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A comparative study of the efficacy of ultrasonics and extracorporeal shock wave in the treatment of tennis elbow: a meta-analysis of randomized controlled trials
- Source :
- Journal of Orthopaedic Surgery and Research, Vol 14, Iss 1, Pp 1-12 (2019), Journal of Orthopaedic Surgery and Research
- Publication Year :
- 2019
- Publisher :
- BMC, 2019.
-
Abstract
- Background Tennis elbow or lateral epicondylitis is a common source of pain among craftsmen. Although it cannot be completely resolved, extracorporeal shock wave therapy (ESWT) and ultrasonics (US) have been found to be effective for tennis elbow as highlighted in previously published randomized controlled trials (RCTs) and reviews. However, the efficacy of these two therapies in treating tennis elbow is unknown. This meta-analysis compares the effectiveness of ESWT and US in relieving pain and restoring the functions of tennis elbow following tendinopathy. Methods RCTs published in the PubMed, Embase, Cochrane Library, and SpringerLink databases comparing ESWT and US in treating tennis elbow were identified by a software and manual search. The risk of bias and clinical relevance of the included studies were assessed. Publication bias was explored using funnel plot and statistical tests (Egger’s test and Begg’s test). The major outcomes of the studies were analyzed using the Review Manager 5.3. Results Five RCTs comprising five patients were included in the present meta-analysis. The results revealed a significantly lower VAS score of pain in the ESWT group (1 month: MD = 4.47, p = 0.0001; 3 months: MD = 20.32, p
- Subjects :
- Extracorporeal Shockwave Therapy
medicine.medical_specialty
lcsh:Diseases of the musculoskeletal system
Ultrasonic Therapy
Elbow
Cochrane Library
law.invention
03 medical and health sciences
Grip strength
0302 clinical medicine
Randomized controlled trial
lcsh:Orthopedic surgery
law
Tennis elbow
Humans
Pain Management
Medicine
Orthopedics and Sports Medicine
Randomized Controlled Trials as Topic
030203 arthritis & rheumatology
030222 orthopedics
business.industry
Epicondylitis
Tennis Elbow
medicine.disease
lcsh:RD701-811
Treatment Outcome
medicine.anatomical_structure
Ultrasonic Waves
Meta-analysis
Physical therapy
Surgery
Systematic Review
Tendinopathy
lcsh:RC925-935
business
Follow-Up Studies
Subjects
Details
- Language :
- English
- Volume :
- 14
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of Orthopaedic Surgery and Research
- Accession number :
- edsair.doi.dedup.....25bcbd0fad8bb4b579d5c20c0fba2bab