scholarly journals Acupuncture Treatment of Lateral Elbow Pain: A Nonrandomized Pilot Study

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Yan-Song Liu ◽  
Marcus Gadau ◽  
Guo-Xue Zhang ◽  
Hao Liu ◽  
Fu-Chun Wang ◽  
...  
Keyword(s):  
Pilot Study ◽  
Large Scale ◽  
Control Treatment ◽  
Laser Acupuncture ◽  
Control Group ◽  
Dash Score ◽  
Elbow Pain ◽  
Lateral Elbow Pain ◽  
Lateral Elbow ◽  
The Future

In planning for a large-scale multicenter trial to evaluate the effect of acupuncture for the treatment of lateral elbow pain, a pilot study was conducted. This was a prospective, investigator- and patient-blinded, nonrandomized, placebo controlled trial. Subjects were evaluated at baseline, before fourth, seventh, and ninth treatment, and at a two-week posttreatment follow-up. The treatment group received unilateral acupuncture at LI 10 and LI 11 at the affected side with manual needle manipulation; the control group received sham-laser acupuncture at the same acupoints. Measures included (i) disabilities of the arm, shoulder, and hand (DASH) questionnaire, (ii) pain-free grip strength (PFGS), and (iii) a visual analogue scale (VAS) for pain. Significant differences in DASH score, PFGS, and VAS between treatment and control group were found at the ninth treatment (n=20for each group,P<0.05). Only DASH showed significant differences compared to the control for all the measurement time points after treatment commenced and appears to be a sensitive and appropriate primary outcome measure for the future multisite trial. Results from this pilot study provided relevant information about treatment efficacy, credibility of control treatment, and sensitivity of different outcome measures for the planning of the future trial.

scholarly journals Protocol for Acupuncture Treatment of Lateral Elbow Pain: A Multisite Randomised Controlled Trial in China, Hong Kong, Australia, and Italy

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Christopher Zaslawski ◽  
Christine Berle ◽  
Marcus Gadau ◽  
Wei Hong Li ◽  
Tie Li ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Hong Kong ◽  
Trial Registration ◽  
Secondary Outcome ◽  
Controlled Study ◽  
Control Group ◽  
Elbow Pain ◽  
Lateral Elbow Pain ◽  
Lateral Elbow ◽  
Randomised Controlled

Background. Lateral elbow pain is one of the most common musculoskeletal pains associated with the upper limb and has an estimated population incidence of 1–3%. Methods/Design. This study protocol is for a multisite randomised controlled study and is designed to evaluate the clinical efficacy of acupuncture in the treatment of chronic (over three months’ duration) lateral elbow pain. Four study sites, in the People’s Republic of China, Hong Kong, Italy, and Australia, will recruit 24 participants each. A total of 96 participants will be randomised to either an acupuncture group or a sham laser control group. The primary outcome measure will be the Disabilities of Arm, Shoulder, and Hand questionnaire with secondary outcome measures of Pain-Free Grip Strength Test, Muscle Tension Test, and a pain visual analogue scale. Discussion. Key features for conducting a multisite international acupuncture randomised clinical trial have been detailed in this protocol. Trial Registration. This trial is registered at Australian and New Zealand Clinical Trial Registry ACTRN12613001138774 on 11 October, 2013.

Statistical methods for unidirectional switch designs: Past, present, and future

2017 ◽  
Vol 27 (9) ◽  
pp. 2872-2882 ◽  
Author(s):  
Zhuozhao Zhan ◽  
Geertruida H de Bock ◽  
Edwin R van den Heuvel
Keyword(s):  
Statistical Methods ◽  
Large Scale ◽  
Sample Size Calculation ◽  
Complex Interventions ◽  
New Drugs ◽  
Control Treatment ◽  
Future Research ◽  
Control Group ◽  
Unified Framework ◽  
New Treatment

Clinical trials may apply or use a sequential introduction of a new treatment to determine its efficacy or effectiveness with respect to a control treatment. The reasons for choosing a particular switch design have different origins. For instance, they may be implemented for ethical or logistic reasons or for studying disease-modifying effects. Large-scale pragmatic trials with complex interventions often use stepped wedge designs (SWDs), where all participants start at the control group, and during the trial, the control treatment is switched to the new intervention at different moments. They typically use cross-sectional data and cluster randomization. On the other hand, new drugs for inhibition of cognitive decline in Alzheimer’s or Parkinson’s disease typically use delayed start designs (DSDs). Here, participants start in a parallel group design and at a certain moment in the trial, (part of) the control group switches to the new treatment. The studies are longitudinal in nature, and individuals are being randomized. Statistical methods for these unidirectional switch designs (USD) are quite complex and incomparable, and they have been developed by various authors under different terminologies, model specifications, and assumptions. This imposes unnecessary barriers for researchers to compare results or choose the most appropriate method for their own needs. This paper provides an overview of past and current statistical developments for the USDs (SWD and DSD). All designs are formulated in a unified framework of treatment patterns to make comparisons between switch designs easier. The focus is primarily on statistical models, methods of estimation, sample size calculation, and optimal designs for estimation of the treatment effect. Other relevant open issues are being discussed as well to provide suggestions for future research in USDs.

scholarly journals Electrotherapy modalities for lateral elbow pain

2018 ◽  
Author(s):  
Milla Pompilio da Silva ◽  
Marcel JS Tamaoki ◽  
Francesco C Blumetti ◽  
João Carlos Belloti ◽  
Nynke Smidt ◽  
...  
Keyword(s):  
Elbow Pain ◽  
Lateral Elbow Pain ◽  
Lateral Elbow

Efficacy of fascial manipulation and eccentric exercise for lateral elbow pain

2018 ◽  
Vol 22 (4) ◽  
pp. 855
Author(s):  
Pietro Iogna Prat ◽  
Dariusz Cibrowski ◽  
Andrea Zuliani ◽  
Antonio Stecco
Keyword(s):  
Eccentric Exercise ◽  
Elbow Pain ◽  
Lateral Elbow Pain ◽  
Lateral Elbow

Unusual Cause of Lateral Elbow Pain: A Case Report of Anconeus Muscle Contusion

2019 ◽  
Vol 34 (2) ◽  
pp. 102-104
Author(s):  
Muhsin E Uluc ◽  
Atilla H Cilengir ◽  
Cemal Kazimoglu ◽  
Özgür Tosun
Keyword(s):  
Case Report ◽  
Elbow Joint ◽  
Rare Case ◽  
Ulnar Collateral Ligament ◽  
Joint Capsule ◽  
Coronoid Process ◽  
Collateral Ligament ◽  
Elbow Pain ◽  
Lateral Elbow Pain ◽  
Lateral Elbow

The anconeus muscle is a small and minor functioning muscle located at the posterolateral elbow region. It helps forearm extension and tightening of the joint capsule. Despite its limited functions, pathologies of the anconeus muscle can mimic other abnormalities of the elbow joint. Here, we report a rare case of a traumatic anconeus muscle contusion in a 15-year-old boy due to falling during dance. MRI showed contusion in the anconeus muscle, as well as strain in the ulnar collateral ligament and edema in the coronoid process of the ulna. To our knowledge, this is the first described case of traumatic anconeus muscle contusion in the literature. The presence of long-lasting lateral elbow pain in trauma cases without fracture should alert clinicians to consider anconeus muscle abnormalities. MRI is the best modality for diagnosis in these cases.

scholarly journals TCM Pattern Questionnaire for Lateral Elbow Pain: Development of an Instrument via a Delphi Process

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Marcus Gadau ◽  
Shi-Ping Zhang ◽  
Wing-Fai Yeung ◽  
Zhao-Xiang Bian ◽  
Ai-Ping Lu
Keyword(s):  
English Language ◽  
Acupuncture Treatment ◽  
Blood Stasis ◽  
Signs And Symptoms ◽  
Treatment Modalities ◽  
Delphi Panel ◽  
Validity And Reliability ◽  
Elbow Pain ◽  
Lateral Elbow Pain ◽  
Lateral Elbow

Individualized acupuncture treatment has been practiced for pain therapy. This study used acupuncture treatment for lateral elbow pain (LEP) as an example to study the diagnostic practice of individualized acupuncture treatment. A provisional version of LEP pattern questionnaire was developed based on a recent systematic review on TCM pattern diagnosis for LEP. A Delphi panel of 33 clinical experts from seven different countries was formed, and the Delphi survey was conducted in Chinese and English language for two rounds. Consensus was achieved from all 26 panelists who responded to the second round on 243 items of the instrument, which included a 72-question-long questionnaire. The mean level of expert consensus on the items of the final questionnaire was 85%. Consensus was found on four TCM patterns that could underlie LEP, namely, thewind-cold-dampness pattern, theqi stagnation and blood stasis pattern, thedual deficiency of qi and blood pattern,and theretained dampness-heat pattern.A list of signs and symptoms indicating one of the four TCM patterns and a list of preferred treatment modalities for each pattern were also generated. Our instrument shows considerable content validity. Further validity and reliability studies are under way.

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