The study was conducted in accordance with the principles of the Declaration of Helsinki.Ī standard 2-inch (5 cm) Kinesio®Tex tape (Kinesio Holding Corporation, Albuquerque, New Mexico, USA) was used in both groups. The study protocol was approved by the University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital Ethics Committee. The study flow chart is shown in Figure 1.Ī written informed consent was obtained from each patient. These patients were randomly assigned to either KT group (n=27) or sham group (n=21). Of 72 patients, a total of 48 (32 females, 16 males mean age 47.6 years range 27 to 67 years) completed the study. Exclusion criteria were as follows: history of upper extremity trauma/fracture, cervical discopathy and/or narrow cervical spinal canal, neuropathy or arthritis in the upper extremities, physical therapy or injection therapy for LE within the last three months and pregnancy. Inclusion criteria were as follows: age between 18 to 65 years pain and tenderness on the lateral epicondyle for at least three months and provocation of the lateral elbow pain with at least one of the tests (i.e., resisted wrist extension, resisted middle finger extension, or passive stretch of wrist extensors). A total of 72 patients with LE were initially included in this study. This randomized-controlled study was conducted at University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Physical Therapy and Rehabilitation Clinic between November 2017 and May 2018. In the present study, we, therefore, aimed to evaluate short-term effects of KT on pain, arm function, grip strength, and wrist extensor strength in patients with chronic LE. Most of the studies in the literature have examined non-elastic tape effects. Kinesio tape is an elastic tape that allows the full range of motion of a joint.Īlthough there are many studies about taping techniques in the conservative treatment of LE, there is a very limited number of data about KT. However, one of the proposed mechanisms for the use of KT is that it decreases the pressure on muscles and soft tissues, affecting the cutaneous mechanoreceptors, which leads to tensional force and mechanical pressure on the skin. Its exact mechanism has not been clearly understood, yet. The KT fibers are designed to stretch longitudinally up to 40% of it resting length compared to previous tapes. Kenzo Kase, a practitioner licensed in chiropractic and acupuncture, in 1973 in Japan. This method can be used as a dependent treatment approach or as a means to maintain treatment effects of other methods. In recent years, it has been proposed to use kinesiotaping (KT) as a non-invasive treatment method to restore the normal function of the muscles and joints, to reduce pain, to maintain normal biomechanics of the tissue, and to restore tissue hemostasis in the field of rehabilitation. The treatment of LE is usually orientated to the management of pain, preservation of movement, improvement in grip strength, return to normal function, and control of further clinical deterioration. Nonetheless, some general principles can be taken into consideration. Until now, several treatments have been suggested for LE however, there is no consensus on the optimal treatment. Although its exact pathogenesis still remains unknown, the most accepted theory is that LE is a result of inflammatory responses of the soft tissue due to the microscopic laceration of the extensor common tendon attached to the lateral epicondyle. It is usually attributed to the extensor carpi radialis brevis. Lateral epicondylitis (LE), also known as tennis elbow, is a common pathology of the elbow, affecting 1 to 3% of middle-aged individuals in general population.
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