Comparison of the clinical and sonographic effects of ultrasound therapy, extracorporeal shock wave therapy, and Kinesio taping in lateral epicondylitis

Turk J Med Sci. 2021 Feb 26;51(1):76-83. doi: 10.3906/sag-2001-79.

Abstract

Background/aim: The aim of this study was to compare the clinical and sonographic effects of the ultrasound (US) therapy, extracorporeal shock wave therapy (ESWT), and Kinesio taping (KT) in the lateral epicondylitis (LE).

Materials and methods: A total of 40 patients with LE were included in the present study. The patients were randomly assigned to 3 treatment groups: US (n = 13), ESWT (n = 14), and KT (n = 13) groups.

Results: The visual analog scale (VAS) scores significantly decreased in all groups (P < 0.05). Grip strength significantly increased after 8 weeks in only the KT group (P < 0.05). The Patient-Rated Tennis Elbow Evaluation Scale (PRTEE) scores significantly decreased after 2 weeks and after 8 weeks in the US group and ESWT groups, and after 8 weeks in the KT group (P < 0.05). Common extensor tendon (CET) thicknesses significantly decreased after 8 weeks in only the ESWT group (P < 0.05).

Conclusion: The US therapy, KT, and ESWT are effective in reducing pain and improving functionality. However, none of these treatment methods were found to be superior to others in reducing the pain and improving functionality.

Keywords: Extracorporeal shock wave treatment; lateral epicondylitis; taping; ultrasonography.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Arm / pathology
  • Arm / physiopathology
  • Athletic Tape*
  • Comparative Effectiveness Research
  • Elbow* / pathology
  • Extracorporeal Shockwave Therapy*
  • Female
  • Hand Strength
  • Humans
  • Male
  • Middle Aged
  • Pain*
  • Tendons
  • Tennis Elbow / therapy*
  • Treatment Outcome
  • Ultrasonic Therapy*
  • Ultrasonic Waves