosc. 2018 Mar;26(3):938-945. doi: 10.1007/s00167-017-4691-7. Epub 2017 Aug 24.
This study aimed to compare the short-term effects of kinesiotaping and extracorporeal shock wave therapy (ESWT) along with physiotherapy on pain, functionality, and grip strength in patients with newly diagnosed lateral epicondylitis undergoing rehabilitation.
Forty-five voluntary patients (mean age 48 years) were randomly assigned to three groups. Patients in all groups received physiotherapy consisting of a cold pack and transcutaneous electrical nerve stimulation five times per week for a total of 15 sessions and a home exercise programme including stretching and eccentric strength exercises. In the second group, patients received kinesiotaping 5 days a week for 3 weeks. In the third group, ESWT was applied three times for 3 weeks. Patients were assessed by visual analogue scale for pain intensity, pain-free grip strength using a hand dynamometer, Cyriax Resisted Muscle Test, and Patient-Rated Tennis Elbow Evaluation Scale. All measurements were collected at baseline and after treatment.
There were no significant differences in the demographic characteristics of the patients in all groups at baseline. Intra-group analysis revealed that pain intensity decreased, whereas maximum grip strength and functionality increased in all groups at the end of the treatment (p < 0.05). Inter-group analysis revealed that the kinesiotaping group yielded better results in decreasing pain intensity than the other groups (p < 0.05). The kinesiotaping group (p < 0.001) and ESWT group (p = 0.002) yielded better results in improving functionality than the physiotherapy group. There were significant differences in recovering pain-free grip strength in the kinesiotaping group (p < 0.05).
Kinesiotaping was found to be effective for decreasing pain intensity, recovering grip strength, and improving functionality in patients with lateral epicondylitis undergoing rehabilitation.
Therapeutic study, Level II.
本研究旨在比较运动贴扎和体外冲击波疗法（ESWT）联合物理治疗对接受康复治疗的新发外侧肱骨上髁炎患者疼痛、功能和握力的短期影响。
45 名自愿参与的患者（平均年龄 48 岁）被随机分为三组。所有组的患者均接受每周 5 次、共 15 次的包括冷敷和经皮神经电刺激的物理治疗，以及包括伸展和离心力量练习的家庭运动方案。在第二组中，患者每周接受 5 天的运动贴扎治疗，共 3 周。在第三组中，3 周内进行 3 次 ESWT。患者使用视觉模拟评分法（VAS）评估疼痛强度、使用手持测力计评估无痛握力、Cyriax 抗阻力肌肉测试和患者网球肘评估量表（PRTEE）评估功能。所有测量均在基线和治疗后进行。
所有组的患者在基线时的人口统计学特征均无显著差异。组内分析显示，所有组在治疗结束时疼痛强度均降低，最大握力和功能均增加（p<0.05）。组间分析显示，与其他组相比，运动贴扎组在降低疼痛强度方面效果更好（p<0.05）。运动贴扎组（p<0.001）和 ESWT 组（p=0.002）在改善功能方面的效果均优于物理治疗组。运动贴扎组在恢复无痛握力方面的差异具有统计学意义（p<0.05）。
运动贴扎在减少接受康复治疗的外侧肱骨上髁炎患者的疼痛强度、恢复握力和改善功能方面被证明是有效的。
治疗研究，II 级。
