Dose-related Effect of Radial Extracorporeal Shockwave Therapy (rESWT) on Lateral Epicondylitis in Active Patients: A Retrospective Comparative Study

被引:0
|
作者
Arican, Mehmet [1 ]
Turhan, Yalcin [1 ]
Karaduman, Zekeriya Okan [1 ]
机构
[1] Duzce Univ, Fac Med, Dept Orthopaed & Traumatol, TR-81000 Duzce, Turkey
关键词
Air Pressure; Elbow Extracorporeal Shockwave Therapy Hand; Lateral Epicondylitis; Ortopedics; Pain; Shoulder; Tennis Elbow; Traumatology; Visual Analog Scale; WAVE THERAPY; DOUBLE-BLIND; MANAGEMENT; TENDON; PLACEBO; ELBOW;
D O I
10.5812/ircmj.90813
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Extracorporeal shock wave therapy is a noninvasive, safe, and well-tolerated treatment method which is increasingly used in the treatment of lateral epicondylitis. However, the gold standard treatment protocol is still controversial. Objectives: This study aimed to investigate and compare the efficacy of two different pneumatic pressure levels of radial extracorporeal shockwave therapy (rESWT) in active patients with lateral epicondylitis, unresponsive to conservative treatment. Methods: This retrospective comparative study was carried out in the Department of Orthopedics and Traumatology, Duzce University School of Medicine in 2018. A total of 330 patients with lateral epicondylitis unresponsive to conservative treatment were underwent rESWT during years 2010 - 2017. The patients were divided into two groups of 181 patients (group 1) with a total of 1500 impulses of 10 Hz frequency at 1 bar of air pressure during five treatment sessions at 1 week intervals, and 149 patients (group 2) with a total of 2000 impulses of 10 Hz frequency at 2 bars of air pressure during five treatment sessions at 1 week intervals. Functional and clinical outcomes were assessed just before the treatment, at six weeks and six months after treatment using the visual analogue scale (VAS) and the Quick-Disabilities of the Arm, Shoulder, and Hand (Q-DASH) score. Results: The mean VAS score had significantly decreased in group 1 from 8.34 +/- 1.22 to 2.59 +/- 1.49 (P = 0.0001) and had also in group 2 from 8.56 +/- 1.22 to 2.56 +/- 1.76 (P = 0.0001). The mean Q-DASH score decreased significantly in both groups; from 58.92 +/- 18.48 to 9.27 +/- 5.85 (P = 0.0001), and from 65.36 +/- 19.32 to 9.25 +/- 6.28 (P = 0.0001) in group 1 and group 2, respectively. No significant difference was observed between the pretreatment VAS and the 6-month scores of groups 1 and 2 (P = 0.103). The mean difference in the Q-DASH pretreatment and 6-week scores and between the pretreatment and 6-month scores in group 2 were higher than those in group 1 (P = 0.011, P = 0.003). Conclusions: Although both rESWT treatment regimens caused a decrease in pain and loss of function, the superior treatment protocol for rESWT appears to be five treatment sessions at 1-week intervals, with 2000 impulses per session and 2 bars. rESWT is a good option for treating lateral epicondylitis, as it is safe and effective and leads to no complications.
引用
收藏
页数:7
相关论文
共 50 条
  • [41] Effects of Adding Extracorporeal Shockwave Therapy (ESWT) to Platelet-Rich Plasma (PRP) among Patients with Rotator Cuff Partial Tear: A Prospective Randomized Comparative Study
    Kuo, Shu-Jui
    Su, Yu-Hsiang
    Hsu, Shih-Chan
    Huang, Po-Hua
    Hsia, Chia-Chun
    Liao, Chin-Yi
    Chen, Sung-Hsiung
    Wu, Re-Wen
    Hsu, Chieh-Cheng
    Lai, Yen-Chun
    Liu, De-Yi
    Ku, Nien-En
    Chen, Jui-Feng
    Ko, Jih-Yang
    Maderbacher, Guenther
    Bizzoca, Davide
    JOURNAL OF PERSONALIZED MEDICINE, 2024, 14 (01):
  • [42] Anticholinergic Exposure, Drug Dose and Postoperative Delirium: Comparison of Dose-Related and Non-Dose-Related Anticholinergic Burden Scores in a Retrospective Cohort Study of Older Orthopaedic and Trauma Surgery Patients (vol 41, pg 1003, 2024)
    Gessele, Carolin
    Remi, Constanze
    Smolka, Vera
    Dimitriadis, Konstantinos
    Amann, Ute
    Saller, Thomas
    Strobach, Dorothea
    DRUGS & AGING, 2025, 42 (02) : 177 - 178
  • [43] Impacts of low-energy extracorporeal shockwave therapy on pain, pruritus, and health-related quality of life in patients with burn: A randomized placebo-controlled study
    Samhan, Ahmed Fathy
    Abdelhalim, Nermeen Mohamed
    BURNS, 2019, 45 (05) : 1094 - 1101
  • [44] Dose-related effect of statins in patients with endovascular coiling or microsurgical clipping for aneurysmal subarachnoid hemorrhage: updated study-level meta-analysis
    Choi, Kyu-Sun
    Kim, Jae Min
    Yi, Hyeong-Joong
    Lee, Seon-Heui
    Lim, Taeho
    Kim, Wonhee
    Cho, Youngsuk
    Cheong, Jin-Hwan
    EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 2017, 73 (09) : 1071 - 1081
  • [45] Is radial Extracorporeal Shock Wave Therapy (rEWST) combined with supervised exercises (SE) more effective than sham rESWT and SE in patients with subacromial shoulder pain? Study protocol for a double-blind randomised, sham-controlled trial
    Kvalvaag, Elisabeth
    Brox, Jens Ivar
    Engebretsen, Kaia Beck
    Soberg, Helene Lundgaard
    Bautz-Holter, Erik
    Roe, Cecilie
    BMC MUSCULOSKELETAL DISORDERS, 2015, 16
  • [46] Is radial Extracorporeal Shock Wave Therapy (rEWST) combined with supervised exercises (SE) more effective than sham rESWT and SE in patients with subacromial shoulder pain? Study protocol for a double-blind randomised, sham-controlled trial
    Elisabeth Kvalvaag
    Jens Ivar Brox
    Kaia Beck Engebretsen
    Helene Lundgaard Søberg
    Erik Bautz-Holter
    Cecilie Røe
    BMC Musculoskeletal Disorders, 16
  • [47] Erratum to: Dose-related effect of statins in patients with endovascular coiling or microsurgical clipping for aneurysmal subarachnoid hemorrhage: updated study-level meta-analysis
    Kyu-Sun Choi
    Jae Min Kim
    Hyeong-Joong Yi
    Seon-Heui Lee
    Taeho Lim
    Wonhee Kim
    Youngsuk Cho
    Jin-Hwan Cheong
    European Journal of Clinical Pharmacology, 2017, 73 : 1083 - 1083
  • [48] Effect of Aviptadil, a Novel Therapy, on Clinical Outcomes of Patients with Viral-related Severe ARDS: A Retrospective Observational Study
    Sampley, Supriya
    Bhasin, Deepak
    Sekhri, Kavita
    Singh, Harpal
    Gupta, Onkar
    INDIAN JOURNAL OF CRITICAL CARE MEDICINE, 2024, 28 (01) : 70 - 74
  • [49] Effect of antibiotic drug use on outcome and therapy-related toxicity in patients with glioblastoma-A retrospective cohort study
    Goetz, Linda
    Ansafi, Tananeh
    Gerken, Michael
    Klinkhammer-Schalke, Monika
    Fischl, Anna
    Riemenschneider, Markus J.
    Proescholdt, Martin
    Bumes, Elisabeth
    Koelbl, Oliver
    Schmidt, Nils Ole
    Linker, Ralf
    Hau, Peter
    Haedenkamp, Tareq M.
    NEURO-ONCOLOGY ADVANCES, 2024, 6 (01)
  • [50] Comparative analysis of allogeneic hematopoietic cell transplantation in patients with therapy-related and de novo acute promyelocytic leukemia A retrospective study
    Yamasaki, Satoshi
    Yanada, Masamitsu
    Araie, Hiroaki
    Fukuda, Takahiro
    Kanda, Yoshinobu
    Tashiro, Haruko
    Uchida, Naoyuki
    Ozeki, Kazutaka
    Ota, Shuichi
    Onishi, Yasushi
    Doki, Noriko
    Oyake, Tatsuo
    Takada, Satoru
    Sakurai, Masatoshi
    Kondo, Yukio
    Nakamae, Hirohisa
    Kawakita, Toshiro
    Onizuka, Makoto
    Atsuta, Yoshiko
    Konuma, Takaaki
    SCIENTIFIC REPORTS, 2025, 15 (01):