Kubot Agnieszka, Grzegorzewski Andrzej, Synder Marek, Szymczak Wiesław, Kozłowski Piotr
Szpital Powiatowy w Wieruszowie / District Hospital in Wieruszow.
Uniwersytet Medyczny w Łodzi / Medical University of Lodz Klinika Ortopedii i Ortopedii Dziecięcej / Department of Orthopaedics and Paediatric Orthopaedics.
Ortop Traumatol Rehabil. 2017 Oct 31;19(5):415-426. doi: 10.5604/01.3001.0010.5821.
Both ultrasound and radial shockwave therapies are used to treat tennis elbow syndrome. The aim of this study was to compare the therapeutic efficacy of both therapies by assessing the reduction in pain intensity and frequency, restoration of mobility, and reduction in the need for pain medication.
The study enrolled 60 people, who were randomly divided into two groups of 30 patients: those treated by radial shockwave therapy and those treated by ultrasound therapy. Radial shockwave therapy consisted of 3 sessions at weekly intervals. Ultrasound therapy consisted of 10 treatments performed daily. The clinical status of the patients before treatment, just after treatment, and after 8 weeks was assessed with the Leitinen questionnaire and a visual analogue scale (VAS).
Pain reduction, as assessed by VAS scores, was observed in both groups, who were not different at baseline (p=0.807). While both therapies were effective (p<0.005), mean pain intensity assessed by VAS scores in patients treated by radial shockwave therapy was significantly lower compared to those treated by ultrasound therapy; this relationship was present just after treatment completion (p=0.001) and at 8 weeks after treatment completion (p=0.002).
超声疗法和径向冲击波疗法均用于治疗网球肘综合征。本研究的目的是通过评估疼痛强度和频率的降低、活动能力的恢复以及止痛药物需求的减少，比较两种疗法的治疗效果。
该研究招募了60人，随机分为两组，每组30例患者：一组接受径向冲击波疗法治疗，另一组接受超声疗法治疗。径向冲击波疗法每周进行3次，共3个疗程。超声疗法每天进行10次治疗。使用莱蒂宁问卷和视觉模拟量表（VAS）评估患者治疗前、治疗刚结束时以及治疗8周后的临床状况。
两组患者经VAS评分评估均出现疼痛减轻，且两组在基线时无差异（p = 0.807）。虽然两种疗法均有效（p < 0.005），但与接受超声疗法治疗的患者相比，接受径向冲击波疗法治疗的患者经VAS评分评估的平均疼痛强度显著更低；这种差异在治疗刚结束时（p = 0.001）以及治疗结束8周时（p = 0.002）均存在。
