Physiotherapy and physiotherapeutical modalities for lateral epicondylitis

Smidt, Nynke; Assendelft, W. J. J.; Arola, H.; Malmivaara, Antti; Green, Sally; Buchbinder, Rachelle; Bouter, L.M.

doi:10.1002/14651858.cd001459

Cited by 4 publications

(10 citation statements)

References 19 publications

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“…34 Turkiye Klinikleri J Med Sci 2010;30 (1) F Fi iz z y yo o t te e r ra a p pi i v ve e f fi iz z y yo o t te e r ra a p pö ö t ti ik k m mo o d da a l li i t te e l le er r ile ilgi li bir Coc hra ne der le me pro to ko lü 1999'da su nulmuş tur. 21 Ay nı araş tır ma cı ta ra fın dan 2003 yı lın da la zer, ul tra son, elek tro te ra pi, eg zer siz ve mo bi lizas yon et kin li ği nin ça lı şıl dı ğı 23 RKÇ de ğer len diril miş tir. Çok sa yı da ça lış ma ol ma sı na rağ men ha la ço ğu fiz yo te ra pi mo da li te si ile il gi li et kin ve ya etki siz ol du ğu na da ir ka nıt ol ma dı ğı, çün kü ça lış malar da va ka sa yı sı nın az ol du ğu, kli nik ve is ta tis tik sel fark lı lık lar ne de niy le ça lış ma gü cü nün az ol du ğu ve çe liş ki li so nuç lar ol du ğu, sa de ce ul tra so nun etkin bu lun du ğu na da ir za yıf ka nıt ol du ğu bil di rilmiş tir.…”

Section: Ul Tra Son (Us)unclassified

“…Bu der le me ler nons te ro id an ti inf la ma tu ar ilaç (NSA İ İ) 2001, kor ti kos te ro id en jek si yon la rı ile ilgi li der le me pro to ko lü 1999, or tez 2002, de rin trans vers frik si yon ma sa jı (DTFM) 2002, eks trakor po re al şok dal ga te da vi si (ESWT) 2005, akupunk tur 2002, fiz yo te ra pi ve fiz yo te ra pö tik mo da lite ler il gi li der le me pro to ko lü 1999, cer ra hi 2002 teda vi nin LE' te ki et kin li ği ile il gi liy di. [15][16][17][18][19][20][21][22] Ay rı ca Coc hra ne kü tüp ha ne si ve ri ta ba nı nın içer di ği 18 non-Coc hra ne der le me [Coc hra ne Da ta ba se of Abs tracts of Re vi ews of Ef fects (DA RE, non-Cochra ne re vi ews)] de da hil edil miş tir. Bir der le me MRG'nin LE' te ki doğ ru lu ğu ile il gi liy di (Tab lo 1).…”

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Evidence Based Data for Management of Lateral Epicondylitis: Review

Ölmez¹,

Memiş²

2010

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T Bu der le me de la te ral epi kon di lit (LE) te da vi sin de de nen miş çok çe şit li te da vi yön tem le ri nin ka nı ta da ya lı ve ri le ri nin su nul ma sı amaç lan mış tır. Op ti mal te da vi se çi mi için ka nı ta da ya lı bi limsel ve ri ler kul la nıl ma lı dır. Ay rı ca güç lü ve za yıf ka nıt lar ile ri kli nik araş tır ma la rın plan lan ma sı açı sın dan önem li dir. Coc hra ne Kü tüp ha ne si, dü zen li ola rak gün cel leş ti ri len, ka nı ta da ya lı tıp ve rita ban la rı ko lek si yo nun dan olu şur. Bu der le me de Coc hra ne kü tüp ha ne si ve ri ta ba nın da la te ral epicond yli tis/ ten nis el bow anah tar ke li me le riy le ta ra ma ya pıl dı. Top lam sekiz Coc hra ne der le me si [Coc hra ne Da ta ba se of Syste ma tic Re vi ews (CDSR, Coc hra ne Re vi ews)] sap tan dı: Nons te ro id an tiinf la ma tu ar ilaç lar (NSA İ İ) 2001, kor ti kos te ro id en jek si yo nu ile il gi li der le me pro to ko lü 1999, ortez 2002, de rin trans vers frik si yon ma sa jı 2002, eks tra kor po re al şok dal ga te da vi si (ESWT) 2005, aku punk tur 2002, fiz yo te ra pi ve fiz yo te ra pö tik mo da li te ler il gi li der le me pro to ko lü 1999, cer ra hi 2002. Ay rı ca Coc hra ne kü tüp ha ne si ve ri ta ba nı nın içer di ği 18 non-Coc hra ne [Coc hra ne Da ta ba se of Abs tracts of Re vi ews of Ef fects (DA RE, non-Coc hra ne re vi ews)] der le me de da hil edil di. Der le meler de yer al ma yan di ğer te da vi yön tem le ri ne de kı sa ca de ği nil di. Bu der le me le rin ço ğun dan çı karı lan so nuç bir te da vi nin di ğe ri ne üs tün lü ğü nü des tek le ye cek ye ter li ka nıt yok lu ğu dur. Bu nun se be bi dü şük is ta tis tik sel güç, in ter nal ge çer li lik ve ço ğu ça lış ma da be lir ti len ye ter siz ve ri, kon trol grup la rı nın he te ro jen li ği, so nuç öl çüm le ri, ya kın ma sü re si ve prog nos tik fak tör le rin fark lı lı ğı, hasta sa yı sı az lı ğı ola rak be lir til miş tir. So nuç ola rak yük sek pre va lan sı na ve önem li de re ce de iş gü cü kay bı na rağ men LE te da vi si ko nu sun da gö rüş bir li ği az dır. LE op ti mal te da vi si hak kın da so nuç çı -kar tıl ma sı için iyi plan lan mış yük sek ka li te de ran do mi ze kon trol lü ça lış ma lar ya pıl ma sı ge rek li dir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Te nis çi dir se ği; epikondilit A AB BS S T TR RA AC CT T The aim of this re vi ew is to iden tify the evi den ce ba se da ta abo ut a wi de va ri ety of treat ment mo da li ti es used in la te ral epi cond yli tis (LE). For op ti mal tre at ment cho i ce the evi den ce based sci en ti fic da ta ha ve to be used. Al so the strong and we ak evi den ces are im por tant for plan ning furt her cli ni cal re se arch. Coc hra ne lib rary is re gu larly up da ted col lec ti on of evi den ce ba se me di cal da ta ba se. In this re vi ew the Coc hra ne Lib rary da ta ba se was se arc hed using la te ral epi cond yli tis/ ten nis el bow key words. This se arch yi el ded eight Coc hra ne re vi ews [Coc hra ne Da ta ba se of Systema tic Re vi ews (CD...

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Section: Ul Tra Son (Us)unclassified

unclassified

Evidence Based Data for Management of Lateral Epicondylitis: Review

Ölmez¹,

Memiş²

2010

Turkiye Klinikleri J Med Sci

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“…1,2 Although the burden due to lateral epicondylitis is considerable, there is insufficient evidence on the most effective management. 5,6 Conservative treatment includes exercise therapy, joint mobilization techniques, education on activity modification, and pharmacologic treatments. No conclusive evidence exists that there is one preferred method of nonsurgical treatment for this condition.…”

Section: Introductionmentioning

confidence: 99%

“…No conclusive evidence exists that there is one preferred method of nonsurgical treatment for this condition. 1,3,6,7 For those patients who do not respond to noninvasive treatment modalities, more invasive therapies such as injections of steroid, prolotherapy, platelet-rich plasma, and botulinum toxin A have been used prior to surgical treatment. [8][9][10] Numerous terms including tennis elbow, lateral epicondylalgia, tendonitis, tendinosis, and tendinopathy have been used to describe this condition.…”

Section: Introductionmentioning

confidence: 99%

“…Upper limb injuries constitute 18% of work related claims, which is almost equal to the prevalence of back injuries . Although the burden due to lateral epicondylitis is considerable, there is insufficient evidence on the most effective management . Conservative treatment includes exercise therapy, joint mobilization techniques, education on activity modification, and pharmacologic treatments.…”

Section: Introductionmentioning

confidence: 99%

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The Effectiveness of Kinesiotaping, Sham Taping or Exercises Only in Lateral Epicondylitis Treatment: A Randomized Controlled Study

Giray

Karali-Bingul

Akyüz

2019

PM&R

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Background Lateral epicondylitis is a common musculoskeletal condition presenting with pain and tenderness over the lateral epicondyle and dorsal forearm, pain and weakness in gripping and limitations in daily activities. It is proposed that kinesiotaping, a new application of adhesive taping, reduces pain and improves muscle function. Objective To compare efficacy of kinesiotaping, sham taping, or exercises only in the treatment of lateral epicondylitis. Design Double‐blind, randomized, controlled trial. Setting Tertiary medical center, university hospital. Participants Thirty patients with lateral epicondylitis for less than 12 weeks. Methods or Interventions Patients were randomized into three groups: kinesiotaping plus exercises (n = 10), sham taping plus exercises (n = 10), and control (exercises only) (n = 10) groups. All recipients were provided a home exercise program including strengthening and stretching exercises. In kinesiotaping and sham taping groups, tapings were performed and changed every 3–4 d for 2 weeks. Main Outcome Measure(s) The primary outcome was the patient‐rated tennis elbow evaluation (PRTEE). Pain visual analogue scale (VAS), grip strength, and the disabilities of the arm, shoulder and hand (QuickDASH) scales were secondary outcomes. Evaluations were done at baseline, posttreatment, and at 4 weeks after treatment. The immediate effect was also assessed by VAS and grip strength immediately after real and sham tapings. Results PRTEE total scores at posttreatment and at 4 weeks after treatment were statistically significantly lower in kinesiotaping plus exercises group compared to sham taping plus exercises group and exercises only group. The effects of kinesiotaping were larger than sham taping and only exercises at posttreatment (d = −1.21, d = −1.33) and at 4 weeks after treatment (d = −1.39, d = −1.34). Repeated‐measures anova showed a significant interaction between the time and the groups (F 2950 = 4849; P = .006). Significant between‐group differences were found in QuickDASH score and VAS at rest at 4 weeks after treatment, VAS at daily activity at posttreatment and 4 weeks after treatment when kinesiotaping plus exercises and sham taping plus exercises groups and kinesiotaping plus exercises and exercises only groups were compared. Real taping but not sham taping immediately led to an increase in grip strength, decrease in VAS at rest and VAS at daily activity (P = .0017, P = .041, P = .028; respectively). Conclusions Kinesiotaping in addition to exercises is more effective than sham taping and exercises only in improving pain in daily activities and arm disability due to lateral epicondylitis. Level of Evidence I

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Epicondylopathia humeri radialis

Leschinger

Tischer

Doepfer³

et al. 2021

Z Orthop Unfall

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Background Lateral epicondylitis is a common orthopaedic condition often massively restricting the quality of life of the affected patients. There are a wide variety of treatment options – with varying levels of evidence. Method The following statements and recommendations are based on the current German S2k guideline Epicondylopathia radialis humeri (AWMF registry number: 033 – 2019). All major German specialist societies participated in this guideline, which is based on a systematic review of the literature and a structured consensus-building process. Outcomes Lateral epicondylitis should be diagnosed clinically and can be confirmed by imaging modalities. The Guidelines Commission issues recommendations on clinical and radiological diagnostic workup. The clinical condition results from the accumulated effect of mechanical overload, neurologic irritation and metabolic changes. Differentiating between acute and chronic disorder is helpful. Prognosis of non-surgical regimens is favourable in most cases. Most cases spontaneously resolve within 12 months. In case of unsuccessful attempted non-surgical management for at least six months, surgery may be considered as an alternative, if there is a corresponding structural morphology and clinical manifestation. At present, it is not possible to recommend a specific surgical procedure. Conclusion This paper provides a summary of the guideline with extracts of the recommendations and statements of its authors regarding the pathogenesis, prevention, diagnostic workup as well as non-surgical and surgical management.

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Physiotherapy and physiotherapeutical modalities for lateral epicondylitis

Cited by 4 publications

References 19 publications

Evidence Based Data for Management of Lateral Epicondylitis: Review

Evidence Based Data for Management of Lateral Epicondylitis: Review

The Effectiveness of Kinesiotaping, Sham Taping or Exercises Only in Lateral Epicondylitis Treatment: A Randomized Controlled Study

Epicondylopathia humeri radialis

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