Bülent ÖZKURT, Tarık ÖZMEN, Salih Süha KOPARAL, Özlem KARATAŞ, Filiz ESER, Ümit GAFUROĞLU

Comparison of the clinical and sonographic effects of ultrasound therapy, extracorporeal shock wave therapy, and Kinesio taping in lateral epicondylitis

Background/aim: The aim of this study was to compare the clinical and sonographic effects of the ultrasound (US) therapy, extracorporeal shock wave therapy (ESWT), and Kinesio taping (KT) in the lateral epicondylitis (LE). Materials and methods: A total of 40 patients with LE were included in the present study. The patients were randomly assigned to 3 treatment groups: US (n = 13), ESWT (n = 14), and KT (n = 13) groups. Results: The visual analog scale (VAS) scores significantly decreased in all groups (P < 0.05). Grip strength significantly increased after 8 weeks in only the KT group (P < 0.05). The Patient-Rated Tennis Elbow Evaluation Scale (PRTEE) scores significantly decreased after 2 weeks and after 8 weeks in the US group and ESWT groups, and after 8 weeks in the KT group (P < 0.05). Common extensor tendon (CET) thicknesses significantly decreased after 8 weeks in only the ESWT group (P < 0.05). Conclusion: The US therapy, KT, and ESWT are effective in reducing pain and improving functionality. However, none of these treatment methods were found to be superior to others in reducing the pain and improving functionality.Key words: Extracorporeal shock wave treatment, lateral epicondylitis, taping, ultrasonography

PDF

___

1. Ahmad Z, Siddiqui N, Malik SS, Abdus-Samee M, TytherleighStrong G et al. Lateral epicondylitis: A review of pathology and management. The Bone and Joint Journal 2013; 95-b (9): 1158- 1164. doi: 10.1302/0301-620X.95B9.29285
2. Shiri R, Viikari-Juntura E, Varonen H, Heliövaara M. Prevalence and determinants of lateral and medial epicondylitis: a population study. American Journal of Epidemiology 2006; 164 (11): 1065-1074. doi: 10.1093/aje/kwj325
3. Coombes BK, Bisset L, Vicenzino B. Management of lateral elbow tendinopathy: one size does not fit all. Journal of Orthopaedic and Sports Physical Therapy 2015; 45 (11): 938- 949. doi: 10.2519/jospt.2015.5841
4. Dundar U, Turkmen U, Toktas H, Ulasli AM, Solak O. Effectiveness of high-intensity laser therapy and splinting in lateral epicondylitis; a prospective, randomized, controlled study. Lasers in Medical Science 2015; 30 (3): 1097-1107. doi: 10.1007/s10103-015-1716-7
5. Gautam VK, Verma S, Batra S, Bhatnagar N, Arora S. Plateletrich plasma versus corticosteroid injection for recalcitrant lateral epicondylitis: clinical and ultrasonographic evaluation. Journal of Orthopaedic Surgery and Research 2015; 23 (1): 1-5. doi: 10.1177/230949901502300101
6. Gündüz R, Malas FÜ, Borman P, Kocaoğlu S, Özçakar, L. Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis. Clinical Rheumatology 2012; 31 (5): 807-812. doi: 10.1007/s10067-012-1939-y
7. Joshi S, Metgud S, Ebnezer C. Comparing the effects of manipulation of wrist and ultrasound, friction massage and exercises on lateral epicondylitis: a randomized clinical study. Indian Journal of Physiotherapy and Occupational Therapy 2013; 7 (3): 205-209. doi: 10.5958/j.0973-5674.7.3.093
8. Wong CWY, Ng EYL, Fung PW, Mok KM, Yung PSH et al. Comparison of treatment effects on lateral epicondylitis between acupuncture and extracorporeal shockwave therapy. The Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology 2017; 7: 21-26. doi: 10.1016/j. asmart.2016.10.001
9. Watson T. Ultrasound in contemporary physiotherapy practice. Ultrasonics 2008; 48 (4), 321-329. doi: 10.1016/j. ultras.2008.02.004
10. Kim JH, Kim JY, Choi CM, Lee JK, Kee HS et al. The doserelated effects of extracorporeal shock wave therapy for knee osteoarthritis. Annals of Rehabilitation Medicine 2015; 39 (4): 616-623. doi: 10.5535/arm.2015.39.4.616
11. Notarnicola A, Moretti B. The biological effects of extracorporeal shock wave therapy (eswt) on tendon tissue. Muscles Ligaments Tendons Journal 2012; 2 (1): 33-37.
12. Paoloni M, Tavernese E, Cacchio A, D’orazi V, Ioppolo F et al. Extracorporeal shock wave therapy and ultrasound therapy improve pain and function in patients with carpal tunnel syndrome. A randomized controlled trial. European Journal of Physical and Rehabilitation Medicine 2015; 51 (5): 521-528.
13. Dilek B, Batmaz I, Sarıyıldız MA, Sahin E, Ilter L et al. Kinesio taping in patients with lateral epicondylitis. Journal of Back and Musculoskeletal Rehabilitation 2016; 29 (4): 853-858. doi: 10.3233/BMR-160701
14. Eraslan L, Yuce D, Erbilici A, Baltaci G. Does Kinesiotaping improve pain and functionality in patients with newly diagnosed lateral epicondylitis? Knee Surgery, Sports Traumatology, Arthroscopy 2018; 26 (3): 938-945. doi: 10.1007/s00167-017-4691-7
15. Vicenzino B, Brooksbank J, Minto J, Offord S, Paungmali A. Initial effects of elbow taping on pain-free grip strength and pressure pain threshold. Journal of Orthopaedic and Sports Physical Therapy 2003; 33 (7): 400-407. doi: 10.2519/ jospt.2003.33.7.400
16. Cho YT, Hsu WY, Lin LF, Lin YN. Kinesio taping reduces elbow pain during resisted wrist extension in patients with chronic lateral epicondylitis: a randomized, double-blinded, cross-over study. BMC Musculoskeletal Disorders 2018; 19 (1): 193-200. doi: 10.1186/s12891-018-2118-3
17. Hsu YH, Chen WY, Lin HC, Wang WT, Shih YF. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. Journal of Electromyography and Kinesiology 2009; 19 (6): 1092-1099. doi: 10.1016/j.jelekin.2008.11.003
18. Kase K, Wallis J, Kase T. Clinical Therapeutic Applications of the Kinesio Taping Method. 2nd ed. Tokyo, Japan: Ken Ikai Co Ltd.; 2003.
19. Seo HD, Kim MY, Choi JE, Lim GH, Jung SI et al. Effects of Kinesio taping on joint position sense of the ankle. The Journal of Physical Therapy Science 2016; 28 (4): 1158-1160. doi: 10.1589/jpts.28.1158
20. Slupik A, Dwornik M, Bialoszewski D, Zych E. Effect of Kinesio Taping on bioelectrical activity of vastus medialis muscle. Preliminary report. Ortopedia Traumatologia Rehabilitacja 2007; 9 (6): 644-651.
21. George CE, Heales LJ, Stanton R, Wintour SA, Kean CO. Sticking to the facts: a systematic review of the effects of therapeutic tape in lateral epicondylalgia. Physical Therapy in Sport 2019; 40: 117-127. doi: 10.1016/j.ptsp.2019.08.011
22. Latham SK, Smith TO. The diagnostic test accuracy of ultrasound for the detection of lateral epicondylitis: a systematic review and meta-analysis. Orthopaedics and Traumatology: Surgery and Research 2014; 100 (3): 281-286. doi: 10.1016/j. otsr.2014.01.006
23. Lee MH, Cha JG, Jin W, Kim BS, Park JS et al. Utility of sonographic measurement of the common tensor tendon in patients with lateral epicondylitis. American Journal of Roentgenology 2011; 196 (6): 1363-1367. doi: 10.2214/ AJR.10.5769
24. Levin D, Nazarian LN, Miller TT, O’Kane PL, Feld RI et al. Lateral epicondylitis of the elbow: US findings. Radiology 2005; 237 (1): 230-234. doi: 10.1148/radiol.2371040784
25. Balogun JA, Akomolafe CT, Amusa LO. Grip strength: effects of testing posture and elbow position. Archives of Physical Medicine and Rehabilitation 1991; 72 (5): 280-283.
26. Mathiowetz V, Kashman N, Volland G, Weber K, Dowe M et al. Grip and pinch strength: normative data for adults. Archives of Physical Medicine and Rehabilitation 1985; 66 (2): 69-74.
27. Altan L, Ercan I, Konur S. Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatology International 2010; 30 (8): 1049-1054. doi: 10.1007/s00296-009-1101-6
28. Rompe JD, Overend TJ, MacDermid JC. Validation of the Patient-rated Tennis Elbow Evaluation Questionnaire. Journal of Hand Therapy 2007; 20 (1): 3-10. doi: 10.1197/j. jht.2006.10.003
29. Speed CA. Therapeutic ultrasound in soft tissue lesions. Rheumatology 2001; 40 (12): 1331-1336. doi: 10.1093/ rheumatology/40.12.1331
30. Öken Ö, Kahraman Y, Ayhan F, Canpolat S, Yorgancioglu ZR et al. The short-term efficacy of laser, brace, and ultrasound treatment in lateral epicondylitis: a prospective, randomized, controlled trial. Journal of Hand Therapy 2008; 21 (1): 63-68. doi: 10.1197/j.jht.2007.09.003
31. Lizis P. Analgesic effect of extracorporeal shock wave therapy versus ultrasound therapy in chronic tennis elbow. Journal of Physical Therapy Science 2015; 27 (8): 2563-2567. doi: 10.1589/ jpts.27.2563
32. Perlick L, Luring C, Bathis H, Perlick C, Kraft C et al. Efficacy of extracorporeal shock-wave treatment for calcific tendinitis of the shoulder: experimental and clinical results. Journal of Orthopaedic Science 2003; 8 (6): 777-783. doi: 10.1007/ s00776-003-0720-0
33. Wang CJ, Yang KD, Wang FS, Chen HH, Wang JW. Shock wave therapy for calcific tendinitis of the shoulder: a prospective clinical study with two-year follow-up. American Journal of Sports Medicine 2003; 31 (3): 425-430. doi: 10.1177/03635465030310031701
34. Thiele S, Thiele R, Gerdesmeyer L. Lateral epicondylitis: this is still a main indication for extracorporeal shockwave therapy. International Journal of Surgery 2015; 24: 165-170. doi: 10.1016/j.ijsu.2015.09.034
35. Yalvaç B, Mesci N, Külcü DG, Yurdakul OV. Comparison of ultrasound and extracorporeal shock wave therapy in lateral epicondylosis. Acta Orthopaedica et Traumatologica Turcica 2018; 52 (5): 357-362. doi: 10.1016/j.aott.2018.06.004
36. Wu WT, Hong CZ, Chou LW. The Kinesio taping method for myofascial pain control. Evidence-Based Complementary and Alternative Medicine 2015; 950519: 1-9. doi: 10.1155/2015/950519
37. Giray E, Bingul DK, Akyuz G. The effectiveness of kinesiotaping, sham taping or exercises only in treatment of lateral epicondylitis: a randomized controlled study. Physical medicine and Rehabilitation 2019; 11 (7): 681-693. doi: 10.1002/pmrj.12067
38. Au IP, Fan PCP, Lee WY, Leong MW, Tang OY et al. Effects of Kinesio tape in individuals with lateral epicondylitis: a deceptive crossover trial. Physiotherapy Theory and Practice 2017; 33 (12): 914-919. doi: 10.1080/09593985.2017.1359871
39. Shakeri H, Soleimanifar M, Arab AM, Behbahani SH. The effects of KinesioTape on the treatment of lateral epicondylitis. Journal of Hand Therapy 2018; 31 (1): 35-41. doi: 10.1016/j. jht.2017.01.001
40. Dorf ER, Chhabra AB, Golish SR, McGinty JL, Pannunzio ME. Effect of elbow position on grip strength in the evaluation of lateral epicondylitis. Journal of Hand Surgery 2007; 32 (6): 882- 886. doi: 10.1016/j.jhsa.2007.04.010