Objectives: The aim of this study was to evaluate and compare the effects of radial extracorporeal shock wave therapy (rESWT) and supervised exercises with neuromuscular inhibition (NMI) technique in improving pain, function, and grip strength in the treatment of patients with lateral epicondylitis (LE). Patients and methods: A total of 50 patients with LE (11 males, 30 females; median age: 46 years; range, 23 to 57 years) whose symptoms persisted for at least three months between February 2015 and August 2015 were included in the prospective, randomized-controlled, clinical study. The patients were divided into two groups as the rESWT group (n=25) receiving a total of three rESWT sessions (once per week with 1.8 bar pneumatic pressure, 10 Hz frequency, and with 2,000 pulses) and the exercise group (n=25) receiving supervised exercises with NMI (three times per week for three weeks). Pain and function were evaluated using Visual Analog Scale, the total Patient-Rated Tennis Elbow Evaluation, the Roles and Maudsley score, while the grip strength was evaluated using a hand dynamometer at one and three months after treatment compared to baseline. Results: A significant improvement was observed in all outcome criteria at one and three months after treatment, compared to baseline, in both the rESWT and exercise groups (p<0.05). There was no significant difference in terms of the changes in the outcome criteria between the groups (p>0.05). Conclusion: The rESWT seems to provide no significantly superior benefit than supervised exercises with NMI at least until the three months in the treatment of LE.
BackgroundFibromyalgia syndrome (FMS) is a chronic disease characterized by diffuse pain, fatigue, sleep disturbance, cognitive impairment, and other physical symptoms that adversely affect physical and sensory functions and impair quality of life. Nowadays, in the treatment of FMS, low intensity aerobic exercises and exercise programs combined with other treatment methods are recommended.ObjectivesThe aim of this study was to evaluate the effects of aerobic and balance-proprioception exercises on the symptoms of Fibromyalgia (FMS) and the superiority of the two exercise models.Methods51 female patients who adhere to the inclusion criteria were divided into two groups randomly. Aerobic Exercise Group (AEG; n=26) and Balance-Proprioceptive Exercise Group (BPEG; n=25) was applied to the exercise laboratory under the supervision of physiotherapist in Istanbul Medical Faculty, Department of Sports Medicine 3 days a week for 6 weeks. Before and after the program Pain (VAS), functional status (FIQ), postural stability (Biodex balance system), knee joint proprioception (Cybex isokinetic dynamometer) were evaluated. Cognitive status was assessed by Standardized Mini Mental State Examination (SMMSE) only before program.ResultsThere wasnt statistically significant difference between demographic (age, weigh, BMI etc.) and clinic (VAS, FIO, Biodex, Cybex, SMMSE) features of the groups at the beginning (p>0.05). Parameters measured in both groups after exercise programs showed progress compared to initial levels (p<0.05). There aren`t superiority between two exercise groups in terms of VAS, FIQ scores (p>0.05). Recovery is found to be superior at BPEG in balance parameters (eyes open overall stability index (EOOSI) and eyes open anterioposterior stability index (EOAPSI)) and some parameters that belongs to proprioception (p<0.05).ConclusionIt is determined that aerobic exercise and balance-proprioception exercise programs at/in FMS are effective -in positive way- methods for functionality, pain, proprioception and balance parameter recovery of the patients. Except EOOSI and EOAPSI balance parameter values; according to other parameters it is found that aerobic exercise and balance-proprioception exercises are equal to each other. It is found out that balance-proprioception exercises are superior to aerobic exercises for improving EOOSI and EOAPSI. It is revealed that balance proprioception exercises are more effective for curing proprioception. It is observed that patients with FMS had deterioration in cognitive functions.KeywordsFibromyalgia, aerobic exercise, balance, proprioception, cognitionReferences[1] Duruturk N, Tuzun EH, Culhaoglu B. Is balance exercise training as effective as aerobic exercise training in fibromyalgia syndrome? Rheumatology international. 2015;35(5):845-54.[2] Kibar S, Yıldız HE, Ay S, Evcik D, Ergin ES. New approach in fibromyalgia exercise program: a preliminary study regarding the effectiveness of balance training. Archives of physical medicine and rehabilitation. 2015;96(9):1576-82.Disclosure of ...
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