Murat Sadiye, Dogruoz Karatekin Bilinc, Zengin Melisa
Istanbul Medeniyet University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Istanbul, Türkiye.
Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Clinic of Physical Medicine and Rehabilitation, Istanbul, Türkiye.
Medeni Med J. 2024 Jun 28;39(2):109-116. doi: 10.4274/MMJ.galenos.2024.60308.
This study assessed and compare the clinical and sonographic outcomes of extracorporeal shock wave therapy (ESWT) in patients with lateral epicondylitis (LE).
Forty-two LE patients were randomly divided into two groups: the ESWT group (n=21) and the sham-ESWT control group (n=21). Both groups underwent wrist resting splinting, stretching, strengthening exercises for wrist extensors, and ice application. Grip strength, pain, and functionality were assessed by various tests, and common extensor tendon (CET) thickness was measured sonographically before, after, and 1 month after treatment by a blind examiner.
At baseline, there was no significant difference between the groups. Significant differences were observed in pain pressure threshold, grip strength, visual analog scale, and Patient-Rated Tennis Elbow Evaluation (PRTEE) scores between baseline, post-treatment, and 1 month after treatment in both groups (p<0.05). However, the Short Form- 12 (SF-12) physical scores showed a significant difference only 1 month after treatment (p<0.01). In the SF-12 mental score tests, no significant difference was found. CET thickness in the ESWT group significantly decreased after treatment and 1 month after treatment (p<0.05), whereas no significant difference was observed in the control group.
Both the ESWT and control groups showed a reduction in pain and improvement in function. However, the ESWT group showed statistically superior results in terms of pain reduction and functional improvement compared with the control group. In addition, sonographic evaluation revealed a significant reduction in CET thickness in the ESWT group, whereas no significant change was noted in the control group.
本研究评估并比较体外冲击波疗法（ESWT）治疗外侧上髁炎（LE）患者的临床和超声检查结果。
42例LE患者被随机分为两组：ESWT组（n = 21）和假ESWT对照组（n = 21）。两组均接受手腕休息位夹板固定、伸展、腕伸肌强化锻炼及冰敷。通过各种测试评估握力、疼痛和功能，并由一名盲法检查者在治疗前、治疗后及治疗后1个月超声测量常见伸肌肌腱（CET）厚度。
基线时，两组之间无显著差异。两组在基线、治疗后及治疗后1个月的疼痛压力阈值、握力、视觉模拟量表和患者网球肘评估（PRTEE）评分方面均观察到显著差异（p<0.05）。然而，简短健康调查问卷12项（SF - 12）身体评分仅在治疗后1个月显示出显著差异（p<0.01）。在SF - 12精神评分测试中，未发现显著差异。ESWT组的CET厚度在治疗后及治疗后1个月显著降低（p<0.05），而对照组未观察到显著差异。
ESWT组和对照组均显示疼痛减轻和功能改善。然而，与对照组相比，ESWT组在疼痛减轻和功能改善方面显示出统计学上更优的结果。此外，超声评估显示ESWT组的CET厚度显著降低，而对照组未发现显著变化。
