Physiotherapy interventions improve tennis elbow with superior long-term outcomes to corticosteroid injections.

نویسنده

  • Ottar Vasseljen
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

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عنوان ژورنال:
  • The Australian journal of physiotherapy

دوره 53 1  شماره 

صفحات  -

تاریخ انتشار 2007