Comparison of the Effects of Kinesio Tape and High-intensity Laser Therapy in Lateral Epicondylitis

NCT06382805 | Completed

• 1 other identifier: HasanKU_FTR_AA_02
• Study Type: interventional
• Target: 53
• Locations: 1 country
• Sites: 1

Brief Summary

Lateral epicondylitis is a common upper extremity disease that occurs with tenderness in the lateral epicondyle, the common attachment point of the wrist extensor muscles, and pain during resisted wrist extension. The main purpose of treating lateral epicondylitis is to reduce pain and increase functionality, but there is no accepted standard treatment method. The purpose of this study is to compare the effectiveness of kinesio tape and high intensity laser in the treatment of lateral epicondylitis.

Conditions

Tennis Elbow; Physical Therapy; Kinesiotaping; Laser

Outcome Measures

Primary Outcomes (3)

• Pain Measurement

  Patients' lateral epicondylitis pain intensity will be evaluated with a visual analog scale (VAS). On the visual analog scale, the left end of a 10 cm straight line represents no pain, and the right end represents excruciating pain. The patient will be asked to mark the pain he feels on the VAS scale during the test, and then this value will be measured and recorded with the help of a ruler.

  Pain will be evaluated before treatment, immediately after treatment and 6 weeks after treatment

• Hand grip strength

  A standard hand dynamometer (Jamar® Plus + Digital Hand Dynamometer from Patterson Medical, Sammons Preston, Bolingbrook, USA) will be used to measure grip strength. The Jamar dynamometer has high reliability and validity; therefore the device has been considered the gold standard for assessing grip strength. Grip strength evaluation will be performed with patients in a sitting position from a chair. During the test, patients will be asked to position their elbows in 90° flexion and their forearms and wrists in neutral position. The test will be repeated 3 times with one minute intervals and the average of the obtained values will be recorded.

  Hand grip strength will be evaluated before treatment, immediately after treatment and 6 weeks after treatment

• Patient-Rated Tennis Elbow Evaluation

  Functional levels of the patients will be assessed with a Patient-Rated Tennis Elbow Evaluation questionnaire. The questionnaire consists of a total of 15 questions evaluating the functional level of patients with lateral epicondylitis in the last week. 5 questions evaluate pain and the other 10 questions evaluate functional level in various tasks. The score for each question is between 0 (best) and 10 (worst). The best score that can be obtained in the section that evaluates functionality is 0, while the worst score is 100.

  Patient-Rated Tennis Elbow Evaluation will be evaluated before treatment, immediately after treatment and 6 weeks after treatment

Secondary Outcomes (1)

• Pain Sensitivity Measurement

  Pain Sensitivity Measurement will be evaluated before treatment, immediately after treatment and 6 weeks after treatment

Study Arms (3)

Control group

ACTIVE COMPARATOR

The physiotherapy program will consist of cold-pack, US, transcutaneous electrical stimulation (TENS) and home exercise program.

Other: Physiotherapy program

kinesiotaping group

ACTIVE COMPARATOR

Kinesio tape application will be applied to the kinesio tape group in addition to physiotherapy. The physiotherapy program will consist of cold-pack, US, transcutaneous electrical stimulation (TENS) and home exercise program.

Other: Physiotherapy program; Other: Kinesio Tape

high intensity laser therapy group

ACTIVE COMPARATOR

High-intensity laser application will be applied to the high-intensity laser group in addition to physiotherapy. The physiotherapy program will consist of cold-pack, US, transcutaneous electrical stimulation (TENS) and home exercise program.

Other: Physiotherapy program; Other: High Intensity Laser therapy

Interventions

Physiotherapy program OTHER

The physiotherapy program will consist of cold-pack, US, transcutaneous electrical stimulation (TENS) and home exercise program. Cold-pack will be applied for 15 minutes. Continuous ultrasound will be applied on lateral epicondylitis with a 5-cm ultrasound head at a dose of 1.5W/cm2 for 5 minutes and a frequency of 1-MHZ. TENS application will be performed with the BTL 4000 combination device. TENS will be applied for 20 minutes, increasing the intensity of the current until the patient feels it. The treatment program will last for a total of two weeks, 5 days a week.

Control group; high intensity laser therapy group; kinesiotaping group

Kinesio Tape OTHER

The longitudinal muscle technique will be applied from the origin to the insertion of the forearm extensor muscles by a researcher with a Kinesio tape application certificate. In addition, transverse kinesio tape will be applied on the elbow using the fascia correction technique. The treatment program will last for a total of two weeks, 5 days a week.

kinesiotaping group

High Intensity Laser therapy OTHER

High intensity laser applications will be performed using the BTL-6000 (BTL Company, UK) device. The first 5 sessions will be applied to the painful area for 75 seconds at a dose of 4W 6 J/cm2 (analgesic effect) by making circular movements from the center to the outside. The remaining 5 sessions will be applied to the painful area with linear movements for 12 minutes and 30 seconds at a dose of 6W 100-150 J/cm2 (biostimulation effect). The treatment program will last for a total of two weeks, 5 days a week.

high intensity laser therapy group

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients over 18 years of age.
• Those who have pain with palpation applied to the lateral epicondyle
• Patients with pain in resisted extension of the wrist and/or middle finger
• Pain during static stretching applied to the wrist while the elbow is extended
• The complaints must last at least three months
• Not having received treatment in the last three months.

You may not qualify if:

• Pregnant and breastfeeding women
• History of fracture or surgery in the elbow area
• Detection of calcific tendinitis on plain radiograph of the elbow
• History of neurological disease
• History of osteoporosis, malignancy, hemophilia
• Rheumatoid arthritis and other inflammatory diseases
• Cognitive problem

Sponsors & Collaborators

• Hasan Kalyoncu University: lead

Study Sites (1)

Adıyaman training and research hospital

Adıyaman, 02000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Tennis Elbow

Interventions

Athletic Tape

Condition Hierarchy (Ancestors)

Elbow Tendinopathy; Tendinopathy; Muscular Diseases; Musculoskeletal Diseases; Elbow Injuries; Arm Injuries; Wounds and Injuries; Tendon Injuries

Intervention Hierarchy (Ancestors)

Bandages; Equipment and Supplies; Orthotic Devices; Orthopedic Equipment; Surgical Equipment

Study Officials

• abuzer akbas

  hasan kalyoncu university faculty of health science

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD student

Model Details: There are three groups in the study. The groups consist of the control group, kinesio tape group and high intensity laser group

Study Record Dates

• First Submitted: April 20, 2024
• First Posted: April 24, 2024
• Study Start: May 2, 2024
• Primary Completion: November 11, 2024
• Study Completion: November 25, 2024
• Last Updated: November 27, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)