Murtezani Ardiana, Ibraimi Zana, Vllasolli Teuta Osmani, Sllamniku Sabit, Krasniqi Shaip, Vokrri Lulzim
Physical and Rehabilitation Medicine Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
Department of Pharmacy, Faculty of Medicine, University of Kosovo.
Ortop Traumatol Rehabil. 2015 Jul-Aug;17(4):351-7. doi: 10.5604/15093492.1173377.
Lateral epicondylitis, or tennis elbow, is a common overuse syndrome of the extensor tendons of the forearm. When the condition is chronic or not responding to initial treatment, physical therapy is initiated. The objective of this study is to compare the effectiveness of corticosteroid injections with physiotherapeutic interventions (ultrasound and exercise) for the treatment of chronic lateral epicondylitis.
We performed a randomized controlled trial of 12 weeks' duration in patients with chronic lateral epicondylitis. We randomly assigned 49 subjects to an exercise group (n=25), who received ultrasound and exercise, and a control group (n=24), who were treated with local infiltration of 1mL triamcinolone acetonide (10mg/mL) and 1mL lidocaine 2%. To evaluate the subjects, three instruments were used: pain intensity, measured with a Visual Analogue Scale (VAS), functional disability, measured with the Patient-Rated Tennis Elbow Evaluation (PRTEE) questionnaire, and painfree grip strength. All subjects were evaluated before treatment and at the 6th and 12th week.
There were no significant differences between the two groups with regard to any variable at baseline (p>0.05). In the exercise group, significant improvements were demonstrated for VAS, PRTEE pain score, PRTEE function score and pain free grip strength, compared to the control group. The exercise group reported a significantly greater increase in all variables at 12 weeks than did the control group (p<0.001).
Our results suggest that ultrasound therapy and exercise are beneficial in the treatment of tennis elbow.
外侧上髁炎，即网球肘，是一种常见的前臂伸肌腱过度使用综合征。当病情为慢性或对初始治疗无反应时，开始进行物理治疗。本研究的目的是比较皮质类固醇注射与物理治疗干预（超声和运动）治疗慢性外侧上髁炎的效果。
我们对慢性外侧上髁炎患者进行了一项为期12周的随机对照试验。我们将49名受试者随机分为运动组（n = 25），接受超声和运动治疗，以及对照组（n = 24），接受1mL曲安奈德（10mg/mL）和1mL 2%利多卡因的局部浸润治疗。为了评估受试者，使用了三种工具：用视觉模拟量表（VAS）测量疼痛强度，用患者评定网球肘评估（PRTEE）问卷测量功能障碍，以及无痛握力。所有受试者在治疗前以及第6周和第12周进行评估。
两组在基线时的任何变量方面均无显著差异（p>0.05）。与对照组相比，运动组在VAS、PRTEE疼痛评分、PRTEE功能评分和无痛握力方面有显著改善。运动组在12周时所有变量的增加均显著大于对照组（p<0.001）。
我们的结果表明，超声治疗和运动对网球肘的治疗有益。
