Department of Physical Medicine and Rehabilitation, Konya City Hospital, University of Health Sciences, Konya, Turkey.
Department of Medical Ecology and Hydroclimatology, Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey.
Int J Biometeorol. 2022 Apr;66(4):661-668. doi: 10.1007/s00484-021-02225-7. Epub 2021 Nov 27.
This study aimed to compare the peloid therapy and kinesio tape treatments in chronic lateral epicondylitis. While home exercise program and cold application were applied to the control group, peloid therapy (5 days a week for 3 weeks at 45 °C for 30 min each day, a total of 15 treatment days) was applied in addition to the first group, and kinesio taping (6 treatment days 2 times a week) was applied to the second group. Patients were evaluated with visual analog scale (VAS), grip strength with Jamar hydraulic dynamometer, Arm, Shoulder, and Hand Disabilities (DASH), quality of life in Short Form-36 (SF-36), and Patient-Rated Forearm Evaluation Questionnaire (PRFEQ) was recorded before treatment, after treatment (third week), and 1 month after the end of treatment. In this study, 156 patients with chronic lateral epicondylitis were included. In the follow-up of the patients, there was a statistically significant improvement in the hand grip strength, DASH, PRFEQ, VAS, and SF-36 scores in the 1st month follow-up after the treatment compared to the pre-treatment control in all groups (p < 0.001). At the end of the treatment, the hand grip strength (p = 0.002), DASH (p < 0.001), PRFEQ pain (p < 0.001) and function (p = 0.007), SF-36 physical health (p = 0.002) scores were statistically significant in the peloid therapy group compared to the control group. At the 1st month after the end of treatment, hand grip strength, VAS, DASH, PRFEQ pain, function, daily activities, and SF-36 physical health scores (all of p < 0.001) were statistically significant in the peloid treatment group compared to the control group. Peloid treatment was found to be more effective than kinesio taping in SF-36 physical health (p = 0.007) and PRFEQ pain (p = 0.003) scores in the 1st month follow-up after treatment. Peloid therapy in addition to exercise seems more effective in chronic lateral epicondylitis. Randomized controlled long-term studies are needed.ClinicalTrials ID: NCT04687943.
本研究旨在比较泥疗和运动贴布治疗慢性肱骨外上髁炎的效果。对照组接受家庭运动方案和冷敷,第一组在此基础上加用泥疗(每周 5 天,3 周,每天 45°C 治疗 30 分钟,共 15 次治疗),第二组接受运动贴布治疗(每周 2 次,共 6 次治疗)。患者在治疗前、治疗后(第 3 周)和治疗结束后 1 个月进行视觉模拟评分(VAS)、Jamar 液压测力计握力测量、手臂、肩部和手残疾(DASH)、36 项简短健康调查(SF-36)和患者前臂评估问卷(PRFEQ)评估。本研究纳入了 156 例慢性肱骨外上髁炎患者。在患者随访中,与治疗前对照组相比,所有组在治疗后 1 个月的随访中,手部握力、DASH、PRFEQ、VAS 和 SF-36 评分均有统计学显著改善(p<0.001)。治疗结束时,与对照组相比,泥疗组的手部握力(p=0.002)、DASH(p<0.001)、PRFEQ 疼痛(p<0.001)和功能(p=0.007)、SF-36 身体健康(p=0.002)评分均有统计学显著差异。治疗结束后 1 个月,与对照组相比,泥疗组的手部握力、VAS、DASH、PRFEQ 疼痛、功能、日常活动和 SF-36 身体健康评分(均为 p<0.001)均有统计学显著差异。泥疗在治疗结束后 1 个月的随访中,SF-36 身体健康(p=0.007)和 PRFEQ 疼痛(p=0.003)评分方面比运动贴布更有效。在慢性肱骨外上髁炎中,运动贴布联合运动疗法似乎比运动贴布更有效。需要进行随机对照长期研究。临床试验注册号:NCT04687943。