Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial
Yıl: 2021 Cilt: 67 Sayı: 4 Sayfa Aralığı: 439 - 448 Metin Dili: İngilizce DOI: 10.5606/tftrd.2021.5871 İndeks Tarihi: 16-06-2022
Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial
Öz: 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.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Sanders TL Jr, Maradit Kremers H, Bryan AJ, Ransom JE, Smith J, Morrey BF. The epidemiology and health care burden of tennis elbow: a population-based study. Am J Sports Med 2015;43:1066-71.
- 2. Shiri R, Viikari-Juntura E. Lateral and medial epicondylitis: role of occupational factors. Best Pract Res Clin Rheumatol 2011;25:43-57.
- 3. Faro F, Wolf JM. Lateral epicondylitis: review and current concepts. J Hand Surg Am 2007;32:1271-9.
- 4. Kraushaar BS, Nirschl RP. Tendinosis of the elbow (tennis elbow). Clinical features and findings of histological, immunohistochemical, and electron microscopy studies. J Bone Joint Surg [Am] 1999;81:259-78.
- 5. Dingemanse R, Randsdorp M, Koes BW, Huisstede BM. Evidence for the effectiveness of electrophysical modalities for treatment of medial and lateral epicondylitis: a systematic review. Br J Sports Med 2014;48:957-65.
- 6. Pattanittum P, Turner T, Green S, Buchbinder R. Non- steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults. Cochrane Database Syst Rev 2013;2013:CD003686.
- 7. Coombes BK, Bisset L, Vicenzino B. Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet 2010;376:1751-67.
- 8. Cullinane FL, Boocock MG, Trevelyan FC. Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review. Clin Rehabil 2014;28:3-19.
- 9. Reilly JM, Bluman E, Tenforde AS. Effect of Shockwave Treatment for Management of Upper and Lower Extremity Musculoskeletal Conditions: A Narrative Review. PM R 2018;10:1385-403.
- 10. Carulli C, Tonelli F, Innocenti M, Gambardella B, Muncibì F, Innocenti M. Effectiveness of extracorporeal shockwave therapy in three major tendon diseases. J Orthop Traumatol 2016;17:15-20.
- 11. Speed C. A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence. Br J Sports Med 2014;48:1538-42.
- 12. d’Agostino MC, Craig K, Tibalt E, Respizzi S. Shock wave as biological therapeutic tool: From mechanical stimulation to recovery and healing, through mechanotransduction. Int J Surg 2015;24:147-53.
- 13. Buchbinder R, Green SE, Youd JM, Assendelft WJ, Barnsley L, Smidt N. Shock wave therapy for lateral elbow pain. Cochrane Database Syst Rev 2005;(4):CD003524.
- 14. Rompe JD, Maffulli N. Repetitive shock wave therapy for lateral elbow tendinopathy (tennis elbow): a systematic and qualitative analysis. Br Med Bull 2007;83:355-78.
- 15. Palmer K, Walker-Bone K, Linaker C, Reading I, Kellingray S, Coggon D, et al. The Southampton examination schedule for the diagnosis of musculoskeletal disorders of the upper limb. Ann Rheum Dis 2000;59:5-11.
- 16. Sarkar B, Das PG, Equebal A, Mitra PK, Kumar R, Anwer S. Efficacy of low-energy extracorporeal shockwave therapy and a supervised clinical exercise protocol for the treatment of chronic lateral epicondylitis: A randomised controlled study. Hong Kong Physiotherapy Journal 2013;31:19-24.
- 17. Poltawski L, Watson T. Measuring clinically important change with the Patient-rated Tennis Elbow Evaluation. Hand Therapy 2011;16:52-7.
- 18. Capan N, Esmaeilzadeh S, Oral A, Basoglu C, Karan A, Sindel D. Radial extracorporeal shock wave therapy is not more effective than placebo in the management of lateral epicondylitis: A Double-Blind, Randomized, Placebo-Controlled Trial. Am J Phys Med Rehabil 2016;95:495-506.
- 19. Radwan YA, ElSobhi G, Badawy WS, Reda A, Khalid S. Resistant tennis elbow: shock-wave therapy versus percutaneous tenotomy. Int Orthop 2008;32:671-7.
- 20. Gündüz R, Malas FÜ, Borman P, Kocaoğlu S, Özçakar L. Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis. Clinical and ultrasonographical comparison. Clin Rheumatol 2012;31:807-12.
- 21. Ozturan KE, Yucel I, Cakici H, Guven M, Sungur I. Autologous blood and corticosteroid injection and extracoporeal shock wave therapy in the treatment of lateral epicondylitis. Orthopedics 2010;33:84-91.
- 22. Rompe JD, Cacchio A, Weil L Jr, Furia JP, Haist J, Reiners V, et al. Plantar fascia-specific stretching versus radial shock- wave therapy as initial treatment of plantar fasciopathy. J Bone Joint Surg [Am] 2010;92:2514-22.
- 23. Chung B, Wiley JP, Rose MS. Long-term effectiveness of extracorporeal shockwave therapy in the treatment of previously untreated lateral epicondylitis. Clin J Sport Med 2005;15:305-12.
- 24. Köksal İ, Güler O, Mahiroğulları M, Mutlu S, Çakmak S, Akşahin E. Comparison of extracorporeal shock wave therapy in acute and chronic lateral epicondylitis. Acta Orthop Traumatol Turc 2015;49:465-70.
- 25. van der Worp H, van den Akker-Scheek I, van Schie H, Zwerver J. ESWT for tendinopathy: technology and clinical implications. Knee Surg Sports Traumatol Arthrosc 2013;21:1451-8.
- 26. Spacca G, Necozione S, Cacchio A. Radial shock wave therapy for lateral epicondylitis: a prospective randomised controlled single-blind study. Eura Medicophys 2005;41:17-25.
- 27. Yang TH, Huang YC, Lau YC, Wang LY. Efficacy of radial extracorporeal shock wave therapy on lateral epicondylosis, and changes in the common extensor tendon stiffness with pretherapy and posttherapy in real-time sonoelastography: A Randomized Controlled Study. Am J Phys Med Rehabil 2017;96:93-100.
- 28. Malliaropoulos N, Crate G, Meke M, Korakakis V, Nauck T, Lohrer H, et al. Success and recurrence rate after radial extracorporeal shock wave therapy for plantar fasciopathy: a retrospective study. Biomed Res Int 2016;2016:9415827.
- 29. Malliaropoulos N, Thompson D, Meke M, Pyne D, Alaseirlis D, Atkinson H, et al. Individualised radial extracorporeal shock wave therapy (rESWT) for symptomatic calcific shoulder tendinopathy: a retrospective clinical study. BMC Musculoskelet Disord 2017;18:513.
- 30. Stasinopoulos D, Stasinopoulos I, Pantelis M, Stasinopoulou K. Comparison of effects of a home exercise programme and a supervised exercise programme for the management of lateral elbow tendinopathy. Br J Sports Med 2010;44:579-83.
- 31. Rompe JD, Furia J, Maffulli N. Eccentric loading versus eccentric loading plus shock-wave treatment for midportion achilles tendinopathy: a randomized controlled trial. Am J Sports Med 2009;37:463-70.
| APA | ÇORUM M, BAŞOĞLU C, YAVUZ H, Aksoy C (2021). Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial. , 439 - 448. 10.5606/tftrd.2021.5871 |
| Chicago | ÇORUM Mustafa,BAŞOĞLU Ceyhun,YAVUZ Hadi,Aksoy Cihan Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial. (2021): 439 - 448. 10.5606/tftrd.2021.5871 |
| MLA | ÇORUM Mustafa,BAŞOĞLU Ceyhun,YAVUZ Hadi,Aksoy Cihan Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial. , 2021, ss.439 - 448. 10.5606/tftrd.2021.5871 |
| AMA | ÇORUM M,BAŞOĞLU C,YAVUZ H,Aksoy C Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial. . 2021; 439 - 448. 10.5606/tftrd.2021.5871 |
| Vancouver | ÇORUM M,BAŞOĞLU C,YAVUZ H,Aksoy C Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial. . 2021; 439 - 448. 10.5606/tftrd.2021.5871 |
| IEEE | ÇORUM M,BAŞOĞLU C,YAVUZ H,Aksoy C "Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial." , ss.439 - 448, 2021. 10.5606/tftrd.2021.5871 |
| ISNAD | ÇORUM, Mustafa vd. "Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial". (2021), 439-448. https://doi.org/10.5606/tftrd.2021.5871 |
| APA | ÇORUM M, BAŞOĞLU C, YAVUZ H, Aksoy C (2021). Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial. Turkish Journal of Physical Medicine and Rehabilitation, 67(4), 439 - 448. 10.5606/tftrd.2021.5871 |
| Chicago | ÇORUM Mustafa,BAŞOĞLU Ceyhun,YAVUZ Hadi,Aksoy Cihan Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial. Turkish Journal of Physical Medicine and Rehabilitation 67, no.4 (2021): 439 - 448. 10.5606/tftrd.2021.5871 |
| MLA | ÇORUM Mustafa,BAŞOĞLU Ceyhun,YAVUZ Hadi,Aksoy Cihan Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial. Turkish Journal of Physical Medicine and Rehabilitation, vol.67, no.4, 2021, ss.439 - 448. 10.5606/tftrd.2021.5871 |
| AMA | ÇORUM M,BAŞOĞLU C,YAVUZ H,Aksoy C Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial. Turkish Journal of Physical Medicine and Rehabilitation. 2021; 67(4): 439 - 448. 10.5606/tftrd.2021.5871 |
| Vancouver | ÇORUM M,BAŞOĞLU C,YAVUZ H,Aksoy C Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial. Turkish Journal of Physical Medicine and Rehabilitation. 2021; 67(4): 439 - 448. 10.5606/tftrd.2021.5871 |
| IEEE | ÇORUM M,BAŞOĞLU C,YAVUZ H,Aksoy C "Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial." Turkish Journal of Physical Medicine and Rehabilitation, 67, ss.439 - 448, 2021. 10.5606/tftrd.2021.5871 |
| ISNAD | ÇORUM, Mustafa vd. "Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled trial". Turkish Journal of Physical Medicine and Rehabilitation 67/4 (2021), 439-448. https://doi.org/10.5606/tftrd.2021.5871 |
