Lateral Epikondilitte ESWT ile ESWT+Kinesyo Bantlama Tedavilerinin Etkinliğinin Karşılaştırılması

Year 2019, Volume: 1 Issue: 1, 15 - 21, 15.05.2019

Muhammed Furkan Arpacı , Aymelek Çetin Gülsen Aykol Deniz Şenol , Davut Özbağ

Abstract

Amaç: Fizik
tedavi uygulamalarında sıkça kullanılan sadece ESWT yönteminin lateral
epikondilitte etkisi ile kinesyo bantlama yöntemiyle kombine kullanılmasının
etkisini ve bu yöntemlerin birbirlerine üstünlüğünü belirlemektir.

Gereç ve Yöntemler: Çalışmaya lateral epikondilit tanılı 27-65 yaş arası 96 hasta (69
kadın, 27 erkek) dahil edildi. Hastalar iki gruba ayrıldı. Yöntem 1 grubunda
lateral epikondil’e ESWT ile her üç seansta uygulandı. Ardından hastanın önkol
bölgesine, kinesyo bantlama uygulandı. Sadece ESWT uygulanan yöntem 2 grubunda,
lateral epikondile ESWT uygulandı. Hastaların tümüne istirahat halinde, dirençli elbileği ekstansiyonu,
palpasyon ile ağrı değerlendirmelerinde visuel analog scala (VAS), genel sağlık
durumu değerlendirmesinde HAQ (health assessment questionnaire)
değerlendirmeleri uygulandı.

Bulgular: Yöntem 1 ile erkek
hastaların tedavisinde, dirençli elbileği ekstansiyonda ağrı azalmasının yöntem
2’ye göre daha etkili olduğu belirlendi. Aynı zamanda Yöntem 1 ile kadın
hastaların tedavisinde palpasyon ile ağrı değerlendirmesinde, yöntem 2’ye göre
anlamlı fark olduğu belirlendi. Diğer tüm parametrelerde anlamlı iyileşmeler
belirlendi fakat istatiksel olarak anlamlı bir fark tespit edilemedi.

Sonuç:Lateral
epikondilitte yaygın olarak kullanılan ESWT yöntemi iyileşmede etkili bulundu.
Bantlama yönteminin de kadınlarda proprioseptif iyileşmeyi arttırma etkisi ve
erkeklerde dirençli elbileği ekstansiyonu ile ağrıyı azaltması sonucu, bu
yöntemin ESWT yöntemiyle birlikte destekleyici bir tedavi olarak uygulanmasının
etkili olacağı göstermektedir.

Keywords

Lateral epikondilit, tenisçi dirseği, ESWT, kinesyo bantlama

Comparison of The Efficiency of Eswt And Eswt+Kinesio Taping Treatments in Lateral Epicondylitis

Abstract

Aim: To determine the effect of only ESWT method to the combined use of ESWT method with kinesio taping method on lateral epicondylitis and determine the superiority of these methods.

 Material and
Methods: 96 patients (69 females, 27
males) between 27-65 age diagnosed with lateral epicondylitis were included in
the study. The patients were divied in two groups. In Method 1 group,
ESWT was applied on lateral epicondyle in each of the three sessions. Following
this, kinesio taping was applied to the forearm of the patient. In  Method 2 group applied only ESWT on lateral
epicondyle. Visual analogue scale (VAS) was used to assessment of pain with
rest, resistant wrist extension, and palpation. HAQ (health assessment questionnaire) was used for the
assessment of general health condition.

Results: Method 1 showed that the reduction of pain in the wrist extension was more effective in the treatment of male patients compared to method 2 and also there was a significant difference in the evaluation of pain with palpation in the treatment of female patients compared to method 2. Significant healing was found in all other parameters however, no statistically significant difference was found. 

Conclusion:The result of the effects of taping method with ESWT technique in increasing
proprioceptive healing in females and decreasing pain with resistant wrist
extension in males,  was concluded that
“the combined use of kinesio taping method with ESWT method is effective than
using only ESWT method”. 

Keywords

Lateral epicondylitis, tennis elbow, ESWT, kinesio taping.

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