Comparison of extracorporeal shock wave therapy, ultrasound, and dexamethasone iontophoresis in patients with lateral epicondylitis

Pınar Başaran; Ayşe Doğan

Makale detayları

Comparison of extracorporeal shock wave therapy, ultrasound, and dexamethasone iontophoresis in patients with lateral epicondylitis

Yazarlar:

Pınar Başaran | Ayşe Doğan

Yayıncı:

Hitit University

Ana Başlıklar:

Spor Hekimliği

Dergi:

Hitit Medical Journal Vol.7 Issue 1, pp.1-9

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001341684

pISSN:

2687-4717

Anahtar kelimeler:

Özet:

 Objective: The purpose of this study is to determine the effectiveness of extracorporeal shock wave therapy ESWT, ultrasound US, and dexamethasone iontophoresis treatments on pain, grip strength, functionality, and quality of life in patients with lateral epicondylitis, and overdetermine the superiority of the treatments to each other. Material and Method: This single-blind, prospective study included 78 patients who were diagnosed with lateral epicondylitis. The patients were randomized into three groups. The same physiotherapy program consisted of hot packs, transcutaneous electrical nerve stimulation TENS, and exercises were administered to all groups. All exercises were performed under the supervision of a qualified physiotherapist. In addition to a 10-day physiotherapy program, every 5 days, a total 3 sessions of ESWT were conducted to the 1st group, 10 days of US applied to the 2nd group, and 10 days of dexamethasone iontophoresis therapy to the 3rd group. Evaluations were carried out before, and 1 month after treatment. Pain severity levels were measured using the numeric rating scale NRS, disability using the Quick Disabilities of the Arm, Shoulder, and Hand Quick DASH, quality of life using the Nottingham Health Profile NHP, and grip strength using a dynamometer and pinch strength using a pinch meter. Results: The groups were similar in demographic and clinical characteristics. A significant temporal change was found in three groups in terms of pain severity, disability, grip strength, and quality of life at the first month after treatment. When the efficacy of these treatments was compared after treatment in the first month, dexamethasone iontophoresis was statistically superior to US, and ESWT in terms of pain, and quality of life p0.001, p0.007, p0.001, p0.001 respectively. Also, the US was superior to ESWT in terms of quality of life p0.001. Conclusion: Dexamethasone iontophoresis is more effective in functional and clinical improvement in the treatment of patients with lateral epicondylitis.

 Objective: The purpose of this study is to determine the effectiveness of extracorporeal shock wave therapy ESWT, ultrasound US, and dexamethasone iontophoresis treatments on pain, grip strength, functionality, and quality of life in patients with lateral epicondylitis, and overdetermine the superiority of the treatments to each other. Material and Method: This single-blind, prospective study included 78 patients who were diagnosed with lateral epicondylitis. The patients were randomized into three groups. The same physiotherapy program consisted of hot packs, transcutaneous electrical nerve stimulation TENS, and exercises were administered to all groups. All exercises were performed under the supervision of a qualified physiotherapist. In addition to a 10-day physiotherapy program, every 5 days, a total 3 sessions of ESWT were conducted to the 1st group, 10 days of US applied to the 2nd group, and 10 days of dexamethasone iontophoresis therapy to the 3rd group. Evaluations were carried out before, and 1 month after treatment. Pain severity levels were measured using the numeric rating scale NRS, disability using the Quick Disabilities of the Arm, Shoulder, and Hand Quick DASH, quality of life using the Nottingham Health Profile NHP, and grip strength using a dynamometer and pinch strength using a pinch meter. Results: The groups were similar in demographic and clinical characteristics. A significant temporal change was found in three groups in terms of pain severity, disability, grip strength, and quality of life at the first month after treatment. When the efficacy of these treatments was compared after treatment in the first month, dexamethasone iontophoresis was statistically superior to US, and ESWT in terms of pain, and quality of life p0.001, p0.007, p0.001, p0.001 respectively. Also, the US was superior to ESWT in terms of quality of life p0.001. Conclusion: Dexamethasone iontophoresis is more effective in functional and clinical improvement in the treatment of patients with lateral epicondylitis.

 Objective: The purpose of this study is to determine the effectiveness of extracorporeal shock wave therapy ESWT, ultrasound US, and dexamethasone iontophoresis treatments on pain, grip strength, functionality, and quality of life in patients with lateral epicondylitis, and overdetermine the superiority of the treatments to each other. Material and Method: This single-blind, prospective study included 78 patients who were diagnosed with lateral epicondylitis. The patients were randomized into three groups. The same physiotherapy program consisted of hot packs, transcutaneous electrical nerve stimulation TENS, and exercises were administered to all groups. All exercises were performed under the supervision of a qualified physiotherapist. In addition to a 10-day physiotherapy program, every 5 days, a total 3 sessions of ESWT were conducted to the 1st group, 10 days of US applied to the 2nd group, and 10 days of dexamethasone iontophoresis therapy to the 3rd group. Evaluations were carried out before, and 1 month after treatment. Pain severity levels were measured using the numeric rating scale NRS, disability using the Quick Disabilities of the Arm, Shoulder, and Hand Quick DASH, quality of life using the Nottingham Health Profile NHP, and grip strength using a dynamometer and pinch strength using a pinch meter. Results: The groups were similar in demographic and clinical characteristics. A significant temporal change was found in three groups in terms of pain severity, disability, grip strength, and quality of life at the first month after treatment. When the efficacy of these treatments was compared after treatment in the first month, dexamethasone iontophoresis was statistically superior to US, and ESWT in terms of pain, and quality of life p0.001, p0.007, p0.001, p0.001 respectively. Also, the US was superior to ESWT in terms of quality of life p0.001. Conclusion: Dexamethasone iontophoresis is more effective in functional and clinical improvement in the treatment of patients with lateral epicondylitis.

 Amaç: Bu çalışmanın amacı, lateral epikondilitli hastalarda ekstrakorporeal şok dalga tedavisi ESWT, ultrason US ve deksametazon iyontoforez tedavilerinin ağrı, kavrama gücü, fonksiyonellik ve yaşam kalitesi üzerindeki etkinliğini belirlemek ve hangi tedavinin daha etkili olabileceğini belirlemeyi amaçladık. Gereç ve Yöntem: Bu tek kör, prospektif, randomize çalışmaya lateral epikondilit tanısı konan 78 hasta dahil edildi. Hastalar üç gruba randomize edildi. Bu tek kör, prospektif, randomize çalışmaya lateral epikondilit tanısı konan 78 hasta dahil edildi. Hastalar üç gruba randomize edildi. Tüm gruplar sıcak paketler, transkütanöz elektriksel sinir stimülasyonu TENS ve gözetimli egzersizleri içeren bir fizyoterapi programı uygulandı. Tüm egzersizler deneyimli bir fizyoterapist gözetiminde gerçekleştirildi. 10 günlük fizyoterapi programına ek olarak, 1. gruba her 5 günde bir toplam 3 seans ESWT, 2. gruba 10 gün US ve 3. gruba 10 gün deksametazon iyontoforez tedavisi uygulandı. Değerlendirmeler tedaviden önce ve 1 ayın sonunda yapıldı. Ağrı şiddeti sayısal derecelendirme ölçeği NRS ile, özürlülük kol, omuz ve el hızlı özürlülük ölçeği Quick DASH ile, yaşam kalitesi Nottingham Sağlık Profili NHP ile, kavrama gücü dinamometre ile ve parmak gücü pinchmetre ile ölçüldü. Bulgular: Gruplar demografik ve klinik özellikler açısından benzerdi. Tedaviden sonraki ilk ayda ağrı şiddeti, özürlülük, kavrama gücü ve yaşam kalitesi açısından üç grupta da anlamlı iyileşme saptandı. Tedavi sonrası birinci ayda bu tedavilerin etkinliği karşılaştırıldığında, deksametazon iyontoforez, ağrı, özürlülük ve yaşam kalitesi açısından US ve ESWTden istatistiksel olarak üstün olarak saptandı sırasıyla, p0.001, p0.007, p0.001, p0.001. Ayrıca, US yaşam kalitesi açısından ESWTden daha üstün olarak saptandı p0.001. Sonuç: Deksametazon iyontoforezi lateral epikondilitli hastaların tedavisinde fonksiyonel ve klinik iyileşmede daha etkilidir.

Makale detayları

Comparison of extracorporeal shock wave therapy, ultrasound, and dexamethasone iontophoresis in patients with lateral epicondylitis

Yazarlar:

Pınar Başaran | Ayşe Doğan

Yayıncı:

Hitit University

Ana Başlıklar:

Spor Hekimliği

Dergi:

Hitit Medical Journal Vol.7 Issue 1, pp.1-9

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001341684

pISSN:

2687-4717

Lateral epicondylitis

ultrasound

dexamethasone iontophoresis

extracorporeal shock wave therapy

tennis elbowdeksametazon iyontoforezi

ekstrakorporeal şok dalga tedavisi

Lateral epikondilit

tenisçi dirseği

ultrason

Sayı

Makale detayları

Yazarlar: Pınar Başaran | Ayşe Doğan

Yayıncı: Hitit University

Ana Başlıklar: Spor Hekimliği

Dergi: Hitit Medical Journal Vol.7 Issue 1, pp.1-9

Belge Tipi: Makale

Yayın Tarihi: 2/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001341684

pISSN: 2687-4717

Sayı

Yazarlar:

Pınar Başaran | Ayşe Doğan

Yayıncı:

Hitit University

Ana Başlıklar:

Spor Hekimliği

Dergi:

Hitit Medical Journal Vol.7 Issue 1, pp.1-9

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001341684

pISSN:

2687-4717