The Department of Orthopedic Surgery, The First People's Hospital of Neijiang, Neijiang, 641000 Sichuan Province, China.
The Department of Neonatology, The First People's Hospital of Neijiang, Neijiang, 641000 Sichuan Province, China.
Biomed Res Int. 2020 Mar 18;2020:2064781. doi: 10.1155/2020/2064781. eCollection 2020.
Lateral epicondylitis (LE) is a common elbow problem. Extracorporeal shock wave therapy (ESWT) was widely used in the treatment of LE and has been shown to relieve the pain and functional impairment (loss of grip strength) caused by tennis elbow. However, the evidence with regard to whether ESWT has better clinical efficacy over other method is not clear. The aim of the study was to compare the effectiveness of ESWT with other techniques in the treatment of LE.
Literature searches of PubMed, OVID, Embase, Cochrane Library, and Web of Science were searched up to 30 June, 2019. Only RCTs comparing ESWT with other methods for LE were included. Data collection and extraction, quality assessment, and data analyses were performed according to the Cochrane standards.
A total of 13 articles with 1035 patients were included. Of which, 501 underwent ESWT and 534 underwent other methods. The result of meta-analysis showed that pooled VAS ( = 0.0004) and grip strength ( < 0.00001) were better in the ESWT group.
Based on the existing clinical evidence, extracorporeal shock wave therapy can effectively relieve the pain and functional impairment (loss of grip strength) caused by tennis elbow, with better overall safety than several other methods. However, owing to the limited quality and quantity of the included studies, more high-quality RCTs are needed to support the trend towards better functional outcomes with ESWT.
外侧肱骨上髁炎（LE）是一种常见的肘部问题。体外冲击波疗法（ESWT）广泛用于治疗 LE，并已被证明可缓解网球肘引起的疼痛和功能障碍（握力丧失）。然而，关于 ESWT 是否比其他方法具有更好的临床疗效的证据尚不清楚。本研究旨在比较 ESWT 与其他技术在治疗 LE 方面的有效性。
对 PubMed、OVID、Embase、Cochrane 图书馆和 Web of Science 进行文献检索，检索时间截至 2019 年 6 月 30 日。仅纳入比较 ESWT 与 LE 其他方法的 RCT。根据 Cochrane 标准进行数据收集和提取、质量评估和数据分析。
共纳入 13 篇文章，共 1035 例患者。其中，501 例接受 ESWT，534 例接受其他方法治疗。荟萃分析结果显示，ESWT 组的 VAS（ = 0.0004）和握力（ < 0.00001）均更好。
根据现有临床证据，体外冲击波疗法可有效缓解网球肘引起的疼痛和功能障碍（握力丧失），总体安全性优于其他几种方法。然而，由于纳入研究的质量和数量有限，需要更多高质量的 RCT 来支持 ESWT 具有更好的功能结果的趋势。
