Lateral Epikondilit Tedavisinde Kinezyolojik Bantlama ve Epikondilit Ortezi Tedavisinin Karşılaştırılması; Prospektif Gözlemsel Çalışma

Yıl 2025, Cilt: 15 Sayı: 3, 360 - 367, 15.09.2025

Emine Bilir , Nebahat Sezer , Fatma Fidan , Selami Akkuş

https://doi.org/10.16919/bozoktip.1709631

Öz

Amaç: Lateral epikondilit dirsekte ağrı, hassasiyet ve fonksiyonel kısıtlılığa neden olan klinik bir durumdur. Tedavi yaklaşımı çoğunlukla konservatiftir. Bu çalışmada, kinezyolojik bantlamanın ve epikondilit ortezinin etkinliğini değerlendirmeyi amaçladık.

Materyal ve Metot: Lateral epikondilit tanısı almış seksen hasta (51 kadın, 29 erkek; ortalama yaş 39.5±7.4) çalışmamıza dahil edildi. Hastalar rastgele iki gruba ayrıldı; birinci gruba epikondilit ortezi, ikinci gruba ise kinezyolojik bantlama uygulandı. Çalışmada ağrı şiddeti için görsel analog skala (VAS), klinik değerlendirme için eklem hareket açıklığının gonyometrik ölçümü, üst ekstremite fonksiyonu için özürlülük değerlendirmesi (kol, omuz ve el sorunları anketi: QUICK DASH), yaşam kalitesi değerlendirmesi için SF-36 (Kısa Form-36) ölçeği kullanıldı. Tedavi öncesinde ve 1. ile 4. haftalardaki değerlerin varyansları gruplar arasında karşılaştırıldı.

Bulgular: Tedavi öncesi ve 1. ile 4. haftalarda gruplar arası değerlerin varyansları karşılaştırıldı. Grup 2'nin VAS skorlarında, SF-36 PF (fiziksel fonksiyon) ve MH (mental sağlık) alt grup skorlarında, QD FS ve W alt grup skorlarında Grup 1'e göre anlamlı düzeyde iyileşme gözlendi (p<0.05). Ancak, gruplar içinde tedavi öncesi ve 4 haftalık takip sonrasındaki VAS, QD FS ve W skorları ile SF-36 alt grup skorları arasında anlamlı farklılıklar bulundu (P < 0.05).

Sonuç: Çalışma sonuçlarımız, her iki tedavi yönteminin de lateral epikondilitli hastalarda ağrıyı azaltmada, üst ekstremite fonksiyonunu ve yaşam kalitesini iyileştirmede etkili olduğunu göstermektedir. Kinezyolojik bantlama uygulaması, ağrının giderilmesinde epikondilit ortezine kıyasla kısa vadede daha hızlı bir etki sağlayabilir ve bu nedenle tercih edilebilir.

Anahtar Kelimeler

dirsek ağrısı , dirsek ortezi , kinezyolojik bantalama , lateral epikondilit

Proje Numarası

B.30.2.YBÜ.006.06.01/ 127

Comparison Of Kinesiologic Taping and Epicondylitis Orthosis Application in The Treatment of Lateral Epicondylitis: Prospective Observational Study

Öz

Aim: Lateral epicondylitis is a clinical condition causing pain, sensitivity, functional disability in the elbow. The treatment approach is mostly conservative. We aimed to evaluate the effectiveness of kinesiologic tape versus epicondylitis orthosis in the treatment.
Materials And Method: Eighty patients (51 female, 29 male; mean age 39.5+7.4) who were diagnosed lateral epicondylitis were enrolled to our study. Patients were randomly allocated two groups; epicondylitis orthosis and kinesiologic tape were applied group 1and group 2. Visual analog scale (VAS) for pain severity, goniometric measurement of range of motion for clinical assessment, disability assessment (arm, shoulder and hand problems questionnaire: QUICK DASH) for upper extremity function, SF-36 (ShortForm36) scale for quality-of-life assessment were used as used in the study.
Results: Before treatment and 1th, 4th weeks variances of values were compared between groups. There were improvement in VAS scores, SF-36 PF(physical function) and MH(mental health) subgroups, QD FS and W subgroups scores of Group 2 was significantly higher than scores of Group 1 (p<0.05). However, within the groups, there were significant differences in VAS, QD FS and W scores, SF 36 subgroups scores between before treatment and after treatment at 4 weeks follow up (P < 0.05).
Conclusion: Our study results show that both of treatment applications are effective in reduce pain, upper extremity function and quality of life in patients with lateral epicondylitis. maybe kinesiologic tape application preferred for short-term and rapid effect compared to epicondylitis orthosis for the relief of pain.

Anahtar Kelimeler

epicondylitis orthosis , elbow pain , kinesologic taping , Lateral epicondylitis

Proje Numarası

B.30.2.YBÜ.006.06.01/ 127

Kaynakça

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