Köksal İsmet, Güler Olcay, Mahiroğulları Mahir, Mutlu Serhat, Çakmak Selami, Akşahin Ertuğrul
Yenimahalle State Hospital, Department of Orthopedics and Traumatology, Ankara, Turkey.
Medipol University Faculty of Medicine, Department of Orthopedics and Traumatology, İstanbul, Turkey.
Acta Orthop Traumatol Turc. 2015;49(5):465-70. doi: 10.3944/AOTT.2015.14.0215.
The aim of this study is to evaluate and compare the results of extracorporeal shock wave therapy (ESWT) in the treatment of acute (<3 months) lateral epicondylitis (LE) and chronic (>6 months) LE groups.
Fifty-four patients who were diagnosed with LE and treated with BTL-5000 SWT Power (BTL Türkiye Medikal Cihazlar, Ankara, Turkey) ESWT were included in the study. Twenty-four patients who had symptoms for <3 months were defined as the acute LE group (Group A), and 30 patients who had symptoms for >6 months were defined as the chronic LE group (Group B). All cases were evaluated pretherapy and at Weeks 2, 12, and 24 posttherapy according to pain while resting, pain while stretching, pain when pressed, pain while lifting chair, pain while working, nighttime pain on LE zone.
Almost all values in both Group A and Group B were significantly improved at Weeks 2, 12, and 24 compared to the baseline values.
ESWT is equally effective in the treatment of acute LE and chronic LE. In addition, the current data suggest the progression of LE cases from acute phase to chronic phase may be prevented by treatment with ESWT.
本研究旨在评估和比较体外冲击波疗法（ESWT）治疗急性（<3个月）外侧上髁炎（LE）和慢性（>6个月）LE组的结果。
54例被诊断为LE并接受BTL-5000 SWT Power（BTL土耳其医疗设备公司，安卡拉，土耳其）ESWT治疗的患者纳入本研究。24例症状持续<3个月的患者被定义为急性LE组（A组），30例症状持续>6个月的患者被定义为慢性LE组（B组）。所有病例在治疗前以及治疗后第2周、12周和24周根据静息时疼痛、伸展时疼痛、按压时疼痛、举椅子时疼痛、工作时疼痛、LE区域夜间疼痛进行评估。
与基线值相比，A组和B组在第2周、12周和24周时几乎所有数值均有显著改善。
ESWT在治疗急性LE和慢性LE方面同样有效。此外，目前的数据表明，通过ESWT治疗可预防LE病例从急性期进展至慢性期。
