Release date: 2017-03-30
External humeral epicondylitis, also known as "tennis elbow", is a common musculoskeletal disorder. The incidence rate is about 0.7% to 2.7%, and it is as high as 13.5% among the working population. It is currently believed to be associated with repetitive occupational activities and long-term computer use. Although humeral epicondylitis is a self-limiting lesion, most patients recover spontaneously within 1 to 2 years, but patients with severe symptoms may require timely treatment. At present, the treatment of tennis elbow mainly includes oral or topical non-steroidal anti-inflammatory drugs, injection therapy, physical and rehabilitation medical intervention, and surgery. Among them, extracorporeal shock wave therapy was applied to the external humeral epicondylitis more than 20 years ago. Its possible mechanisms of action include promoting tissue healing and achieving analgesic effects through super-stimulation of nerve fibers. However, the results of systematic reviews or meta-analyses for their efficacy are not consistent. To investigate the effect of loose external shock wave therapy (rESWT) in the treatment of epicondylitis of the humerus, Professor Capan of the Department of Physical Medicine and Rehabilitation at Istanbul University designed the study and published the results in Am J Phys Med Rehabil 2016. In the July issue of the journal. This study was a double-blind randomized controlled trial. The investigators included 56 patients with humeral epicondylitis who were randomized into two groups, 28 in the rESWT trial group and 28 in the placebo group. None of the subjects and the result evaluators knew about the grouping. The study evaluation indicators included visual analogue scale (VAS) results, Roles and Maudsley (RM) scores, tennis elbow patient self-assessment (PRTEE), and grip strength. The three assessments were performed before the intervention, one month after the intervention, and three months later. The results showed that the indexes of the experimental group and the control group were significantly improved compared with those before the intervention, but there was no statistical difference between the two groups. The release shock wave treatment was not superior to the comfort treatment in relieving pain, improving function and grip strength. . However, some studies have shown that extracorporeal shock waves can significantly improve the symptoms of tennis elbow patients, which may be related to the selected treatment parameters, treatment time, and evaluation indicators. Therefore, large randomized double-blind trials are needed for further study.
Source: Lilac Garden
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