Okan Sevil, Çağlıyan Türk Ayla
Department of Physical Medicine and Rehabilitation, Tokat State Hospital, Tokat, Turkey.
Department of Physical Medicine and Rehabilitation, Hitit University Faculty of Medicine, Çorum, Turkey.
Turk J Phys Med Rehabil. 2020 Aug 18;66(3):307-315. doi: 10.5606/tftrd.2020.4433. eCollection 2020 Sep.
In this study, we aimed to compare the efficiency of ultrasound, mucopolysaccharide polysulfate phonophoresis, ketoprofen phonophoresis and exercise combinations in terms of pain, functionality, disability, and strength in patients with lateral epicondylitis (LE).
This prospective, parallel-group, randomized-controlled clinical study included a total of 60 patients (42 males, 18 females; mean age 38.08 years; range, 21 to 50 years) with LE between April 2016 and October 2017. The patients were equally randomized into four groups based on the time of admission to the outpatient clinic. The Visual Analog Scale (VAS), painless weight lifting, the Patient- Rated Tennis Elbow Evaluation (PRTEE), and Quick Disabilities of Arm, Shoulder and Hand (QuickDASH) were used to measure the outcomes. The measurements were performed at baseline, at the end of 10 daily sessions, and after a six-week follow-up period.
The resting VAS scores in the ketoprofen phonophoresis group and lifted weights in the MPS and ketoprofen phonophoresis groups showed a significant improvement both after 10 days of treatment and at six-week follow-up visits (p<0.001). In the QuickDASH model, there was no significant improvement in the control group after 10 days of treatment (p>0.05); however, a significant improvement was observed after six weeks (p<0.001). Except for these variables, significant improvements were found in all groups for all variables at six-week follow-up (p<0.05). However, improvements were similar in all groups (p>0.05).
Based on our study results, for LE patients who are unable to adhere to exercise and splint use and are given a physical treatment plan, inclusion of ketoprofen and MPS phonophoresis in the treatment program may yield additional benefits in their daily living activities, functionality, and working life.
在本研究中，我们旨在比较超声、多磺酸粘多糖离子导入、酮洛芬离子导入及运动组合疗法对外侧上髁炎（LE）患者疼痛、功能、残疾程度及力量方面的治疗效果。
这项前瞻性、平行组、随机对照临床研究共纳入了60例LE患者（42例男性，18例女性；平均年龄38.08岁；范围21至50岁），研究时间为2016年4月至2017年10月。根据患者到门诊就诊的时间，将其平均随机分为四组。采用视觉模拟量表（VAS）、无痛举重、患者自评网球肘评估（PRTEE）以及手臂、肩部和手部快速残疾评估量表（QuickDASH）来测量治疗结果。测量在基线、每日10次治疗结束时以及六周随访期后进行。
酮洛芬离子导入组的静息VAS评分以及多磺酸粘多糖组和酮洛芬离子导入组的举重能力在治疗10天后及六周随访时均有显著改善（p<0.001）。在QuickDASH模型中，治疗10天后对照组无显著改善（p>0.05）；然而，六周后观察到显著改善（p<0.001）。除这些变量外，所有组在六周随访时所有变量均有显著改善（p<0.05）。然而，所有组的改善情况相似（p>0.05）。
基于我们的研究结果，对于无法坚持锻炼和使用夹板且接受物理治疗方案的LE患者，在治疗方案中加入酮洛芬和多磺酸粘多糖离子导入可能会在其日常生活活动、功能及工作生活方面带来额外益处。
