Uzunca Kaan, Birtane Murat, Taştekin Nurettin
Trakya University Medical Faculty Physical Medicine and Rehabilitation Department, Edirne, Turkey.
Clin Rheumatol. 2007 Jan;26(1):69-74. doi: 10.1007/s10067-006-0247-9. Epub 2006 Apr 22.
We aimed to investigate the efficacy of pulsed electromagnetic field (PEMF) in lateral epicondylitis comparing the modality with sham PEMF and local steroid injection. Sixty patients with lateral epicondylitis were randomly and equally distributed into three groups as follows: Group I received PEMF, Group II sham PEMF, and Group III a corticosteroid + anesthetic agent injection. Pain levels during rest, activity, nighttime, resisted wrist dorsiflexion, and forearm supination were investigated with visual analog scale (VAS). Pain threshold on elbow was determined with algometer. All patients were evaluated before treatment at the third week and the third month. VAS values during activity and pain levels during resisted wrist dorsiflexion were significantly lower in Group III than Group I at the third week. Group I patients had lower pain during rest, activity and nighttime than Group III at third month. PEMF seems to reduce lateral epicondylitis pain better than sham PEMF. Corticosteroid and anesthetic agent injections can be used in patients for rapid return to activities.
我们旨在通过将脉冲电磁场（PEMF）与假脉冲电磁场及局部类固醇注射进行比较，研究脉冲电磁场治疗外侧上髁炎的疗效。60例外侧上髁炎患者被随机且等分为以下三组：第一组接受脉冲电磁场治疗，第二组接受假脉冲电磁场治疗，第三组接受皮质类固醇+麻醉剂注射。采用视觉模拟量表（VAS）调查静息、活动、夜间、抗阻腕背伸及前臂旋后时的疼痛程度。用痛觉计测定肘部的痛阈。所有患者在治疗前第3周和第3个月进行评估。在第3周时，第三组活动期间的VAS值和抗阻腕背伸时的疼痛程度显著低于第一组。在第3个月时，第一组患者静息、活动和夜间的疼痛程度低于第三组。脉冲电磁场似乎比假脉冲电磁场能更好地减轻外侧上髁炎的疼痛。皮质类固醇和麻醉剂注射可用于患者以使其快速恢复活动。
