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PM R. 2019 Jan 4. doi: 10.1002/pmrj.12067. [Epub ahead of print]

The effectiveness of kinesiotaping, sham taping or exercises only in treatment of lateral epicondylitis: A randomized controlled study.

Author information

1
Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, Istanbul, Turkey.
2
Department of Physical Medicine and Rehabilitation and Division of Pain Medicine, Marmara University School of Medicine, Istanbul, Turkey.

Abstract

OBJECTIVE:

To compare efficacy of kinesiotaping, sham taping or exercises only in the treatment of lateral epicondylitis.

DESIGN:

Double-blind, randomized, controlled trial.

SETTING:

Tertiary medical center, university hospital.

PARTICIPANTS:

Thirty patients with lateral epicondylitis for less than 12 weeks.

INTERVENTIONS:

Patients were randomized into three groups; kinesiotaping plus exercises (n=10), sham taping plus exercises (n=10) and control (exercises only) (n=10) groups. All groups received home exercises program including strengthening and stretching exercises. In kinesiotaping and sham taping groups, tapings were performed and changed every 3-4 days for two weeks.

MAIN OUTCOME MEASURE(S):

The primary outcome was the patient-rated tennis elbow evaluation (PRTEE), while visual analogue scale (VAS), grip strength, the disabilities of the arm, shoulder and hand (QuickDASH) scales were secondary outcomes. Evaluations were done at baseline, post-treatment and at 4 weeks after treatment. The immediate effect was also assessed by VAS and grip strength immediately after real and sham tapings.

RESULTS:

PRTEE total scores at post-treatment and at 4 weeks after treatment were statistically significantly lower in kinesiotaping plus exercises group compared to sham taping plus exercises group and exercises only group. The effects of kinesiotaping were larger than sham taping and only exercises at post-treatment (d= -1.21, d= -1.33) and at 4 weeks after treatment (d= -1.39, d= -1.34). Repeated-measures ANOVA showed a significant interaction between the time and the groups (F 2,950= 4,849; p=.006). Significant between group differences were found in QuickDASH score and VAS at rest at 4 weeks after treatment, VAS at daily activity at post-treatment and 4 weeks after treatment when kinesiotaping plus exercises and sham taping plus exercises groups and kinesiotaping plus exercises and exercises only groups were compared. Real taping but not sham taping immediately led to an increase in grip strength, decrease in VAS at rest and VAS at daily activity (p=.0017, p=.041, p=.028; respectively).

CONCLUSIONS:

Kinesiotaping in addition to exercises is more effective than sham taping and exercises only in improving pain in daily activities and arm disability due to lateral epicondylitis. This article is protected by copyright. All rights reserved.

KEYWORDS:

kinesiotaping; lateral epicondylitis; tennis elbow; treatment

PMID:
30609278
DOI:
10.1002/pmrj.12067

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