The impact of extracorporeal shock wave therapy on pain, grip strength and functionality in patients with medial epicondylitis and lateral epicondylitis

Aim: The aim of this study was to evaluate the effectiveness of extracorporeal shock wave therapy (ESWT) and conventional physical therapy applications on pain, grip strength and functionality in medial and lateral epicondylitis treatment and to compare the results. Materials and Methods: A total of 116 patients diagnosed with medial and lateral epicondylitis were included in the study. The patients were divided into ESWT group and control group. The patients in the control group received a total of 15 sessions of conventional physical therapy (Hotpack, Transcutaneous electrical nerve stimulation (TENS)) once a day for 30 minutes.Whereas, ESWT was applied to the patients in the ESWT group as 2 sessions per week, for a total of 6 sessions. Pain severity of the patients was measured with Visual Pain Scale (VAS), grip strength with a hand dynamometer and functional level with the Patient Based Forearm Assessment Questionnaire (PFEQ).Measurements were made in all groups before treatment, after treatment and 1 month after treatment. Results: In comparisons between groups, there was a significant decrease in VAS and PFEQ values after treatment compared to the control group in the ESWT group (p

PDF

___

1. Lee SS, Kang S, Park NK, et al. Effectiveness of initial extracorporeal shock wave therapy on the newly diagnosed lateral or medial epicondylitis. Ann Rehabil Med 2012;36:681-7.
2. Senol Guler N, Sargin S, Sahin N. Efficacy of extracorporeal shockwave therapy in patients with lateral epicondylitis: A randomized, placebocontrolled, double bilind clinical trial. North Clin Istanb 2018;5:314-8.
3. Subasi V. Treatment Current Diagnosis and Treatment: Physical Medicine and Rehabilitation Ketenci A, Evcik D, Cetin A, Sendur OF (Ed.). EMA Medical Bookstore 2017;99-113.
4. Dilekci E, Alpayci M, Bayram KB, et al. Lateral epikondilitli hastalarda TENS'in etkinliği: Randomize kontrollü çalışma. Turkish J Physical Med 2016;62: 297-302.
5. Halle JS, Franklin RJ, Karalfa BL. Comparison of four treatment approaches for lateral epicondylitis of the elbow. J Orthop Sports Phys Ther 1986;8:62-9.
6. Bagcier F, Yılmaz N. The impact of extracorporeal shock wave therapy and dry needling combination on the pain, grip strength and functionality in patients diagnosed with lateral epicondylitis. Turk J Osteoporos 2019;25:65-71.
7. Thiele S, Thiele R, Gerdesmeyer L. Lateral epicondylitis: This is still a main indication for extracorporeal shockwave therapy. International J Surg 2015;24:165- 70.
8. Turk D, Melzack R, editors. Handbook of pain assessment. 2nd ed. NewYork: The Guilford Press; 1992.
9. MacDermid J. Update: The patient-rated forearm evaluation questionnaire is now the Patient-rated tennis elbow evaluation. J Hand Ther 2005;18:407-10.
10. Isintas Arik M. Different Muscles in Lateral Epicondylitis The Relationship Between the Strength of the Groups and the Pain. H.U. Institute of Health Sciences, Master's Thesis. 2004.
11. Bayram K,Yesil H, Dogan E. Efficacy of extracorporeal shockwave therapy in the treatment of lateral epicondylitis. North Clin Istanb 2014;1:33-8.
12. Wang CJ. Extracorporeal shockwave therapy in musculoskeetal disorders. J Orthop Surg Res 2012;7:11-5.
13. Speed CA, Nichols D, Richards C, et al. Extracorporeal shock wave therapy for lateral epikondylitis- a double bilind randomised controlled trial. J Orthop Res 2002;20:895-8.
14. Notarnicola A, Moretti B. The biological effects of extracorporeal shock wave therapy (eswt) on tendon tissue. Muscles Ligaments Tendons 2012;2:33-7.
15. Rompe DJ, Decking J, Schoellner C, et al. Repetitive low energy shock wave treatment for chronic lateral epicondylitis in tennis players. Am J Sports Med 2004;32:734-43.
16. Collins EDH, Jafarnia KK. A clinical study of extracorporeal shock waves (ESW) for treatment of chronic lateral epicondylitis. Current Orthopeadic Practice 2011;22:185-92.
17. Koksal I, Guler O, Mahirogulları M, et al. Comparison of extracorporeal shock wave therapy in acute and chronic lateral epicondylitis. Acta Orthop Traumatol Turc 2015;49:465-70.
18. Wang CJ, Chen HS. Shock wave therapy for patients with lateral epicondylitis of the elbow: a one-two year follow up study. Am J Sports Med 2002;30:422-5
19. Devrimsel G, Kucukali Türkali A, Yildirim M, Ulasli AM. A comparison of laser and extracorporeal shock wave therapies in tretment of lateral epicondylitis. Turk J Phys Med Rehab 2014;60:194-8.
20. Yee Wong CW, Yin-Ling Ng E, Wa Fung P, et al. Comparison of treatment effecets on lateral epicondylitis between acupuncture and extracorporeal shockwave therapy. Asia Pac J Sports Med Arthrosc Rehabil Techno 2017:7;21-6.
21. Akkurt S, Yilmaz A, Saka T. A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis. Turk J Phys Med Rehab 2016;1:37-44.
22. Haake M, König IR, Decker T, et al. Extracorporeal shock wave therapy clinical trial group. Extracorporeal shock wave therapy in the treatment of lateral epicondylitis: a randomized multicenter trial. J Bone Joint Surg Am 2002;84:1982-91.
23. Melikyan EY, Shahin E, Miles J, Bainbridge LC. Extracorporeal shock wave treatment for tennis elbow. A randomised double-blind study. J Bone Joint Surg Br 2003;85:852-5
24. Notarnicola A, Quagliarella L, Sasanelli N, et al. Effects of extraorporeal shock wave therapy on functional and strength recovery of handgrip in patients affected by epicondylitis Ultrasound In Med 214;40:2830-40.
25. Park JW, Hwang JH, Choi YS, Kim SJ. Comparison of therapeutic effect of extracorporeal shock wave in calcific versus noncalcific lateral epicondylopathy. Ann Rehabil Med 2016;40:294-300.
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. Chesterton LS, Lewis AM, Sim J, et al. Transcutaneous electrical nerve stimulation as adjunct to primary care management for tennis elbow: pragmatic randomised controlled trial (TATE trial). Br Sports Med 2014;48:1- 12.