Akkurt Halil Ekrem, Kocabaş Hilal, Yılmaz Halim, Eser Cemile, Şen Zafer, Erol Kemal, Göksu Hamit, Karaca Gülten, Baktık Süleyman
1 Konya Education and Research Hospital, Konya, Turkey.
2 Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.
Prosthet Orthot Int. 2018 Dec;42(6):599-605. doi: 10.1177/0309364618774193. Epub 2018 May 27.
: Lateral epicondylitis is one of the most common causes of elbow pain. It is generally observed in people between the ages of 40 and 50 years, and the dominant extremity is more frequently affected. Various noninvasive methods are frequently used; however, studies investigating the effectiveness of the orthoses are limited and with controversial outcomes.
: To investigate the effectiveness of a hand-wrist resting orthosis and an epicondylitis bandage in lateral epicondylitis.
: Randomized controlled trial.
: In total, 82 patients diagnosed with unilateral lateral epicondylitis were enrolled into the study. Hand-wrist resting orthosis was applied to 45 patients and epicondylitis bandage was applied to 41 patients. Patients were evaluated before treatment and at 6 weeks after treatment with a Visual Analogue Scale; Disabilities of the Arm, Shoulder, and Hand questionnaire; the Short Form 36; and a determination of hand grasping force.
: Both groups were similar in terms of age, body mass index, gender, frequency of lateral epicondylitis on the dominant side, dominant extremity, and duration of complaints ( p > 0.05). A statistically significant recovery was detected in both groups between the pre-therapy values and the values at the sixth week in terms of Visual Analogue Scale scores; Disabilities of the Arm, Shoulder, and Hand questionnarie scores; hand grasping forces; and the Short Form 36 mental and physical component scores ( p < 0.05). However, there were no significant differences detected between the two therapy methods before the therapy and at the sixth week of treatment in all parameter values ( p > 0.05).
: Our results suggest that both epicondylitis bandage and hand-wrist resting orthosis are effective treatment options for lateral epicondylitis-induced pain, functional status, muscle strength, and quality of life. Furthermore, neither treatment option was superior to the other. Large, randomized studies are necessary for more clear statements.
Epicondylitis bandage and hand-wrist resting orthosis are equally effective treatment options for lateral epicondylitis-induced pain, functional status, muscle strength, and quality of life.
肱骨外上髁炎是肘部疼痛最常见的原因之一。通常在40至50岁的人群中观察到，优势肢体更常受累。经常使用各种非侵入性方法；然而，研究矫形器有效性的研究有限且结果存在争议。
研究手腕休息矫形器和肱骨外上髁炎绷带治疗肱骨外上髁炎的有效性。
随机对照试验。
总共82例诊断为单侧肱骨外上髁炎的患者纳入研究。45例患者使用手腕休息矫形器，41例患者使用肱骨外上髁炎绷带。治疗前和治疗后6周使用视觉模拟量表、手臂、肩部和手部功能障碍问卷、简短健康调查问卷36项以及测定手部握力对患者进行评估。
两组在年龄、体重指数、性别、优势侧肱骨外上髁炎的频率、优势肢体和主诉持续时间方面相似（p>0.05）。在视觉模拟量表评分、手臂、肩部和手部功能障碍问卷评分、手部握力以及简短健康调查问卷36项心理和身体成分评分方面，两组在治疗前值与第6周值之间均检测到统计学上显著的恢复（p<0.05）。然而，在所有参数值方面，两种治疗方法在治疗前和治疗第6周之间均未检测到显著差异（p>0.05）。
我们的结果表明，肱骨外上髁炎绷带和手腕休息矫形器都是治疗肱骨外上髁炎引起的疼痛、功能状态、肌肉力量和生活质量的有效选择。此外，两种治疗方法都不比另一种更优越。需要进行大型随机研究以得出更明确的结论。
肱骨外上髁炎绷带和手腕休息矫形器对于肱骨外上髁炎引起的疼痛、功能状态、肌肉力量和生活质量是同样有效的治疗选择。
