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物理治疗干预与皮质类固醇注射治疗外侧肘肌腱病。稳扎稳打才能赢得比赛吗?——一项系统评价

Physical therapy intervention versus corticosteroid injection for lateral elbow tendinopathy. Does slow and steady win the race? - A systematic review.

作者信息

Sharma Shivam, Berwal Prerana, Verma Nishank, Pandey Avaneesh Kumar, Saxena Somya, Gamad Nanda

机构信息

Department of Physical and Rehabilitation Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Department of Pharmacology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Shoulder Elbow. 2024 Mar;16(1 Suppl):59-73. doi: 10.1177/17585732221132545. Epub 2022 Nov 15.

Abstract

BACKGROUND

Lateral elbow tendinopathy is one of the most common chronic and degenerative diseases which significantly affects quality of life and the activities of daily living of a person. The following is a systematic review reporting a comparison between physical therapy intervention and corticosteroid injection for the treatment of lateral elbow tendinopathy.

METHOD

PubMed, Web of Science, and Embase were searched using headings related to treatment options for Lateral elbow tendinopathy. The following keywords were used: lateral epicondylitis, physical therapy, and corticosteroid injection.

RESULT

We descriptively analyzed and reviewed a total of 12 studies including a total of 1253 patients for lateral elbow tendinopathy. The physical therapy intervention included interventions like electrotherapy, manual therapy, and exercise. The studies included had an overall low to unknown risk of bias.

CONCLUSION

Our review suggests corticosteroid injection provides beneficial short-term effects and physical therapy interventions provide intermediate to long-term effects, less additional treatment and low recurrence rate in patients with lateral elbow tendinopathy. Although high-quality randomized control trials are required in order to have a better understanding of both intervention types.

摘要

背景

外侧肘肌腱病是最常见的慢性退行性疾病之一,严重影响患者的生活质量和日常生活活动。以下是一项系统评价,报告了物理治疗干预与皮质类固醇注射治疗外侧肘肌腱病的比较。

方法

使用与外侧肘肌腱病治疗选择相关的标题在PubMed、科学网和Embase中进行检索。使用了以下关键词:外侧肱骨髁炎、物理治疗和皮质类固醇注射。

结果

我们对总共12项研究进行了描述性分析和综述,这些研究共纳入了1253例外侧肘肌腱病患者。物理治疗干预包括电疗法、手法治疗和运动等干预措施。纳入的研究总体偏倚风险较低至未知。

结论

我们的综述表明,皮质类固醇注射可提供有益的短期效果,物理治疗干预可提供中期至长期效果,外侧肘肌腱病患者的额外治疗较少且复发率较低。尽管需要高质量的随机对照试验以更好地了解这两种干预类型。

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