Efficacy of eccentric exercise combined with extracorporeal shock wave therapy on lateral epicondylitis
- VernacularTitle:离心收缩训练联合体外冲击波治疗肱骨外上髁炎的疗效分析
- Author:
Jian-Xin CHEN
1
;
Guang-Hua LIU
;
Yu-Wei LIN
;
Yi-Ming WU
;
Bang-Zhong LIU
Author Information
1. 复旦大学附属中山医院康复医学科
- Keywords:
lateral epicondylitis;
eccentric exercise;
extracorporeal shock wave therapy
- From:
Chinese Journal of Clinical Medicine
2016;23(3):303-306
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To compare clinical efficacy of three different treatments , eccentric exercise (EE ) , extracorporeal shock wave therapy (ESWT ) ,and EE combined with ESWT on lateral epicondylitis (LE) .Methods:Sixty subjects with LE were selected and randomly assigned to EE group (n=20) ,ESWT group (n=20) and EE combined with ESWT group (n=20) .All of the subjects were evaluated through the visual analogue scale (VAS) and hand-grip strength test at baseline and 2 weeks after the end of treatment respectively .All data were analyzed by SPSS 17 .0 .Results:The VAS scores dramatically decreased from baseline to 2 weeks after the end of treatment in all three groups (P<0 .05);however ,there were no significant differences in VAS scores between any two groups 2 weeks after the end of treatment .As to hand-grip strength , there was significant increase from baseline to 2 weeks after the end of treatment in all three groups (P<0 .05);moreover ,the hand-grip strength of EE combined with ESWT group was significantly higher than that of EE group (P<0 .05) and ESWT group (P<0 .05) at 2 weeks after the end of treatment ;however ,no significant difference of the hand-grip strength emerged between EE group and ESWT group at the same time point .The overall response rate of EE combined with ESWT group was 100% ,which was significantly higher than that of EE group (64 .70% ,P<0 .05) and ESWT group (68 .42% ,P<0 .05);no statistically significant difference of overall response rate was found between EE group and ESWT group .Conclusions:EE and ESWT were both effective and showed similar efficacy in the treatment of LE .In addition ,the combination therapy of EE and ESWT was better than either single therapy .
