Lateral Epikondilitte ESWT ile ESWT+Kinesyo Bantlama Tedavilerinin Etkinliğinin Karşılaştırılması

Öz

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.

Anahtar Kelimeler

• Lateral epikondilit,tenisçi dirseği,ESWT,kinesyo bantlama

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

Öz

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”. 

Anahtar Kelimeler

• Lateral epicondylitis,tennis elbow,ESWT,kinesio taping.

Kaynakça

1. 1. Maier M, Stainborn M, Schmitz C. Extracorporeal shock wave theraphy for Chronic lateral epicondylitis-prediction of outcome by imagine. Arch Orthop Trauma Surg. 2001; 121(7): 379-84.
2. 2. Wang CJ, Chen HS. Shock wave therapy for patients with lateral epicondylitis of The elbow. Am J Sports Med. 2002; 30: 422-5.
3. 3. Greenfield C, Webster V. Chronic lateral epicondylitis: survey of current practice in the out patient department in scotland. Physiotheraphy. 2002; 88(10): 578-94.
4. 4. Coonrad RW, Hooper WR. Tennis elbow, its course, natural history, Conservative and surgical management. J Bone Joint Surg Am.1973; 55: 1177- 82.
5. 5. Klaiman MD, Fink K. Üst ekstremite yumuşak doku yaralanmaları. İçinde: Delisa JA (Editör). Fiziksel tıp ve rehabilitasyon ilkeler ve uygulamalar. Ankara, Güneş Tıp Kitabevleri, 2007; 837-8.
6. 6. Stasinopoulos D, Stasinopoulou K, Johnson MI. An exercise programme for the management of lateral elbow tendinopathy. Br J Sports Med. 2005; 39: 944-7.
7. 7. Stoller M. Smith’s General Urology. 13.ed. Prentice- Hall international Inc, 1992: 29-82.
8. 8. Sems A, Dimeff R, Ianotti JP. Extracorporeal shock wave therapy in the treatment of chronic tendinopathies. J AmAcad Orthop Surg. 2006; 14: 195-204.

9. 9. Birnbaum K, Wirtz DC, Siebert CH, Heler KD. Use of ekstracorporeal shock wave Theraphy (eswt) in the treatment of non-unions. A review of literature. Arch OrthopTrauma Surg. 2002; 122: 324-30.
10. 10. Wang CJ, Chen HS, Chen CE, Yang KD. Treatment of nonunions of long bone Fractures with shock waves. Clin Orthop Relat Res. 2001; 387: 95-101.
11. 11. Macgregor K, Gerlach S, Mellor R. Cutaneus stimulation from patella tape causes a differential increase in vasti muscle activity in people with patellofemoral pain. J Orthop Res. 2005; 23: 351-8.
12. 12. Krasnow D, Wilmerding MV, Stecyk S, Wyon M, Koutedakis Y. Biomechanical research in dance: a literature review. Medical problems of performing Artists. 2011; 26(1): 3-23.
13. 13. Liu YH, Chen SM, Lin CY, Huang, CI, Sun YN. Motion tracking on elbow Tissue from ultrasonic images equence for patients with lateral Epicondylitis (oral). In: engineering in Medicine and Biology Society. Boston, USA, 29th Annuel international conference of the IEEE, 2007: 95-8.
14. 14. Renner MC. Kinesiotapeanditseffects on internal and external range of motion on shoulder. Master Thesis, Indiana. Indiana StateUniversity. 2012; 9-10.
15. 15. Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for Shoulder pain: a randomized, double-blinded, clinicaltrial. J Orthop Sports Phys Ther. 2008; 38(7): 389-95.
16. 16. Yoshida A, Kahanov L. The effect of kinesio taping on lower trunk range of motions. Res sports med. 2007; 15(2): 103-12.
17. 17. Lebrun CM. Low-dose extracorporeal shock wave theraphy for previously Untreated lateral epicondylitis. Clin J SportMed. 2005; 15(5): 401-2.
18. 18.Vulpiani MC, Nusca SM, Vetrano M, Ovidi S, Baldini R, Piermattei C, Ferretti A, Sareceni VM. Extracorporeal shock wave theraphy vscryo ultrasound theraphy in the treatment of chronic lateral epicondylitis. One year follow up study. Muscles Ligaments Tendons J. 2015; 20:5(3): 167-74.
19. 19.Chung B, Wiley P. Effectiveness of extracorporeal shock wave theraphy in the treatment of previously untreated lateral epicondylitis. Am J Sports Med. 2004; 32(7): 1660-7.
20. 20. Park JW, Hwang JH, Choi YS, Kim SJ. Comparison of theropatic effect of extracorporeal shock wave in calsific versus non calsific lateral epicondylopathy. Ann Rehabil Med. 2016; 40(2):294-300.
21. 21.Pettrone FA, McCall BR. Extracorporeal shock wave theraphy with outlocal Anasthesia for choronic lateral epicondylitis. J Bone Joint Surg Am. 2002; 87: 1297- 1304.
22. 22. Gerald H, Rupert D, Thomas S, Emil P, Thomas F, Jakob S, Heinz L, Theodor S. Reswt-a new method for the treatment of lateral epicondylitis, 2006.
23. 23.Radwan YA, ElSobhi G, Badawy WS, Reda A, Khalid S. Resistant tenis elbow: Shock wave therapy versus per cutaneous tenotomy. Int Orthop. 2008;32: 671-77.
24. 24.Garg A, Kapellusch JM, Hegmann KT, Thiese MS, Merryweather AS, Wang YC. The Strain Index and 1999 for HAL: Risk of Lateral Epicondylitis in a Prospective Cohort. Am J Ind Med. 2014; 57(3): 286-302.
25. 25.Luk JK, Tsang RC, Leung HB. Lateral epicondylalgia: Midlife crisis of a tendon. Hong Kong Med J. 2014; 20(2): 145-51.
26. 26.Gonzalez-Iglesias J, Fernandez-De-Las-Penas C, Cleland JA, Huijbregts P, Gutierrez-Vega RM. Short –term effects of cervical kinesio taping on pain and Cervical range of motion in patients with acute whiplash injury: a randomized Clinical trial. J Orthop Sports Phys Ther. 2009; 39(7): 515.
27. 27.Vicenzino B, Brooksbank J, Minto J, Offord S, Paungmali A. İnitial effects of elbow taping on pain-free grip strength and pressure pain threshold. J Orthop Sports PhysTher. 2003; 33(7): 400-7.
28. 28. Dilek B, Batmaz I, Sarıyıldız MA, Şahin E, IIter L, Gülbahar S, Cevik R, Nas K. Kinesio taping in patients with lateral epicondylitis. J BackMusculoskelet Rehabil. 2016; 21; 29(4): 853-8.
29. 29.Shamsoddini A, Hollisaz MT. Effects of taping on pain, grip strength and wrist ekstension force in patients with tennis elbow. Trauma Mon. 2013; 18(2): 71-4.