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- Title
Extracorporeal shock wave therapy vs cryoultrasound therapy in the treatment of chronic lateral epicondylitis. One year follow up study.
- Authors
Vulpiani, Maria Chiara; Nusca, Sveva Maria; Vetrano, Mario; Ovidi, Serena; Piermattei, Cristina; Saraceni, Vincenzo Maria; Baldini, Rossella; Ferretti, Andrea
- Abstract
Background: the purpose of this study is to compare the therapeutic effects of extracorporeal shock wave therapy (ESWT) to those of cryoultrasound (Cryo-US) therapy in chronic lateral epicondylitis during a 12-month period. Methods: single-blinded, randomized, controlled study of 80 participants treated for chronic LE with 3 ESWT sessions at 48/72-hours intervals (n=40) or 12 Cryo-US therapy sessions (4 sessions per week) (n=40). VAS and satisfactory results, considered as the sum of excellent and good scores in the Roles and Maudsley score, were used as outcome measures at baseline and 3, 6 and 12 months post-treatment. Results: the results show statistically significant differences in VAS between the two groups at 6 (p<0.001) and 12 months (p<0.001) in favour of the ESWT Group. At 12 months, a difference of more than 2 points in the VAS between the two groups is demonstrated in favour of the ESWT Group. Considering satisfactory results, significant differences between the two groups are observed at 6 (p=0.003) and 12 months (p <0.001) in favour of the ESWT Group where patients achieve a satisfactory rate over 50%. Conclusions: ESWT has better clinical therapeutic results at 6- and 12-month follow-up as compared to Cryo-US therapy. Level of Evidence: 1B.
- Subjects
TENNIS elbow treatment; ANALYSIS of variance; ATHLETIC shoes; COMPARATIVE studies; CONFIDENCE intervals; EXPERIMENTAL design; LITHOTRIPSY; LONGITUDINAL method; EVALUATION of medical care; QUESTIONNAIRES; RESEARCH evaluation; SOFT tissue injuries; SURVEYS; TENNIS elbow; ULTRASONIC therapy; WEIGHTS &; measures; SYSTEMATIC reviews; LITERATURE reviews; RANDOMIZED controlled trials; REPEATED measures design; DESCRIPTIVE statistics
- Publication
Muscles, Ligaments & Tendons Journal (MLTJ), 2015, Vol 5, Issue 3, p167
- ISSN
2240-4554
- Publication type
Article