Yi Rosemary, Bratchenko Walter W, Tan Virak
1 Rutgers-New Jersey Medical School, Newark, USA.
2 Institute for Hand & Arm Surgery, Harrison, NJ, USA.
Hand (N Y). 2018 Jan;13(1):56-59. doi: 10.1177/1558944717692088. Epub 2017 Feb 1.
The aim of the study was to determine the efficacy of deep friction massage in the treatment of lateral epicondylitis by comparing outcomes with a control group treated with splinting and therapy and with an experimental group receiving a local steroid injection.
A randomized clinical trial was conducted to compare outcomes after recruitment of consecutive patients presenting with lateral epicondylitis. Patients were randomized to receive one of 3 treatments: group 1: splinting and stretching, group 2: a cortisone injection, or group 3: a lidocaine injection with deep friction massage. Pretreatment and posttreatment parameters of visual analog scale (VAS) pain ratings, Disabilities of the Arm, Shoulder and Hand (DASH) scores, and grip strength were measured.
Outcomes were measured at early follow-up (6-12 weeks) and at 6-month follow-up. There was a significant improvement in VAS pain score in all treatment groups at early follow-up. DASH score and grip strength improved in the cortisone injection group and the deep friction massage group at early follow-up; these parameters did not improve in the splinting and stretching group. At 6-month follow-up, only patients in the deep friction massage group demonstrated a significant improvement in all outcome measures, including VAS pain score, DASH score, and grip strength.
Deep friction massage is an effective treatment for lateral epicondylitis and can be used in patients who have failed other nonoperative treatments, including cortisone injection.
本研究的目的是通过将治疗结果与接受夹板固定和理疗的对照组以及接受局部类固醇注射的实验组进行比较，来确定深部摩擦按摩治疗外侧上髁炎的疗效。
进行了一项随机临床试验，以比较连续招募的外侧上髁炎患者接受治疗后的结果。患者被随机分配接受三种治疗之一：第1组：夹板固定和伸展，第2组：可的松注射，或第3组：利多卡因注射加深部摩擦按摩。测量了视觉模拟量表（VAS）疼痛评分、手臂、肩部和手部功能障碍（DASH）评分以及握力的治疗前和治疗后参数。
在早期随访（6 - 12周）和6个月随访时测量结果。在早期随访时，所有治疗组的VAS疼痛评分均有显著改善。在早期随访时，可的松注射组和深部摩擦按摩组的DASH评分和握力有所改善；夹板固定和伸展组的这些参数没有改善。在6个月随访时，只有深部摩擦按摩组的患者在所有结果指标上都有显著改善，包括VAS疼痛评分、DASH评分和握力。
深部摩擦按摩是治疗外侧上髁炎的有效方法，可用于其他非手术治疗（包括可的松注射）失败的患者。
