Journals / Acta Orthopaedica et Traumatologica Turcica / 2018 / Cilt: 52 - Sayı: 5

Comparison of ultrasound and extracorporeal shock wave therapy in lateral epicondylosis

Pages
357–362
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

ESWT is an alternative therapeuticintervention and as effective as US.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to compare the efficacy of extracorporeal shock wave therapy(ESWT) and therapeutic ultrasound (US) in the treatment of lateral epicondylosis (LE).Methods: Our study enrolled 50 patients with LE.
📊
Key Findings & Data:Group 1underwent therapeutic US (n ¼ 24; 5 males and 15 females; mean age: 43.75 ± 4.52) Group 2 underwentESWT (n ¼ 20; 8 males and 16 females; mean age: 46.04 ± 9.24).
💡
Conclusion & Impact:ESWT is an alternative therapeuticintervention and as effective as US.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objective: The aim of this study was to compare the efficacy of extracorporeal shock wave therapy(ESWT) and therapeutic ultrasound (US) in the treatment of lateral epicondylosis (LE).Methods: Our study enrolled 50 patients with LE. Patients were randomized into two groups. Group 1underwent therapeutic US (n ¼ 24; 5 males and 15 females; mean age: 43.75 ± 4.52) Group 2 underwentESWT (n ¼ 20; 8 males and 16 females; mean age: 46.04 ± 9.24). Patients were evaluated at baseline,after treatment,and 1 month following treatment. The outcome measures were the visual analog scale(VAS), algometer, grip dynamometer, quick-disability of the arm,shoulder,and hand (QDASH), patientratedtennis elbow evaluation (PRTEE), and Short Form-36 (SF-36) health survey questionnairre.Results: Both groups showed significant improvements in terms of VAS (all p values < 0.0001), dynamometer(p ¼ 0.001 vs p ¼ 0.015), algometer (all p values < 0.0001), PRTEE (all p values < 0.0001),QDASH (all p values < 0.0001), and SF-36 scores (p ¼ 0.001 vs p ¼ 0.005) within time. There was nosignificant difference between the two groups, except algometer scores in favor of ESWT (p ¼ 0.029).Conclusion: ESWT and therapeutic US are equally effective in treating LE. ESWT is an alternative therapeuticintervention and as effective as US.

🔖

Cite This Article

YALVAÇ, B., MESCİ, N., KÜLCÜ, D. G., YURDAKUL, O. V. (2018). Comparison of ultrasound and extracorporeal shock wave therapy in lateral epicondylosis. Acta Orthopaedica et Traumatologica Turcica, Cilt: 52 - Sayı: 5, 357–362. https://ajindex.com/articles/353952

References (16)

  1. Krischek O, Hopf C, Nafe B, Rompe JD. Shock-wave therapy for tennis and golfer's elbow-1 year follow-up. Arch Orthop Trauma Surg. 1999
  2. 119(1-2):62e66. Hong QN, Durand MJ, Loisel P. Treatment of lateral epicondylitis: where is the evidence? Joint Bone Spine. 2004
  3. 71(5):369e373. Cyriax JH. The pathology and treatment of tennis elbow. J Bone Joint Surg. 1936
  4. 18(4):921e940. Trudel D, Duley J, Zastrow I, Kerr EW, Davidson R, MacDermid JC. Rehabilitation for patients with lateral epicondylitis-A systematic review. J Hand Ther. 2004
  5. 17(2):243e266. Smedt TD, Jong AD, Leemput WV, Lieven D, Glabbeek FV. Lateral epicondylitis in tennis: update on aetiology, biomechanics and treatment-Review. Br J Sports Med. 2007
  6. 41(11):816e819. Fornalski S, Gupta R, Lee TQ. Anatomy and biomechanics of the elbow joint. Tech Hand Up Extrem Surg. 2003
  7. 7(4):168e178. Celli Andrea. Anatomy and biomechanics of the elbow. In: Celli Andrea, Celli Luigi, Morrey Bernard F, eds. Treatment of Elbow Lesions New Aspects in Diagnosis and Surgical Techniques. Springer
  8. 1e11. Hoppenfeld S. Physical Examination of the Spine and Extremities. New York: Prentice e Hall Inc
  9. 35e58. Wuori JL, Overend TJ, Kramer JF, MacDermid J. Strength and pain measures associated with lateral epicondylitis bracing. Arch Phys Med Rehabil. 1998
  10. 79(7):832e837. Raman J, MacDermid JC, Grewal R. Effectiveness of different methods of resistance exercises in lateral epicondylosis-A systematic review. J Hand Ther. 2012
  11. 25(1):5e26. Sems A, Dimeff R, Ianotti JP. Extracorporeal shock wave therapy in the treatment of chronic tendinopathies. J Am Acad Orthop Surg. 2006
  12. 14(4): 195e204. Wang CJ. Extracorporeal Shock wave therapy in musculoskeletal disorders. J Orthop Surg Res. 2012
  13. 7(11):1e8. Hinsche A, Stanley D. The clinical examination of the elbow. In: Celli Andrea, Celli Luigi, Morrey Bernard F, eds. Treatment of Elbow Lesions New Aspects in Diagnosis and Surgical Techniques. Springer
  14. 13e20. Melzack R, Katz J. Measurement of pain. In: Turk CD, Melzack R, eds. Handbook of Pain Assesment. 2nd ed. 2001:35e53. Kosek E, Ekholm J, Hansson P. Pressure pain thresholds in different tissues in one body region: the influence of skin sensitivity in pressure algometry. Scand J Rehabil Med. 1999
  15. 31(2):89e93. Pienimaki T, Tarvainen T, Siira P, Malmivaara A, Vanharanta H. Associations between pain, grip strength and manual tests in the treatment evaluation of chronic tennis elbow. The Clin J Pain. 2002
  16. 18(3):164e170. Imaeda T, Toh