Session Type: ACR Poster Session A
Session Time: 9:00AM-11:00AM
Background/Purpose: Lateral epicondylitis is one of the most common conditions affecting elbow and characterized by a lesion of the common extensor tendon with or without inflammation. Main aim of treatments is pain relief and restoration of muscle condition. There is a wide spectrum of treatments used for management of lateral epicondylitis such as analgesic medications, exercise, orthoses and physical therapy. Extra-corporeal shock wave therapy is recommended as an alternative treatment for lateral epicondylitis. Although there are wide varieties of treatment choice, there is no consensus on its management. The aim of this study was to compare the efficacy of bandage, laser and extra-corporeal shock wave therapy in the treatments of lateral epicondylitis.
Methods: In this prospective, randomized controlled trial; 60 patients (44 women, 16 men, and mean age 46, 1±10 years) with lateral epicondylitis were enrolled. Patients were allocated into 3 treatment groups. Group 1 received only bandage, group 2 received bandage and laser, group 3 received bandage and extra-corporeal shock wave therapy. Outcome measures were visual analogue scale, disabilities of the arm, shoulder, and hand questionnaire, Nottingham health profile, pain-free grip strength, Duruoz hand index and Patient rated tennis elbow evaluation. All patients evaluated initially, at fourth week and after twelve week.
Results: All groups including splinting had statistically significant improvements compared to pre-treatment, posttreatment. The improvements were observed in more parameters in laser group than the other groups.
Conclusion: To our knowledge, this is the first study that comparing extra-corporeal shock wave therapy and laser therapy in laterals epicondylitis. In this study we found that splinting, combination of splinting and laser or extra-corporeal shock wave therapy has positive effects on pain, function and quality of life in the management of lateral epicondylitis. However, the laser therapy seems to more effective than the others.
To cite this abstract in AMA style:Icyer F, Uzkeser H, Karatay S. Lateral Epicondylitis Treatment: Comparison of Bandage, Laser Therapy and Extra-Corporeal Shock Wave Therapy [abstract]. Arthritis Rheumatol. 2016; 68 (suppl 10). https://acrabstracts.org/abstract/lateral-epicondylitis-treatment-comparison-of-bandage-laser-therapy-and-extra-corporeal-shock-wave-therapy/. Accessed December 4, 2020.
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ACR Meeting Abstracts - https://acrabstracts.org/abstract/lateral-epicondylitis-treatment-comparison-of-bandage-laser-therapy-and-extra-corporeal-shock-wave-therapy/