Advertisement
Full Length Article| Volume 36, ISSUE 1, P13-22, January 2023

Download started.

Ok

Evaluation of short-term and residual effects of Kinesio taping in chronic lateral epicondylitis: A randomized, double-blinded, controlled trial

  • Işıl Saadet Yenice Balevi
    Affiliations
    Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey
    Search for articles by this author
  • Belgin Karaoglan
    Affiliations
    Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey
    Search for articles by this author
  • Author Footnotes
    # Address: Selçuk University Faculty of Medicine, Konya, Turkey, Department of Physical Medicine This study was performed in the Physical Medicine and Rehabilitation and Orthopedics and Traumatology clinics at the Gazi University Faculty of Medicine. The Ethics Committee of the University of Health Sciences, Zekai Tahir Burak Women's Health Practice and Research Center (no:20/2017) approval was obtained.
    Elif Balevi Batur
    Correspondence
    Corresponding author. Department of Physical Medicine and Rehabilitation, Selcuk University Faculty of Medicine, Konya, Turkey, Tel.: +90 332 224 46 21; fax: +90 332 241 21 84.
    Footnotes
    # Address: Selçuk University Faculty of Medicine, Konya, Turkey, Department of Physical Medicine This study was performed in the Physical Medicine and Rehabilitation and Orthopedics and Traumatology clinics at the Gazi University Faculty of Medicine. The Ethics Committee of the University of Health Sciences, Zekai Tahir Burak Women's Health Practice and Research Center (no:20/2017) approval was obtained.
    Affiliations
    Department of Physical Medicine and Rehabilitation, Selcuk University Faculty of Medicine, Konya, Turkey
    Search for articles by this author
  • Nagihan Acet
    Affiliations
    Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey
    Search for articles by this author
  • Author Footnotes
    # Address: Selçuk University Faculty of Medicine, Konya, Turkey, Department of Physical Medicine This study was performed in the Physical Medicine and Rehabilitation and Orthopedics and Traumatology clinics at the Gazi University Faculty of Medicine. The Ethics Committee of the University of Health Sciences, Zekai Tahir Burak Women's Health Practice and Research Center (no:20/2017) approval was obtained.
Published:November 01, 2021DOI:https://doi.org/10.1016/j.jht.2021.09.001

      Hıghlıghts

      • The impact of Kinesio taping, especially on pain, may remain unchanged as a residual effect in the short term following treatment.
      • In the Patient-Rated Tennis Elbow Evaluation (PRTEE), pain scores showed significant improvement in true taping group compared to the placebo taping group.
      • The pain reduction achieved by Kinesio taping has been helpful for adherence at the beginning of an exercise program.
      • The effects of Kinesio taping on muscle strength, quality of life, and function in chronic lateral epicondylitis are not superior to placebo.

      Abstract

      Background

      Lateral epicondylitis is degenerative tendinosis of the extensor carpi radialis brevis muscle and is the most common work/sports-related chronic musculoskeletal problem affecting the elbow.

      Purpose

      This study aimed to evaluate the short term and residual effectiveness of the Kinesio taping method on pain, grip force, quality of life, and functionality.

      Study Design

      Randomized, double-blinded, controlled study.

      Methods

      Subjects were 50 patients diagnosed with chronic unilateral lateral epicondylitis with a symptom duration of at least 12 weeks. During the first four weeks, the study group received a true inhibitor Kinesio taping while the control group received sham taping. In both groups, progressive stretching and strengthening exercises were given as a home program for six weeks. The primary outcome measure was the Numerical Rating Scale (NRS) for self-report of pain intensity; secondary outcome measures were Cyriax resistive muscle test evaluation, maximal grip strength, Patient- Rated Tennis Elbow Evaluation (PRTEE), and Short Form-36 (SF-36). After the treatment, patients were evaluated by the first assessor who was blinded to taping types.

      Results

      There was a significant decrease in NRS scores overtime during the first four weeks in both groups (P < .001,) and effect sizes were large. There was no significant difference in Cyriax muscle resistance test maximal grip strength between groups (P > .05). However, there was a significant improvement in muscle strength of elbow extension and pronation in the study group detected in the intragroup analysis. Intragroup comparisons also showed a significant improvement in all subunits of the PRTEE and SF-36 except energy/vitality, social functioning, and pain in both groups (P < .05) with moderate to high effect sizes. PRTEE pain scores were significantly decreased in the study group compared to the placebo group (P < .05, d = 0.48).

      Conclusion

      The effects of Kinesio taping on muscle strength, quality of life, and function in chronic lateral epicondylitis are not superior to placebo. However, NRS scores showed that in the two weeks after Kinesio taping treatment, pain reduction persisted as a residual effect which may improve the exercise adherence and functionality.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Hand Therapy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Stegink-Jansen CW
        • Bynum JG
        • Lambropoulos AL
        • Patterson RM
        • Cowan AC.
        Lateral epicondylosis: a literature review to link pathology and tendon function to tissue-level treatment and ergonomic interventions.
        J Hand Ther. 2021; 21 (00077-6Online ahead of print): S0894-S1130https://doi.org/10.1016/j.jht.2021.05.005
        • Stasinopoulos D
        • Stasinopoulos I.
        Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy.
        J Hand Ther. 2017; 30: 13-19
        • Tosti R
        • Jennings J
        • Sewards JM
        Lateral epicondylitis of the elbow.
        Am J Med. 2013; 126 (.e351-356): 357
        • Shamsoddini A
        • Hollisaz MT.
        Effects of taping on pain, grip strength and wrist extension force in patients with tennis elbow.
        Trauma Mon. 2013; 18: 71-74
        • Kahanov L
        Kinesio Taping®, part 1: an overview of its use in athletes.
        Int J Athletic Ther Train. 2007; 12: 17-18
        • Au IP
        • Fan PCP
        • Lee WY
        • et al.
        Effects of Kinesio tape in individuals with lateral epicondylitis: a deceptive crossover trial.
        Physiother Theory Pract. 2017; 33: 914-919
        • Wegener RL
        • Brown T
        • O'Brien L.
        A randomized controlled trial of comparative effectiveness of elastic therapeutic tape, sham tape or eccentric exercises alone for lateral elbow tendinosis.
        J Hand Ther. 2016; 21: 131-139
        • Zhong Y
        • Zheng C
        • Zheng J
        • et al.
        Kinesio tape reduces pain in patients with lateral epicondylitis: a meta-analysis of randomized controlled trials.
        Int J Surg. 2020; 76: 190-199
        • Giray E
        • Karali-Bingul D
        • Akyuz G.
        The effectiveness of Kinesio taping, Sham taping or exercises only in lateral epicondylitis treatment: a randomized controlled study.
        PM R. 2019; 11: 681-693
        • MacDermid JC
        • Wojkowski S
        • Kargus C
        • et al.
        Hand therapist management of the lateral epicondylosis: a survey of expert opinion and practice patterns.
        J Hand Ther. 2010; 23: 18-30
        • Hawker GA
        • Mian S
        • Kendzerska T
        • et al.
        Measures of adult pain: visual analog scale for pain (VAS pain), numeric rating scale for pain (NRS pain), Mcgill pain questionnaire (MPQ), short-form mcgill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36 BPS), and measure of intermittent and constant osteoarthritis pain (ICOAP).
        Arthritis Care Res. 2011; 63 (Hoboken): S240-S252
        • Johnson C.
        Measuring pain. Visual analog scale versus numeric pain scale: what is the difference?.
        J Chiropr Med. Winter. 2005; 4: 43-44
        • Cyriax JH
        • Cyriax PJ
        Cyriax's Illustrated Manual of Orthopaedic Medicine.
        3rd edition. Elsevier Health Sciences, London1996
        • Roh YH
        • Oh M
        • Noh JH
        • et al.
        Effect of metabolic syndrome on the functional outcome of corticosteroid injection for lateral epicondylitis: retrospective matched case-control study.
        Sci Rep. 2017; 7: 10845
        • González-Iglesias J
        • Cleland JA
        • del Rosario Gutierrez-Vega M
        • et al.
        Multimodal management of lateral epicondylalgia in rock climbers: a prospective case series.
        J Manipulative Physiol Ther. 2011; 34: 635-642
        • Altan L
        • Ercan I
        • Konur S.
        Reliability and validity of Turkish version of the patient rated tennis elbow evaluation.
        Rheumatol Int. 2010; 30: 1049-1054
        • Ware Jr JE
        • Kosinski M
        • Bayliss MS
        • et al.
        Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the Medical Outcomes Study.
        Med Care. 1995; 33: AS264-AS279
      1. Kase K. DC: Illustrated Kinesio Taping. In: KEN'I KAI. Tokio; 2000;6-12.

        • Basses KT
        • Lingman SA
        • Ellis RF.
        The use of treatment efficacy of kinaesthetic taping for musculoskeletal conditions: a systematic review.
        N Z J Physiother. 2010; 38: 56-62
        • Kahanov L.
        Kinesio taping®: an overview of use with athletes, Part II.
        Int J Athletic Ther Train. 2007; 12: 5-7
        • Eraslan L
        • Yuce D
        • Erbilici A
        • et al.
        Does Kinesiotaping improve pain and functionality in patients with newly diagnosed lateral epicondylitis?.
        Knee Surg Sports Traumatol Arthrosc. 2018; 26: 938-945
        • Pienimäki TT
        • Tarvainen TK
        • Siira PT
        • et al.
        Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylitis.
        Physiotherapy. 1996; 82: 522-530
        • Cohen J.S.
        Statistical power analysis for the behavioral sciences.
        2nd ed. Lawrence Erlbaum Associates, Hillsdale, NJ1988: 274-287
        • Kendall M.
        A new measure of rank correlation.
        Biometrika. 1938; 30: 81-88
        • Tomczak M
        • Tomczak E.
        The need to report effect size estimates revisited. An overview of some recommended measures of effect size.
        TRENDS Sport Sci. 2014; 1: 19
        • Csapo R
        • Alegre LM.
        Effects of Kinesio® taping on skeletal muscle strength—a meta-analysis of current evidence.
        J Sci Med Sport. 2015; 18: 450-456
        • Reynard F
        • Vuistiner P
        • Léger B
        • Konzelmann M.
        Immediate and short-term effects of kinesiotaping on muscular activity, mobility, strength and pain after rotator cuff surgery: a crossover clinical trial.
        BMC Musculoskelet Disord. 2018; 19: 305
        • Csapo R
        • Herceg M
        • Alegre LM
        • Crevenna R
        • Pieber K.
        Do kinaesthetic tapes affect plantarflexor muscle performance?.
        J Sports Sci. 2012; 30: 1513-1519
        • Siu WS
        • Shih YF
        • Lin HC.
        Effects of Kinesio tape on supporting medial foot arch in runners with functional flatfoot: a preliminary study.
        Res Sports Med. 2020; 28 (30): 168-180
        • Christou EA.
        Patellar taping increases vastus medialis oblique activity in the presence of patellofemoral pain.
        J Electromyogr Kinesiol. 2004; 14: 495-504
        • Macgregor K
        • Gerlach S
        • Mellor R
        • et al.
        Cutaneous stimulation from patella tape causes a differential increase in vasti muscle activity in people with patellofemoral pain.
        J Orthop Res. 2005; 23: 351-358
        • Shakeri H
        • Soleimanifar M
        • Arab A
        • et al.
        The effects of KinesioTape on the treatment of lateral epicondylitis.
        J Hand Ther. 2018; 31: 35-41
        • Wu WT
        • Hong CZ
        • Chou LW.
        The Kinesio taping method for myofascial pain control.
        Evid Based Complement Alternat Med. 2015; 2015950519
        • Artioli DP
        • Bertolini GRF.
        Kinesio taping: application and results on pain: systematic review.
        Fisioterapia e Pesquisa. 2014; 21: 94-99
        • Stasinopoulos D
        • Stasinopoulou K
        • Johnson MI.
        An exercise programme for the management of lateral elbow tendinopathy.
        Br J Sports Med. 2005; 39: 944-947
        • Murtaugh B
        • Ihm JM.
        Eccentric training for the treatment of tendinopathies.
        Curr Sports Med Rep. 2013; 12: 175-182
        • Chen Z
        • Baker NA.
        Effectiveness of eccentric strengthening in the treatment of lateral elbow tendinopathy: a systematic review with meta-analysis.
        J Hand Ther. 2021; 34: 18-28
        • Dimitrios S
        Lateral elbow tendinopathy: evidence of physiotherapy management.
        World J Orthop. 2016; 7: 463-466
        • McQueen KS
        • Powell RK
        • Keener T
        • et al.
        Role of strengthening during nonoperative treatment of lateral epicondyle tendinopathy.
        J Hand Ther. 2020; 20 (S0894-1130): 30185-30188
        • Nirschl R
        • Ashman E.
        Tennis elbow tendinosis (epicondylitis).
        Instr Course Lect. 2004; 53: 587-598
        • Bisset LM
        • Vicenzino B.
        Physiotherapy management of lateral epicondylalgia.
        J Physiother. 2015; 61: 174-181

      JHT Read for Credit

      Quiz: # 935

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
      • # 1.
        The design of the study is
        • a.
          retrospective cohort
        • b.
          RCTs
        • c.
          case series
        • d.
          descriptive
      • # 2.
        Outcome factors were
        • a.
          function
        • b.
          grip
        • c.
          pain
        • d.
          all of the above
      • # 3.
        The primary outcome measure used was the
        • a.
          quick DASH
        • b.
          DASH
        • c.
          NRS
        • d.
          PREE
      • # 4.
        Pain scores were
        • a.
          similar in both groups
        • b.
          significantly reduced in the experimental group
        • c.
          significantly reduced in the placebo group
        • d.
          considered insignificant in the final analysis
      • # 5.
        The authors did NOT find that Kinesio taping was superior to placebo in effecting quality of life, muscle strength, or function
        • a.
          true
        • b.
          false
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.