Long-Term Efficiency Of Extracorporeal Shockwave Therapy On Lateral Epicondylitis (original) (raw)
Related papers
2018
Aim: We aimed to evaluate the effects of extracorporeal shock wave therapy (ESWT) on clinical and functional status, quality of life and level of pain for short and long terms in patients with lateral epicondylitis. Methods: In total, 34 patients with lateral epicondylitis were included in the study. The patients received three sessions of ESWT administered 1day apart. The Short Form (SF-36) Health Survey evaluating the quality of life, the Turkish version of the patient-rated tennis elbow evaluation (PRTEET) evaluating the level of pain during various activities of daily living, the Nirschl pain phase scale evaluating pain during activity of the affected arm and patient-rated visual analogue scale (VAS) evaluating pain localised in the affected arm were used before andafter therapy and at 6 and 12 weeks after therapy. Results: There were significant decreases in the PRTEE-T, Nirschl and VAS scores at 6 and 12 weeks and significant increases in the SF-36 survey scores. There was a s...
Journal of Clinical Medicine
Lateral epicondylitis (LE) of the humerus is a chronic degeneration of wrist extensor tendons at their attachments to the lateral epicondyle of the humerus. There is not a common consensus on a specific therapeutic algorithm, but Extracorporeal Shockwave Therapy (ESWT) is widely used. The purpose of this study is to evaluate the clinical benefits of low dose ESWT in LE-affected patients in short and medium follow-up. Between January 2015 and December 2017, 60 patients (38 male, mean age 52.2 ± 10.1 years, the duration of the disease was 3.6 ± 1.3 months) were clinically evaluated using visual analog scale (VAS) and Patient Rated Tennis Elbow Evaluation Test (PRTEE-I) scores before treatment, at one, three, six and 12 months after treatment. According to the VAS and PRTEE-I scoring systems, all patients achieved an improvement of pain and functional outcome comparing the baseline results with one, six and 12 months values. Low dose ESWT is a safe and effective treatment of LE in the ...
Yearbook of Hand and Upper Limb Surgery, 2009
The aims of this double-blind, randomized, placebo-controlled trial were to determine whether ultrasound-guided extracorporeal shock wave therapy (ESWT) reduced pain and improved function in patients with lateral epicondylitis (tennis elbow) in the short term and intermediate term. Methods. Sixty-eight patients from community-based referring doctors were randomized to receive 3 ESWT treatments or 3 treatments at a subtherapeutic dose given at weekly intervals. Seven outcome measures relating to pain and function were collected at followup evaluations at 6 weeks, 3 months, and 6 months after completion of the treatment. The mean changes in outcome variables from baseline to 6 weeks, 3 months, and 6 months were compared for the 2 groups. Results. The groups did not differ on demographic or clinical characteristics at baseline and there were significant improvements in almost all outcome measures for both groups over the 6-month followup period, but there were no differences between the groups even after adjusting for duration of symptoms. Conclusion. Our study found little evidence to support the use of ESWT for the treatment of lateral epicondylitis and is in keeping with recent systematic reviews of ESWT for lateral epicondylitis that have drawn similar conclusions.
Efficacy of extracorporeal shock wave therapy in the treatment of lateral epicondylitis
İstanbul Kuzey Klinikleri, 2014
OBJECTIVE: Lateral epicondylitis is one of the widely seen lesions of the arm characterized by pain localized over lateral epicondyle which is the insertion site of the wrist extensors, and extensor muscles of the forearm. It is easy to diagnose lateral epicondylitis but treatment involves some inherent drawbacks. Conservative management includes non-steroidal anti-inflammatory drugs, ultrasound therapy, steroid injections, functional bracing, laser therapy and extracorporeal shock wave therapy, however none of these modalities have been shown to be really effective based on evidence-based data. Our study is aimed to determine the efficacy of extracorporeal shock wave therapy (ESWT) therapy in the treatment of lateral epicondylitis. METHODS: A total of 12 patients with the diagnosis of lateral epicondylitis were included in the study and 3 sessions of ESWT were applied (1 session per week). Maximum grip strength and pain scores were assessed before and at 1. month after the treatment. Spesific tests for lateral epicondylitis were utilized and Turkish version of the Patient Rated Tennis Elbow Evaluation (PRTEE-T) questionnaire was administered and data obtained were analyzed. RESULTS: Visual analog scale (VAS) scores were significantly lower (p<0.05) and grip strength significantly increased (p<0.05) one month after ESWT treatment. Overall PRTEE-T survey scores decreased significantly at first month (p<0.001) after treatment. Patient's and physician's global self-assessment scores were significantly lower after treatment (p<0.05). CONCLUSION: To conclude, ESWT utilization in conservative treatment of lateral epicondyilitis was found to be effective on reducing pain, and improving functional activities and quality of life.
Journal of Functional Morphology and Kinesiology
This study was conducted to investigate the effect of extracorporeal shock-wave therapy (ESWT) on pain, grip strength, and upper-extremity function in lateral epicondylitis. A sample of 40 patients with LE (21 males) was randomly allocated to either the ESWT experimental (n = 20) or the conventional-physiotherapy control group (n = 20). All patients received five sessions during the treatment program. The outcome measures used were the Visual Analog Scale (VAS), the Taiwan version of the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and a dynamometer (maximal grip strength). Forty participants completed the study. Participants in both groups improved significantly after treatment in terms of VAS (pain reduced), maximal grip strength, and DASH scores. However, the pain was reduced and upper-extremity function and maximal grip strength were more significantly improved after ESWT in the experimental group. ESWT has a superior effect in reducing pain and improving up...
Procedia - Social and Behavioral Sciences, 2014
The extracorporeal shockwave therapy (ESWT) was used for the first time in 1980, for fragmenting kidney stones. Since 1981, it also began to be used in Orthopedics, due to the contribution of German scientists-its use was to be developed more after 1990. Ten years later, ESWT was introduced in the treatment of several musculoskeletal disorders. This paper aims at highlighting the effects of ESWT on lateral epicondylitis in people between 40 and 50 years old, who unsuccessfully followed a conventional treatment. Lateral epicondylitis can be encountered in tennis players (5% of the cases), violinists, surgeons, dentists, persons who type (secretaries), people who use the computer mouse very often, housewives. The largest incidence can be found in the age groups between 40 and 50, especially in amateur tennis players. The treatment for this condition is very diverse and complex. Nevertheless, the recurrences are quite frequent, a large number of patients being unresponsive even after 3 months of treatment. The experiment was conducted on a group of 43 patients, men and women, with various backgrounds, diagnosed with lateral epicondylitis, and who had previously been subjected to classical treatments, without any result. The study was conducted over a period of 5 weeks. The ESWT treatment was performed twice a week. The assessment of the subjects was done by observing and recording their pain intensity during palpation, and during the performance of their daily activities, at the beginning and at the end of treatment. This was done using the Visual Analogue Scale (VAS) for Pain. The final results presented a significant decrease and disappearance of the patients' pain. Thus, one can say that positive results were obtained, and the ESWT treatment had an effect on the athletes with lateral epicondylitis who did not respond to a conventional treatment.
American Journal of Physical Medicine & Rehabilitation, 2016
The aim of this study was to investigate the effects of radial extracorporeal shock wave therapy (rESWT) on pain, function, and grip strength in the treatment of patients with lateral epicondylitis unresponsive to previous treatments. Design: A double-blind, randomized, placebo-controlled trial was conducted in outpatient clinics in a medical faculty hospital. Fifty-six patients with lateral epicondylitis were randomized to rESWT (n = 28) or sham rESWT (n = 28) groups. Both the patients and the outcome assessing investigator were blinded to group assignment. The rESWT was administered to the painful epicondyle at the elbow with a total of 2000 pulses of 10 Hz frequency at a 1.8 bar of air pressure at each session at three once weekly sessions. Sham rESWTwas applied without the contact of the applicator at the same area. Study patients were assessed at baseline and at 1 and 3 mos after treatment using a visual analog scale for pain and Roles and Maudsley scale and Patient-Rated Tennis Elbow Evaluation for pain and function. Grip strength of the affected extremity was also measured using a hand dynamometer. Results: Both rESWT and sham rESWT groups showed a significant improvement in all outcome measures at posttreatment follow-up points. Favorable absolute and percentage changes in assessments at 1-and 3-mo posttreatment did not show any significant difference between groups. Conclusions: The rESWTdoes not seem to be more effective either in reducing pain or improving function or grip strength in patients with lateral epicondylitis at least at 3 mos after treatment when compared with sham rESWT.
Extracorporeal Shockwave Therapy In Patients With Lateral Epicondylitis
European Journal of Medical Sciences, 2014
Objective: Lateral epicondylitis (LE) is characterized by inflammation and later degenerative angiogenetic changes of the wrist extensors. The optimal treatment of LE remains elusive with contradictory findings reported. The purpose of this study was to assess the effects of radial shockwave therapy (RSWT) on function, range of motion (ROM), strength, and pain in patients with chronic LE. Methods: Functional status using the Upper Extremity Functional Scale (UEFS), ROM, strength, and pain was measured with the P4 Scale and Visual Analog Scale (VAS) before and 3 months post-treatment. Twenty-eight subjects received 3 treatments (2000 shockwaves, 2.5 bars, 10-15 Hz, 11.5 Mp) on the painful elbow. A Wilcoxen Signed Rank Test and Dependent t-Test was used to analyze the data. Results: There was no significant improvement in VAS pain score at rest (p=.142) and in grip strength (p=.319). There was statistically significant improvement in VAS scores for pain after activity (p=.0001) and overall improvement in pain (p=.0001); P4 Scale scores (p=.0001); UEFS scores (p=.0001); elbow flexor (p=.014) and extensor (p=.008) ROM; elbow flexor, extensor, supinator, and pronator strength (p=.008); and wrist flexor, extensor, radial deviator, and ulnar deviator strength (p=.003). There was no statistically significant improvement in ROM for all other elbow and wrist movements. Conclusions: The use of RSWT is an alternative and effective treatment option for patients diagnosed with chronic LE. This intervention resulted in a reduction in elbow pain and an improvement in function, ROM, and strength in the elbow and wrist.
Galen Medical Journal, 2020
Background: Lateral epicondylitis (LE) is a common musculoskeletal disorder. Although varieties of modalities have been proposed for its treatment, the outcomes are uncertain, and the responses would diminish early by the time passage. The current study was aimed to assess the efficacy of extracorporeal shock wave therapy (ESWT) merely and in combination with topical corticosteroid for the treatment of LE. Materials and Methods: In the current double-blinded randomized clinical trial, 70 patients with the diagnosis of LE were randomly allocated to two intervention groups of ESWT merely (control group) (n=35) or ESWT plus topical corticosteroid (intervention group) (n=35). The ESWT was performed weekly for three weeks. Topical clobetasol was utilized within 30 minutes before ESWT for the intervention group, while Vaseline gel was used in a similar pattern for controls. Pain based on a visual analog scale (VAS), handgrip strength (HGS) and the Patient-Rated Tennis Elbow Evaluation (PR...