Physiotherapy interventions improve tennis elbow with superior long-term outcomes to corticosteroid injections.
نویسنده
چکیده
Question: What is the effect of physiotherapy compared with a wait and see approach or corticosteroid injections for tennis elbow? Design: Randomised controlled trial with concealed allocation, assessor blinding, and intention-totreat analysis. Setting: Community setting in Australia. Participants: 198 respondents to advertisements of the trial, aged 18 to 65 years, with a clinical diagnosis of tennis elbow of a minimum six weeks’ duration, who had not received any treatment of the elbow by a health practitioner in the previous six months. Interventions: On entering the study all participants were given an information booklet outlining the disease process and providing practical advice on self management and ergonomics. Participants were randomised to physiotherapy, corticosteroid injections, or wait and see. The physiotherapy group received eight treatments of 30 minutes over six weeks, consisting of elbow manipulation (mobilisation with movement) and therapeutic exercise. They were also taught home exercises with a resistant exercise band and self manipulation. The corticosteroid injection group received an injection of 10 mg of triaminolone acetonide in 1 mL of lidocaine, plus a repeat injection after two weeks if necessary. The wait and see group received reassurance that the condition would Physiotherapy interventions improve tennis elbow with superior long-term outcomes to corticosteroid injections
منابع مشابه
Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial.
OBJECTIVE To investigate the efficacy of physiotherapy compared with a wait and see approach or corticosteroid injections over 52 weeks in tennis elbow. DESIGN Single blind randomised controlled trial. SETTING Community setting, Brisbane, Australia. PARTICIPANTS 198 participants aged 18 to 65 years with a clinical diagnosis of tennis elbow of a minimum six weeks' duration, who had not rec...
متن کاملFor patients with tennis elbow, physiotherapy is superior to corticosteroid injections in the long term.
متن کامل
ffectiveness of corticosteroid injections compared with physiotherapeutic interventions for lateral epicondylitis: A systematic review
bjectives To compare the effectiveness of corticosteroid injections with physiotherapeutic interventions for the treatment of lateral picondylitis (tennis elbow). ata sources The electronic databases AMED, Cinahl, Medline and Embase were searched up to Week 12 2009. In addition, the Cochrane entral Register of Controlled Clinical Trials, the Metaregister of Controlled Clinical Trials and the Ph...
متن کاملManagement of tennis elbow
CLINICAL QUESTION What is the best treatment for tennis elbow? RESULTS Despite a wealth of research, there is no true consensus on the most efficacious management of tennis elbow especially for effective long-term outcomes. Corticosteroid injections do show large pain-relieving effects in the short term but are associated with risks of adverse events and long-term reoccurrence. Advice with a ...
متن کاملConservative treatments for tennis elbow do subgroups of patients respond differently?
OBJECTIVES To determine if subgroups of patients with tennis elbow respond differently in treatment. METHODS This study used individual patient data (n = 383) from two randomized controlled trials that investigated a wait-and-see policy, corticosteroid injections and physiotherapy. Common outcome measures were: pain severity, global improvement, severity assessed by a blinded assessor, elbow ...
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ورودعنوان ژورنال:
- The Australian journal of physiotherapy
دوره 53 1 شماره
صفحات -
تاریخ انتشار 2007