EFFECT OF A SINGLE SESSION OF EXTRACORPOREAL SHOCK WAVE THERAPY IN CASE OF TENNIS ELBOW

2021 ◽  
pp. 15-16
Author(s):  
Saroj Yadav ◽  
Gautam Gupta ◽  
Jaya S. Radhwani
Keyword(s):  
Shock Wave ◽  
Informed Consent ◽  
Grip Strength ◽  
Tennis Elbow ◽  
Extracorporeal Shock Wave Therapy ◽  
Single Session ◽  
Shock Wave Therapy ◽  
Exclusion Criteria ◽  
Extracorporeal Shock Wave ◽  
Before And After

Thirty patients with symptomatic tennis elbow were included in this study according to the inclusion and exclusion criteria and informed consent was taken. The study aimed at comparing the effect of a single session of ESWTusing VAS, PRTEE and dynamometer. The assessments were done before and after the intervention (24hrs and 72 hrs.). This study concluded that ESWT is effective in improving pain, grip strength and functional status in case of tennis elbow

scholarly journals Efficacy of Extracorporeal Shock Wave Therapy for Lateral Epicondylitis: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Gaowen Yao ◽  
Jing Chen ◽  
Yanji Duan ◽  
Xiao Chen
Keyword(s):  
Shock Wave ◽  
Grip Strength ◽  
Functional Impairment ◽  
Tennis Elbow ◽  
Meta Analysis ◽  
Lateral Epicondylitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Cochrane Library ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

Background. Lateral epicondylitis (LE) is a common elbow problem. Extracorporeal shock wave therapy (ESWT) was widely used in the treatment of LE and has been shown to relieve the pain and functional impairment (loss of grip strength) caused by tennis elbow. However, the evidence with regard to whether ESWT has better clinical efficacy over other method is not clear. The aim of the study was to compare the effectiveness of ESWT with other techniques in the treatment of LE. Methods. Literature searches of PubMed, OVID, Embase, Cochrane Library, and Web of Science were searched up to 30th June, 2019. Only RCTs comparing ESWT with other methods for LE were included. Data collection and extraction, quality assessment, and data analyses were performed according to the Cochrane standards. Results. A total of 13 articles with 1035 patients were included. Of which, 501 underwent ESWT and 534 underwent other methods. The result of meta-analysis showed that pooled VAS (P=0.0004) and grip strength (P<0.00001) were better in the ESWT group. Conclusion. Based on the existing clinical evidence, extracorporeal shock wave therapy can effectively relieve the pain and functional impairment (loss of grip strength) caused by tennis elbow, with better overall safety than several other methods. However, owing to the limited quality and quantity of the included studies, more high-quality RCTs are needed to support the trend towards better functional outcomes with ESWT.

scholarly journals Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled t

2021 ◽  
Vol 67 (4) ◽  
pp. 439-448
Author(s):  
Mustafa Çorum ◽  
Ceyhun Başoğlu ◽  
Hadi Yavuz ◽  
Cihan Aksoy
Keyword(s):  
Shock Wave ◽  
Grip Strength ◽  
Tennis Elbow ◽  
Lateral Epicondylitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Randomized Controlled ◽  
Extracorporeal Shock Wave ◽  
Significant Difference ◽  
Outcome Criteria

Objectives: The aim of this study was to evaluate and compare the effects of radial extracorporeal shock wave therapy (rESWT) and supervised exercises with neuromuscular inhibition (NMI) technique in improving pain, function, and grip strength in the treatment of patients with lateral epicondylitis (LE). Patients and methods: A total of 50 patients with LE (11 males, 30 females; median age: 46 years; range, 23 to 57 years) whose symptoms persisted for at least three months between February 2015 and August 2015 were included in the prospective, randomized-controlled, clinical study. The patients were divided into two groups as the rESWT group (n=25) receiving a total of three rESWT sessions (once per week with 1.8 bar pneumatic pressure, 10 Hz frequency, and with 2,000 pulses) and the exercise group (n=25) receiving supervised exercises with NMI (three times per week for three weeks). Pain and function were evaluated using Visual Analog Scale, the total Patient-Rated Tennis Elbow Evaluation, the Roles and Maudsley score, while the grip strength was evaluated using a hand dynamometer at one and three months after treatment compared to baseline. Results: A significant improvement was observed in all outcome criteria at one and three months after treatment, compared to baseline, in both the rESWT and exercise groups (p<0.05). There was no significant difference in terms of the changes in the outcome criteria between the groups (p>0.05). Conclusion: The rESWT seems to provide no significantly superior benefit than supervised exercises with NMI at least until the three months in the treatment of LE.

scholarly journals Effectiveness of extracorporeal shock wave therapy in patients with tennis elbow

Medicine ◽  
2020 ◽  
Vol 99 (30) ◽  
pp. e21189
Author(s):  
Chenxiao Zheng ◽  
Dongjie Zeng ◽  
Jiayi Chen ◽  
Sijing Liu ◽  
Jianyi Li ◽  
...  
Keyword(s):  
Shock Wave ◽  
Tennis Elbow ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

Prolotherapy vs Radial Extracorporeal Shock Wave Therapy in the Short-term Treatment of Lateral Epicondylosis: A Randomized Clinical Trial

Pain Medicine ◽  
2019 ◽  
Vol 20 (9) ◽  
pp. 1745-1749 ◽  
Author(s):  
Tannaz Ahadi ◽  
Maryam Esmaeili Jamkarani ◽  
Gholam Reza Raissi ◽  
Korosh Mansoori ◽  
Seyede Zahra Emami Razavi ◽  
...  
Keyword(s):  
Shock Wave ◽  
Clinical Trial ◽  
Grip Strength ◽  
Group Analysis ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Short Term ◽  
Extracorporeal Shock Wave ◽  
Quick Dash ◽  
Lateral Epicondylosis

Abstract Objective The aim of this study was to compare the efficacy of prolotherapy with hypertonic dextrose and radial shock wave therapy in chronic lateral epicondilosis. Design Prospective single-blind randomized clinical trial. Setting Physical medicine and rehabilitation clinic. Subjects Thirty-three patients with at least three months of signs and symptoms of lateral epicondilosis, as well as failure of at least one of the conservative treatments, randomly allocated into two groups. Methods Sixteen patients received three sessions of shock wave therapy, and 17 received one session prolotherapy. Severity of pain via visual analog scale (VAS), grip strength via Baseline Pneumatic Dynamometer, pressure pain threshold (PPT) by algometer and Disabilities of Arm, Shoulder, and Hand quick questionnaire (Quick DASH) were assessed at baseline, four weeks, and eight weeks after the intervention. Results Within-group analysis showed that in both groups, differences between all of the outcome measures were significant after four and also eight weeks. Between-group analysis after four and eight weeks showed that the VAS and Quick DASH had significantly more improvement in the shock wave group. However, the two groups were similar regarding grip strength and PPT. No complication was observed in the two groups. Conclusions Based on the results of this study, a regiment of three sessions (weekly) of radial extracorporeal shock wave therapy is significantly more effective than one session of prolotherapy with 20% dextrose regarding pain and function in the management of chronic lateral epicondylosis in short-term follow-up.

Side-effects of extracorporeal shock wave therapy (ESWT) in the treatment of tennis elbow

2002 ◽  
Vol 122 (4) ◽  
pp. 222-228 ◽  
Author(s):  
Haake M. ◽  
B&#x000F6;ddeker I. ◽  
Decker T. ◽  
Buch M. ◽  
Vogel M. ◽  
...  
Keyword(s):  
Shock Wave ◽  
Side Effects ◽  
Tennis Elbow ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

The Clinical Value of Extracorporeal Shock Wave Therapy Evaluated by Contrast-Enhanced Ultrasound for Noninfectious Nonunion

2021 ◽  
Vol 11 (8) ◽  
pp. 2080-2085
Author(s):  
Yinfeng Hu ◽  
Xuewen Jia ◽  
Yingchun Zhu ◽  
Youfeng Xu ◽  
Minhua Guo ◽  
...  
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Therapy ◽  
Healing Time ◽  
Contrast Enhanced Ultrasound ◽  
Shock Wave Therapy ◽  
Clinical Value ◽  
Extracorporeal Shock Wave ◽  
Contrast Enhanced ◽  
Before And After ◽  
Bone Nonunion

Objectives: The aim of this study was to investigate the clinical value of Contrast-enhanced ultrasound (CEUS) in evaluating Extracorporeal shock wave therapy (ESWT) for noninfectious nonunion. Methods: Thirty-eight patients with long bone nonunion fractures whose were treated in our hospital from October 2016 to October 2019 were included (20 males and 18 females). The patients received ESWT once a week for 12 consecutive weeks. CEUS was performed before and after the first ESWT session. According to the ratio of the perfusion area to the callus area, neovascular blood flow observed in CEUS was divided into 4 grades: grade 0 = 0%, grade 1 = 0–30%, grade 2 = 30–70% and grade 3 = 70–100%. The peak values of microbubbles perfusion in the callus area were recorded before and after ESWT. Each patient was followed up for 12 months to record the healing time. Nonunion over 12 months was considered a nonhealing fracture. To compare the ultrasonic data before and after ESWT, paired T test was used and the correlation between the ultrasonic data and the nonunion healing time, the pearson analysis was used. Results: Of the 38 patients, 35 patients achieved nonunion healing. The healing time ranged from 5 months to 12 months. Among the 38 patients, 24 patients had a microvascular health score of 0 points and 14 patients had a score of 1 point before treatment. After therapy, the neovascular health score was 0, 1, 2 and 3 in 5, 10, 15 and 8 patients, respectively. There was a statistically significant difference before and after treatment (P < 0.05). The peak value of microbubbles perfusion in the fracture site after ESWT was significantly higher than that before ESWT (P < 0.05). The greater of difference, the shorter of healing time. Conclusion: Under the supervision of CEUS, the changes in microvascular perfusion of noninfectious nonunion patients before and after ESWT effectively reflected the therapeutic effect. CEUS could predict the ESWT on bone nonunion at an early stage. Level of evidence: Level III.

Sign in / Sign up

Export Citation Format

Share Document