Aldajah Salameh, Alashram Anas R, Annino Giuseppe, Romagnoli Cristian, Padua Elvira
Department of Physiotherapy, Isra University, Amman 11622, Jordan.
Department of Systems Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
J Funct Morphol Kinesiol. 2022 Mar 18;7(1):29. doi: 10.3390/jfmk7010029.
This study was conducted to investigate the effect of extracorporeal shock-wave therapy (ESWT) on pain, grip strength, and upper-extremity function in lateral epicondylitis. A sample of 40 patients with LE (21 males) was randomly allocated to either the ESWT experimental (n = 20) or the conventional-physiotherapy control group (n = 20). All patients received five sessions during the treatment program. The outcome measures used were the Visual Analog Scale (VAS), the Taiwan version of the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and a dynamometer (maximal grip strength). Forty participants completed the study. Participants in both groups improved significantly after treatment in terms of VAS (pain reduced), maximal grip strength, and DASH scores. However, the pain was reduced and upper-extremity function and maximal grip strength were more significantly improved after ESWT in the experimental group. ESWT has a superior effect in reducing pain and improving upper-extremity function and grip strength in people with lateral epicondylitis. It seems that five sessions of ESWT are optimal to produce a significant difference. Further studies are strongly needed to verify our findings.
本研究旨在探讨体外冲击波疗法（ESWT）对肱骨外上髁炎患者疼痛、握力及上肢功能的影响。选取40例肱骨外上髁炎患者（21例男性），随机分为ESWT实验组（n = 20）和传统物理治疗对照组（n = 20）。所有患者在治疗方案中均接受5次治疗。所采用的结局指标包括视觉模拟评分法（VAS）、台湾版上肢、肩部和手部功能障碍（DASH）问卷以及握力计（最大握力）。40名参与者完成了研究。两组参与者在治疗后，VAS（疼痛减轻）、最大握力和DASH评分均有显著改善。然而，实验组经ESWT治疗后，疼痛减轻，上肢功能和最大握力改善更为显著。ESWT在减轻肱骨外上髁炎患者疼痛、改善上肢功能和握力方面具有更好的效果。5次ESWT治疗似乎是产生显著差异的最佳次数。强烈需要进一步研究来验证我们的发现。
