Yıl: 2021 Cilt: 24 Sayı: 3 Sayfa Aralığı: 260 - 266 Metin Dili: İngilizce DOI: 10.31609/jpmrs.2021-82024 İndeks Tarihi: 26-10-2021

Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function

Öz:
Objective: The aim of this study was to demonstrate theeffectiveness of extracorporeal shock wave therapy (ESWT) used inthe treatment of lateral epicondylitis (LE) and to determine whether thetime since onset of pain has an impact on outcome. Material andMethods: The study included 47 patients who were diagnosed with LEand treated with ESWT. The patients were separated as those who hadsymptoms for <3 months as the acute LE group (n=12), those who hadsymptoms for 3-6 months as the subacute LE group (n=20) and thosewho had symptoms for >6 months as the chronic LE group (n=15). Theoutcome measures were the maximum and rest visual analog scale(VAS) for pain, grip dynamometer for grip strength and patient-ratedtennis elbow evaluation (PRTEE) for functionality of the arm. All patients were evaluated pre-treatment, post-treatment and at 1 month aftertreatment. Results: Significant improvements were obtained in VASmaximum, VAS rest and hand grip strength values after treatment andthese improvements continued in the follow-up evaluations. In addition PRTEE values were significantly decreased after treatment. Although there was a significant increase in the PRTEE values betweenthe post-treatment and follow-up evaluations, follow-up values werestill statistically superior compared to pre-treatment. When patientswere grouped according to pain duration, no statistically significant difference was determined in the changes in VAS scores, grip strengthand PRTEE scores. Conclusion: ESWT is an effective treatmentmodality in the treatment of LE. It is also an effective treatment methodin acute, subacute and chronic stages of LE, and there is no statisticallydifference between these periods.
Anahtar Kelime:

Lateral Epikondilit için Ekstrakorporeal Şok Dalga Tedavisinin Başlangıç Zamanlamasının Herhangi Bir Aşamasında: Ağrı, Güç ve Fonksiyon Üzerine Etkisi

Öz:
: Çalışmanın amacı, lateral epikondilit (LE) tedavisinde kullanılan ekstrakorporeal şok dalgası tedavisinin [extracorporeal shock wave therapy (ESWT)] etkinliğini ortaya koymak ve ağrı süresinin tedavinin başarısına etkisi olup olmadığını belirlemektir. Gereç ve Yöntemler: Çalışmaya LE tanısı ile ESWT ile tedavisi alan 47 hasta dâhil edildi. Hastalar semptomları 3 aydan daha kısa olanlar akut LE grubu (n=12), 3-6 ay arası olanlar subakut LE grubu (n=20) ve 6 aydan daha fazla olanlar kronik LE (n=15) olarak ayrıldı. Sonuç ölçütleri, ağrı için maksimum ve dinlenme vizüel analog skala (VAS), kavrama gücü için kavrama dinamometresi ve kolun işlevselliği için hasta derecelendirmeli tenisçi dirseği değerlendirmesi [patient-rated tennis elbow evaluation (PRTEE)] idi. Tüm hastalar tedavi öncesi, tedavi sonrası ve tedaviden 1 ay sonra değerlendirildi. Bulgular: Tedavi sonrası VAS maksimum, VAS dinlenme ve el kavrama gücü değerlerinde önemli gelişmeler elde edildi ve bu gelişmeler takip değerlendirmelerinde de devam etti. Ek olarak PRTEE değerleri tedaviden sonra önemli ölçüde azaldı. Tedavi sonrası ve takip değerlendirmeleri arasında PRTEE değerlerinde anlamlı bir artış olmasına rağmen takip değerleri tedavi öncesi ile karşılaştırıldığında hâlâ istatistiksel olarak üstündü. Hastalar ağrı süresine göre gruplandırıldığında, VAS, kavrama gücü ve PRTEE puanlarındaki değişikliklerde istatistiksel olarak anlamlı bir fark saptanmadı. Sonuç: ESWT, LE tedavisinde etkili bir tedavi yöntemidir. LE’nin akut, subakut ve kronik evrelerinde de etkili bir tedavi yöntemidir ve bu dönemler arasında istatistiksel olarak fark yoktur.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Aras B, KUZU Ö, Yardımcı G (2021). Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function. , 260 - 266. 10.31609/jpmrs.2021-82024
Chicago Aras Berke,KUZU ÖMER,Yardımcı Gokhan Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function. (2021): 260 - 266. 10.31609/jpmrs.2021-82024
MLA Aras Berke,KUZU ÖMER,Yardımcı Gokhan Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function. , 2021, ss.260 - 266. 10.31609/jpmrs.2021-82024
AMA Aras B,KUZU Ö,Yardımcı G Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function. . 2021; 260 - 266. 10.31609/jpmrs.2021-82024
Vancouver Aras B,KUZU Ö,Yardımcı G Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function. . 2021; 260 - 266. 10.31609/jpmrs.2021-82024
IEEE Aras B,KUZU Ö,Yardımcı G "Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function." , ss.260 - 266, 2021. 10.31609/jpmrs.2021-82024
ISNAD Aras, Berke vd. "Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function". (2021), 260-266. https://doi.org/10.31609/jpmrs.2021-82024
APA Aras B, KUZU Ö, Yardımcı G (2021). Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 24(3), 260 - 266. 10.31609/jpmrs.2021-82024
Chicago Aras Berke,KUZU ÖMER,Yardımcı Gokhan Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 24, no.3 (2021): 260 - 266. 10.31609/jpmrs.2021-82024
MLA Aras Berke,KUZU ÖMER,Yardımcı Gokhan Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, vol.24, no.3, 2021, ss.260 - 266. 10.31609/jpmrs.2021-82024
AMA Aras B,KUZU Ö,Yardımcı G Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2021; 24(3): 260 - 266. 10.31609/jpmrs.2021-82024
Vancouver Aras B,KUZU Ö,Yardımcı G Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2021; 24(3): 260 - 266. 10.31609/jpmrs.2021-82024
IEEE Aras B,KUZU Ö,Yardımcı G "Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function." Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 24, ss.260 - 266, 2021. 10.31609/jpmrs.2021-82024
ISNAD Aras, Berke vd. "Extracorporeal Shock Wave Therapy for Lateral Epicondylitis at Any Stage of Timing of Onset: Effect on Pain, Strength and Function". Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 24/3 (2021), 260-266. https://doi.org/10.31609/jpmrs.2021-82024