Comparison of low level laser therapy and extracorporeal shock wave in treatment of chronic lateral epicondylitis

Objective: The aim of this study was to compare the efficacy of extracorporeal shock wave therapy (ESWT) ver-sus low-level laser therapy (LLLT) in treating chronic lateral epicondylitis (CLE). Methods: In this prospective study, 52 patients (24 males, 28 females; mean age=48 years; age range=30-70 years) with a diagnosis of CLE were included and randomized into two groups (26 in each group): ESWT group (14 males, 12 females; mean age=48±10 years) or LLLT group (10 males, 16 females; mean age=48±11 years). ESWT was applied for 5 weeks with one session per week, while LLLT was applied with 15 sessions on consecutive days. All patients were evaluated using Disability of the Arm, Shoulder and Hand Questionnaire (DASH), Patient-Related Lateral Epicondy-litis Evaluation (PRTEE), and the 36-Item ShortForm Health Survey (SF-36) before and after the treatments.Results: In the comparison of baseline data between treatment groups, significant differences were observed only in SF-Physical functioning and SF-Energy/fatigue scores (p=0.035 and p=0.038, re-spectively), which were 77.1±17.2 and 56.3±17.2 in ESWT group and 66.5±18.0 and 44.8±21.5 in LLLT group, respectively. In the comparison of post-treatment data between groups, there were sig-nificant differences in all scores (p

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1. Shiri R, Viikari-Juntura E, Varonen H, Heliövaara M. Prevalence and determinants of lateral and medial epicondylitis: a population study. Am J Epidemiol 2006; 164: 1065-74. [Crossref]

2. Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C. Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum 2004; 51: 642-51. [Crossref]

3. Smidt N, Lewis M, van der Windt DA, Hay EM, Bouter LM, Croft P. Lateral epicondylitis in general practice: Course and prognostic indicators of outcome. J Rheumatol 2006; 33: 2053-9.

4. Shiri R, Viikari-Juntura E. Lateral and medial epicondylitis: role of occupational factors. Best Pract Res Clin Rheumatol 2011; 25: 43-57. [Crossref]

5. Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C. Occupation and epicondylitis: A population-based study. Rheumatology (Oxford) 2011; 51: 305- 10. [Crossref]

6. Bales CP, Placzek JD, Malone KJ, Vaupel Z, Arnoczky SP. Microvascular supply of the lateral epicondyle and common extensor origin. J Shoulder Elbow Surg 2007; 16: 497-50. [Crossref]

7. Chen J, Wang A, Xu J, Zheng M. In chronic lateral epicondylitis, apoptosis and autophagic cell death occur in the extensor carpi radialis brevis tendon. J Shoulder Elbow Surg 2010; 19: 355-62. [Crossref]

8. Ahmad Z, Siddiqui N, Malik SS, Abdus-Samee M, Tytherleigh-Strong G, Rushton N. Lateral epicondylitis: A review of pathology and management. Bone Joint J 2013; 95-B: 1158-64. [Crossref]

9. 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; 5: CD003686. [Crossref]

10. Garg R, Adamson GJ, Dawson PA, Shankwiler JA, Pink MM. A prospective randomized study comparing a forearm strap brace versus a wrist splint for the treatment of lateral epicondylitis. J Shoulder Elbow Surg 2010; 19: 508-12. [Crossref]

11. Smidt N, Assendelft WJJ, van der Windt DA, Hay EM, Buchbinder R, Bouter LM. Corticosteroid injections for lateral epicondylitis: A systematic review. Pain 2002; 96: 23-40. [Crossref]

12. Cullinane FL, Boocock MG, Trevelyan FC. Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review. Clin Rehabil 2014; 28: 3-19. [Crossref]

13. Bjordal JM, Lopes-Martins RA, Joensen J, et al. A systematic review with procedural assessments and meta-analysis of low level laser therapy in lateral elbow tendinopathy (tennis elbow). BMC Musculoskelet Disord 2008; 9: 75. doi: 10.1186/1471-2474-9-75. [Crossref]

14. Lewis M, Chesterton LS, Sim J, Mallen CD, Hay EM, van der Windt DA. An economic evaluation of tens in addition to usual primary care management for the treatment of tennis elbow: Results from the TATE randomized controlled trial. PLoS One 2015; 10: e0135460. [Crossref]

15. Taheri P, Emadi M, Poorghasemian J. Comparison the effect of extra corporeal shockwave therapy with low dosage versus high dosage in treatment of the patients with lateral epicondylitis. Adv Biomed Res 2017; 61. doi: 10.4103/2277- 9175.207148. eCollection 2017. [Crossref]

16. Smidt N, Assendelft WJ, Arola H, et al. Effectiveness of physiotherapy for lateral epicondylitis: A systematic review. Ann Med 2003; 35: 51-62. [Crossref]

17. Calandruccio JH, Steiner MM. Autologous blood and platelet-rich plasma injections for treatment of lateral epicondylitis. Orthop Clin North Am 2017; 48: 351-7. [Crossref]

18. Kim DS, Chung HJ, Yi CH, Kim SH. Comparison of the clinical outcomes of open surgery versus arthroscopic surgery for chronic refractory lateral epicondylitis of the elbow. Orthopedics 2018; 41: 237-47. [Crossref]

19. Sems A, Dimeff R, Iannotti JP. Extracorporeal shock wave therapy in the treatment of chronic tendinopathies. J Am Acad Orthop Surg 2006; 14: 195-204. [Crossref]

20. Emanet SK, Altan Lİ, Yurtkuran M. Investigation of the effect of GaAs laser therapy on lateral epicondylitis. Photomed Laser Surg 2010; 28: 397-403. [Crossref]

21. Düger T, Yakut E, Öksüz Ç, et al. Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Fizyoterapi Rehabilitasyon 2006; 17: 99-107.

22. Altan L, Ercan İ, Konur S. Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatol Int 2010; 30: 1049-54. [Crossref]

23. Pınar R. Reliability and construct validity of the SF-36 in Turkish cancer patients. Qual Life Res 2005; 14: 259-64. [Crossref]

24. Clarke AW, Ahmad M, Curtis M, Connell DA. Lateral elbow tendinophaty: Correlation of ultrasound findings with pain and functional disability. Am J Sports Med 2010; 38: 1209-14. [Crossref]

25. Resnick D, Niwayama G. Entheses and enthesopaty. Anatomical, pathological and radiological correlation. Radiology 1983; 146: 1-9. [Crossref]

26. Shaibani A, Workman R, Rothschild BM. The significance of enthesopaty as a skeletal phenomenon. Clin Exp Rheumatol 1993; 11: 399-403.

27. Benjamin M, Rufai A, Ralphs JR. The mechanism of formation of bony spurs (enthesophytes) in the Achilles tendon. Arthritis Rheum 2000; 43: 576-83. [Crossref]

28. Melegati G, Tornese D, Bandi M, Rubni M. Comparison of two ultrasonographic localization techniques for the treatment of lateral epicondylitis with extracorporeal shock wave therapy: A randomized study. Clin Rehabil 2004; 18: 366- 70. [Crossref]

29. Ko JY, Chen HS, Chen LM. Treatment of lateral epicondylitis of the elbow with shock waves. Clin Orthop Relat Res 2001; 387: 60-7. [Crossref]

30. Rompe JD, Decking J, Schoellner C, Theis C. Repetitive low-energy shock wave treatment for chronic lateral epycondilitis in tennis players. Am J Sports Med 2004; 32: 734-43. [Crossref]

31. Spacca G, Necozione S, Cacchio A. Radial shock wave therapy for lateral epycondilitis: A prospective randomised controlled single-blind study. Eura Medicophys 2005; 41: 17-25.

32. Ogden JA, Toth-Kischkat A, Schultheiss R. Principles of shock wave therapy. Clin Orthop Relat Res 2001; 387: 8-17. [Crossref]

33. Russo S, Giglotti S, de Durante C, Canero R, Andretta D, Corrado B. Results with extracorporeal shock wave therapy in bone and soft tissue pathologies. In: Siebert W, Buch M, editors. Extracorporeal Shock Waves in Orthopaedics. Berlin: Springer-Verlag; 1997. [Crossref]

34. Kuo YR, Wang CT, Wang FS, Chiang YC, Wang CJ. Extracorporeal shock-wave therapy enhanced wound healing via increasing topical blood perfusion and tissue regeneration in a rat model of STZ-induced diabetes. Wound Repair Regen 2009; 17: 522-30. [Crossref]

35. Stergioulas A. Effects of low-level laser and phyometric exercises in the treatment of lateral epycondilitis. Photomed Laser Surg 2007; 25: 205-13. [Crossref]

36. Lam LKY, Cheing GL. Effects of 904-nm low laser therapyin the management of lateral epycondilitis: A randomised controlled trial. Photomed Laser Surg 2007; 25: 65-71. [Crossref]

37. Okuni I, Ushigome N, Harada T, Oshiro T, Musya Y, Sekiguchi M. Low level laser therapy (lllt) for chronic joint pain of the elbow, wrist and fingers. Laser Ther 2012; 21: 15-24. [Crossref]

38. Chow RT, Barnsley L. Systematic review of the literature of low-level laser therapy (LLLT) in the management of neck pain. Lasers Surg Med 2005; 37: 46-52. [Crossref]

39. Djavid GE, Mortazavi SMJ, Basirnia A, et al. Low level laser therapy in musculoskeletal pain syndromes: Pain relief and disability reduction. Lasers Surg Med 2003; 152: 43.

40. Gam AN, Thorsen H, Lønnberg F. The effect of low-level laser therapy on musculoskeletal pain: A meta-analysis. Pain 1993; 52: 63-6. [Crossref]

41. Jacobsen FM, Couppé C, Hilden J. Comments on the use of low-level laser therapy (LLLT) in painful musculo-skeletal disorders. Pain 1997; 73: 110-1.

42. Basford JR, Malanga GA, Krause DA, Harmsen WS. A randomized controlled evaluation of low-intensity laser therapy: Plantar fasciitis. Arch Phys Med Rehabil 1998; 79: 249-54. [Crossref]

43. Devrimsel G, Küçükali A, Yıldırım M, Ulaşlı A. A comparison of laser and extracorporeal shock wave therapies in treatment of lateral epycondylitis. Turk J Phys Med Rehab 2014; 60: 194-8. [Crossref]
Acta Orthopaedica et Traumatologica Turcica-Cover
  • ISSN: 1017-995X
  • Başlangıç: 2015
  • Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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