Does Kinesiotaping improve pain and functionality in patients with newly diagnosed lateral epicondylitis?

  • Leyla Eraslan
  • Deniz Yuce
  • Arzu Erbilici
  • Gul Baltaci
Sports Medicine



This study aimed to compare the short-term effects of kinesiotaping and extracorporeal shock wave therapy (ESWT) along with physiotherapy on pain, functionality, and grip strength in patients with newly diagnosed lateral epicondylitis undergoing rehabilitation.


Forty-five voluntary patients (mean age 48 years) were randomly assigned to three groups. Patients in all groups received physiotherapy consisting of a cold pack and transcutaneous electrical nerve stimulation five times per week for a total of 15 sessions and a home exercise programme including stretching and eccentric strength exercises. In the second group, patients received kinesiotaping 5 days a week for 3 weeks. In the third group, ESWT was applied three times for 3 weeks. Patients were assessed by visual analogue scale for pain intensity, pain-free grip strength using a hand dynamometer, Cyriax Resisted Muscle Test, and Patient-Rated Tennis Elbow Evaluation Scale. All measurements were collected at baseline and after treatment.


There were no significant differences in the demographic characteristics of the patients in all groups at baseline. Intra-group analysis revealed that pain intensity decreased, whereas maximum grip strength and functionality increased in all groups at the end of the treatment (p < 0.05). Inter-group analysis revealed that the kinesiotaping group yielded better results in decreasing pain intensity than the other groups (p < 0.05). The kinesiotaping group (p < 0.001) and ESWT group (p = 0.002) yielded better results in improving functionality than the physiotherapy group. There were significant differences in recovering pain-free grip strength in the kinesiotaping group (p < 0.05).


Kinesiotaping was found to be effective for decreasing pain intensity, recovering grip strength, and improving functionality in patients with lateral epicondylitis undergoing rehabilitation.

Level of evidence

Therapeutic study, Level II.


Tennis elbow Pain Shockwave Kinesiotaping Grip strength 


Author contributions

LE conceived the idea for the study. All authors contributed to writing and reviewing the protocol, as well as reviewing and submitting the protocol for publication. DY provided advice with the statistical analysis and method design.

Compliance with ethical standards

Conflict of interest

There are no financial or non-financial conflicts of interest.


No financial support was received from any organization.

Ethics approval

This article was provided by the Ethics Committee of Institutional Review Board University.


  1. 1.
    Ahmad Z, Siddiqui N, Malik S, Abdus-Samee M, Tytherleigh-Strong G, Rushton N (2013) Lateral epicondylitis. Bone Jt J 95(9):1158–1164CrossRefGoogle Scholar
  2. 2.
    Altan L, Ercan İ, Konur S (2010) Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatol Int 30(8):1049–1054CrossRefPubMedGoogle Scholar
  3. 3.
    Baltaci G, Ergun N, Tunay V (2001) Effectiveness of Cyriax manipulative therapy and elbow band in the treatment of lateral epicondylitis. Eur J Sports Traumatol Relat Res 23(3):113–118Google Scholar
  4. 4.
    Bijur PE, Silver W, Gallagher EJ (2001) Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med 8(12):1153–1157CrossRefPubMedGoogle Scholar
  5. 5.
    Bisset L, Paungmali A, Vicenzino B, Beller E (2005) A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia. Br J Sports Med 39(7):411–422CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Bisset LM, Vicenzino B (2015) Physiotherapy management of lateral epicondylalgia. J Physiother 61(4):174–181CrossRefPubMedGoogle Scholar
  7. 7.
    Bohannon RW, Schaubert KL (2005) Test–retest reliability of grip-strength measures obtained over a 12-week interval from community-dwelling elders. J Hand Ther 18(4):426–428CrossRefPubMedGoogle Scholar
  8. 8.
    Buchbinder R, Green SE, Youd JM, Assendelft WJ, Barnsley L, Smidt N (2006) Systematic review of the efficacy and safety of shock wave therapy for lateral elbow pain. J Rheumatol 33(7):1351–1363PubMedGoogle Scholar
  9. 9.
    Campolo M, Babu J, Dmochowska K, Scariah S, Varughese J (2013) A comparison of two taping techniques (kinesio and mcconnell) and their effect on anterior knee pain during functional activities. Int J Sports Phys Ther 8(2):105–110PubMedPubMedCentralGoogle Scholar
  10. 10.
    Chang HY, Cheng SC, Lin CC, Chou KY, Gan SM, Wang CH (2013) The effectiveness of kinesio taping for athletes with medial elbow epicondylar tendinopathy. Int J Sports Med 34(11):1003–1006CrossRefPubMedGoogle Scholar
  11. 11.
    Chang HY, Chou KY, Lin JJ, Lin CF, Wang CH (2010) Immediate effect of forearm Kinesio taping on maximal grip strength and force sense in healthy collegiate athletes. Phys Ther Sport 11(4):122–127CrossRefPubMedGoogle Scholar
  12. 12.
    Chesterton LS, Lewis AM, Sim J, Mallen CD, Mason EE, Hay EM, van der Windt DA (2013) Transcutaneous electrical nerve stimulation as adjunct to primary care management for tennis elbow: pragmatic randomised controlled trial (TATE trial). BMJ 347:f5160CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Cleland JA, Childs JD, Whitman JM (2008) Psychometric properties of the neck disability index and numeric pain rating scale in patients with mechanical neck pain. Arch Phys Med Rehabil 89(1):69–74CrossRefPubMedGoogle Scholar
  14. 14.
    Cook J, Purdam CR (2009) Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. Br J Sports Med 43(6):409–416CrossRefPubMedGoogle Scholar
  15. 15.
    Cullinane FL, Boocock MG, Trevelyan FC (2014) Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review. Clin Rehabil 28(1):3–19CrossRefPubMedGoogle Scholar
  16. 16.
    Cyriax J (1980) Textbook of orthopaedic medicine. Treatment by manipulation massage and injection, vol 2. Bailliere Tindall, London, pp 196–198Google Scholar
  17. 17.
    Cyriax JH (1936) The pathology and treatment of tennis elbow. J Bone Joint Surg Am 18(4):921–940Google Scholar
  18. 18.
    De Smet L, Fabry G (1997) Grip force reduction in patients with tennis elbow: influence of elbow position. J Hand Ther 10(3):229–231CrossRefPubMedGoogle Scholar
  19. 19.
    Fu TC, Wong AM, Pei YC, Wu KP, Chou SW, Lin YC (2008) Effect of Kinesio taping on muscle strength in athletes—a pilot study. J Sci Med Sport 11(2):198–201CrossRefPubMedGoogle Scholar
  20. 20.
    Haksever B, Aktas G, Baltaci G (2012) Effect of kinesiotaping on static and dynamic balance during soccer. J Medi dello Sport 65(2):223–234Google Scholar
  21. 21.
    Hayes KW, Petersen CM (2003) Reliability of classifications derived from Cyriax’s resisted testing in subjects with painful shoulders and knees. J Orthop Sports Phys Ther 33(5):235–246CrossRefPubMedGoogle Scholar
  22. 22.
    Karatas N, Bicici S, Baltaci G, Caner H (2012) The effect of Kinesiotape application on functional performance in surgeons who have musculo-skeletal pain after performing surgery. Turk Neurosurg 22(1):83–89PubMedGoogle Scholar
  23. 23.
    Kase K, Wallis J, Kase T (2003) Clinical therapeutic applications of the Kinesio taping methods. Kinesio® Taping Association, AlbuquerqueGoogle Scholar
  24. 24.
    Kaya DO, Baltaci G, Toprak U, Atay AO (2014) The clinical and sonographic effects of kinesiotaping and exercise in comparison with manual therapy and exercise for patients with subacromial impingement syndrome: a preliminary trial. J Manip Physiol Ther 37(6):422–432CrossRefGoogle Scholar
  25. 25.
    Knutsen EJ, Calfee RP, Chen RE, Goldfarb CA, Park KW, Osei DA (2015) Factors associated with failure of nonoperative treatment in lateral epicondylitis. Am J Sports Med 43(9):2133–2137CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Lee SS, Kang S, Park NK, Lee CW, Song HS, Sohn MK, Cho KH, Kim JH (2012) Effectiveness of initial extracorporeal shock wave therapy on the newly diagnosed lateral or medial epicondylitis. Ann Rehabil Med 36(5):681–687CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Lieber RL, Fazeli BM, Botte MJ (1990) Architecture of selected wrist flexor and extensor muscles. J Hand Surg Am 15(2):244–250CrossRefPubMedGoogle Scholar
  28. 28.
    Loew LM, Brosseau L, Tugwell P, Wells GA, Welch V, Shea B, Poitras S, De Angelis G, Rahman P (2014) Deep transverse friction massage for treating lateral elbow or lateral knee tendinitis. Cochrane Database Syst Rev. doi: 10.1002/14651858 PubMedGoogle Scholar
  29. 29.
    Manias P, Stasinopoulos D (2006) A controlled clinical pilot trial to study the effectiveness of ice as a supplement to the exercise programme for the management of lateral elbow tendinopathy. Br J Sports Med 40(1):81–85CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Melikyan E, Shahin E, Miles J, Bainbridge L (2003) Extracorporeal shock-wave treatment for tennis elbow. J Bone Joint Surg Br 85(6):852–855CrossRefPubMedGoogle Scholar
  31. 31.
    Nirschl R, Ashman E (2003) Tennis elbow tendinosis (epicondylitis). Instr Course Lect 53:587–598Google Scholar
  32. 32.
    Overend TJ, Wuori-Fearn JL, Kramer JF, MacDermid JC (1999) Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis. J Hand Ther 12(1):31–37CrossRefPubMedGoogle Scholar
  33. 33.
    Owens BD, Murphy KP, Kuklo TR (2001) Arthroscopic release for lateral epicondylitis. Arthroscopy 17(6):582–587CrossRefPubMedGoogle Scholar
  34. 34.
    Peterson M, Butler S, Eriksson M, Svärdsudd K (2014) A randomized controlled trial of eccentric vs. concentric graded exercise in chronic tennis elbow (lateral elbow tendinopathy). Clin Rehabil 28(9):862–872CrossRefPubMedGoogle Scholar
  35. 35.
    Pitzer ME, Seidenberg PH, Bader DA (2014) Elbow tendinopathy. Med Clin N Am 98(4):833–849CrossRefPubMedGoogle Scholar
  36. 36.
    Rompe JD, Overend TJ, MacDermid JC (2007) Validation of the patient-rated tennis elbow evaluation questionnaire. J Hand Ther 20(1):3–11CrossRefPubMedGoogle Scholar
  37. 37.
    Sadeghi-Demneh E, Jafarian F (2013) The immediate effects of orthoses on pain in people with lateral epicondylalgia. Pain Res Treat 2013:353597. doi: 10.1155/2013/353597 PubMedPubMedCentralGoogle Scholar
  38. 38.
    Sayegh ET, Strauch RJ (2015) Does nonsurgical treatment improve longitudinal outcomes of lateral epicondylitis over no treatment? A meta-analysis. Clin Orthop Relat Res 473(3):1093–1107CrossRefPubMedGoogle Scholar
  39. 39.
    Shamsoddini A, Hollisaz MT (2013) Effects of taping on pain, grip strength and wrist extension force in patients with tennis elbow. Trauma Mon 18(2):71–74CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Sims SE, Miller K, Elfar JC, Hammert WC (2014) Non-surgical treatment of lateral epicondylitis: a systematic review of randomized controlled trials. Hand (NY) 9(4):419–446CrossRefGoogle Scholar
  41. 41.
    Słupik A, Dwornik M, Białoszewski D, Zych E (2007) Effect of Kinesio Taping on bioelectrical activity of vastus medialis muscle Preliminary report. Ortop Traumatol Rehabil 9(6):644–651PubMedGoogle Scholar
  42. 42.
    Smidt N, Van der Windt D, Assendelft W, Deville W, Korthals-de Bos I, Bouter L (2002) Physiotherapy or a wait-and-see policy were best long-term treatment options for lateral epicondylitis. J Bone Joint Surg Am 84(8):1487CrossRefGoogle Scholar
  43. 43.
    Viswas R, Ramachandran R, Korde Anantkumar P (2012) Comparison of effectiveness of supervised exercise program and Cyriax physiotherapy in patients with tennis elbow (lateral epicondylitis): a randomized clinical trial. Sci World J 2012:939645. doi: 10.1100/2012/939645 CrossRefGoogle Scholar

Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2017

Authors and Affiliations

  1. 1.Department of Physiotherapy and Rehabilitation, Faculty of Health SciencesHacettepe UniversityAnkaraTurkey
  2. 2.Department of Prevantative Oncology, Faculty of MedicineHacettepe UniversityAnkaraTurkey
  3. 3.Private Veni Vidi HospitalAnkaraTurkey

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