A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis

yılmaz, ahmet; Akkurt, Soner; SAKA, Tolga

A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis

Soner AKKURT, (?Erciyes Üniversitesi Tıp Fakültesi, Spor Hekimliği Anabilim Dalı, Kayseri, Türkiye)

Ahmet YILMAZ, (Bafra Devlet Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Samsun, Türkiye)

Tolga SAKA (Bezmialem Vakıf Üniversitesi Tıp Fakültesi, Spor Hekimliği Anabilim Dalı, İstanbul, Türkiye)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

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Yıl: 2016 Cilt: 62 Sayı: 1 Sayfa Aralığı: 37 - 44 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis

Öz:

Amaç: Bu çalışmada lateral epikondilit tedavisinde kullanılan ekstrakorporeal şok dalga tedavisi (ESWT), fizyoterapi ve lokal steroid enjeksiyonunun etkinliği karşılaştırıldı.Hastalar ve yöntemler: Çalışmaya Ocak 2013 - Aralık 2013 tarihleri arasında klinik olarak lateral epikondilit tanısı konmuş toplam 59 hasta (34 erkek, 25 kadın; ort. yaş 46.4 yıl; dağılım 35-60 yıl) alındı. Hastalar rastgele ESWT (ESWT grubu), lokal steroid enjeksiyonu (E grubu) ve fizyoterapi (FT grubu) olmak üzere üç tedavi grubuna ayrıldı. Tedavi öncesi, tedavi sonrası üçüncü, altıncı ve 12. haftalarda görsel analog ölçeği (GAÖ), el kavrama kuvveti, lateral epikondil üzerine basmakla oluşan duyarlılık testi, Thomson testi ve sandalye kaldırma testleri yapıldı.Bulgular: Üç tedavi grubunda da GAÖ skorları başlangıca kıyasla üç, altı ve 12. haftalarda azalırken, el kavrama kuvveti arttı. Lateral epikondil üzerine basmakla oluşan duyarlılık, Thomson testi ve sandalye kaldırma test sonuçları başlangıca kıyasla üç, altı ve 12. haftalarda anlamlı olarak negatifleşti. Başlangıca kıyasla üç, altı ve 12. haftalarda GAÖ skoru ve el kavrama kuvveti skorları açısından tedavi grupları arasında istatistiksel olarak anlamlı bir fark yoktu.Sonuç: Çalışma sonuçlarımız ESWT, lokal steroid enjeksiyonu ve fizyoterapinin lateral epikondilit tedavisinde 12 haftalık takipte etkili olduğunu göstermektedir

Anahtar Kelime:

Konular: Rehabilitasyon

Lateral epikondilit tedavisinde ekstrakorporeal şok dalga tedavisi, fizyoterapi ve lokal steroid enjeksiyonunun karşılaştırılması

Öz:

Objectives: This study aims to compare the efficacy of extracorporeal shock wave therapy (ESWT), physiotherapy, and local steroid injection in the treatment of lateral epicondylitis.Patients and methods: A total of 59 patients (34 males, 25 females; mean age 46.4 years; range 35 to 60 years) who were clinically diagnosed with lateral epicondylitis between January 2013 and December 2013 were included in the study. The patients were randomly divided into three treatment groups as ESWT (ESWT group), local steroid injection (E group) and physiotherapy (FT group). The visual analog scale (VAS), hand grip strength, pressure sensitivity on lateral epicondyle, Thompson test and chair lifting test were performed before treatment and at three, six and 12 weeks following the treatment.Results: Compared to baseline, VAS scores decreased, while hand grip strength increased in all three treatment groups at three, six, and 12 weeks. Pressure sensitivity with pressure on the lateral epicondyle, Thompson test, and chair lifting test results became significantly negative at three, six, and 12 weeks compared to baseline. There was no statistically significant difference in the VAS and hand grip strength scores at three, six, and 12 weeks compared to baseline among the treatment groups.Conclusion: Our study results suggest that ESWT, physiotherapy, and local steroid injection are effective in the treatment of lateral epicondylitis during 12 week-follow-up

Anahtar Kelime:

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Akkurt S, yılmaz a, SAKA T (2016). A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. , 37 - 44.
Chicago	Akkurt Soner,yılmaz ahmet,SAKA Tolga A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. (2016): 37 - 44.
MLA	Akkurt Soner,yılmaz ahmet,SAKA Tolga A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. , 2016, ss.37 - 44.
AMA	Akkurt S,yılmaz a,SAKA T A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. . 2016; 37 - 44.
Vancouver	Akkurt S,yılmaz a,SAKA T A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. . 2016; 37 - 44.
IEEE	Akkurt S,yılmaz a,SAKA T "A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis." , ss.37 - 44, 2016.
ISNAD	Akkurt, Soner vd. "A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis". (2016), 37-44.

APA	Akkurt S, yılmaz a, SAKA T (2016). A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 62(1), 37 - 44.
Chicago	Akkurt Soner,yılmaz ahmet,SAKA Tolga A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 62, no.1 (2016): 37 - 44.
MLA	Akkurt Soner,yılmaz ahmet,SAKA Tolga A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.62, no.1, 2016, ss.37 - 44.
AMA	Akkurt S,yılmaz a,SAKA T A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2016; 62(1): 37 - 44.
Vancouver	Akkurt S,yılmaz a,SAKA T A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2016; 62(1): 37 - 44.
IEEE	Akkurt S,yılmaz a,SAKA T "A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 62, ss.37 - 44, 2016.
ISNAD	Akkurt, Soner vd. "A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 62/1 (2016), 37-44.