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Evidence for the effectiveness of electrophysical modalities for treatment of medial and lateral epicondylitis: a systematic review

Background Several treatments are available to treat epicondylitis. Among these are instrumental electrophysical modalities, ranging from ultrasound, extracorporeal shock wave therapy (ESWT), transcutaneous electrical nerve stimulation (TENS) to laser therapy, commonly used to treat epicondylitis. O... Full description

Journal Title: British Journal of Sports Medicine 2014-06, Vol.48 (12), p.957-965
Main Author: Dingemanse, Rudi
Other Authors: Randsdorp, Manon , Koes, Bart W , Huisstede, Bionka M A
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: England: BMJ Publishing Group Ltd
ID: ISSN: 0306-3674
Link: https://www.ncbi.nlm.nih.gov/pubmed/23335238
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recordid: cdi_proquest_miscellaneous_1542003471
title: Evidence for the effectiveness of electrophysical modalities for treatment of medial and lateral epicondylitis: a systematic review
format: Article
creator:
  • Dingemanse, Rudi
  • Randsdorp, Manon
  • Koes, Bart W
  • Huisstede, Bionka M A
subjects:
  • Acupuncture Therapy - methods
  • Care and treatment
  • Clinical trials
  • Elbow
  • Electric Stimulation Therapy - methods
  • Electromagnetism
  • Evidence-Based Medicine
  • Exercise
  • Exercise Therapy - methods
  • Friction
  • Humans
  • Inflammation
  • Intervention
  • Laser therapy
  • Laser Therapy - methods
  • Lithotripsy
  • Lithotripsy - methods
  • Magnetic Field Therapy - methods
  • Manipulation, Chiropractic - methods
  • Massage - methods
  • Medical treatment
  • Pain
  • Physical Therapy Modalities
  • Randomized Controlled Trials as Topic
  • Studies
  • Tennis elbow
  • Tennis Elbow - therapy
  • Transcutaneous electrical nerve stimulation-TENS
  • Treatment Outcome
  • Ultrasonic imaging
  • Ultrasonic Therapy - methods
  • Ultrasonic waves
  • Usage
ispartof: British Journal of Sports Medicine, 2014-06, Vol.48 (12), p.957-965
description: Background Several treatments are available to treat epicondylitis. Among these are instrumental electrophysical modalities, ranging from ultrasound, extracorporeal shock wave therapy (ESWT), transcutaneous electrical nerve stimulation (TENS) to laser therapy, commonly used to treat epicondylitis. Objectives To present an evidence-based overview of the effectiveness of electrophysical modality treatments for both medial and lateral epicondylitis (LE). Methods Searches in PubMed, EMBASE, CINAHL and Pedro were performed to identify relevant randomised clinical trials (RCTs) and systematic reviews. Two reviewers independently extracted data and assessed the methodological quality. A best-evidence synthesis was used to summarise the results. Results A total of 2 reviews and 20 RCTs were included, all of which concerned LE. Different electrophysical regimes were evaluated: ultrasound, laser, electrotherapy, ESWT, TENS and pulsed electromagnetic field therapy. Moderate evidence was found for the effectiveness of ultrasound versus placebo on mid-term follow-up. Ultrasound plus friction massage showed moderate evidence of effectiveness versus laser therapy on short-term follow-up. On the contrary, moderate evidence was found in favour of laser therapy over plyometric exercises on short-term follow-up. For all other modalities only limited/conflicting evidence for effectiveness or evidence of no difference in effect was found. Conclusions Potential effectiveness of ultrasound and laser for the management of LE was found. To draw more definite conclusions high-quality RCTs examining different intensities are needed as well as studies focusing on long-term follow-up results.
language: eng
source:
identifier: ISSN: 0306-3674
fulltext: no_fulltext
issn:
  • 0306-3674
  • 1473-0480
url: Link


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titleEvidence for the effectiveness of electrophysical modalities for treatment of medial and lateral epicondylitis: a systematic review
creatorDingemanse, Rudi ; Randsdorp, Manon ; Koes, Bart W ; Huisstede, Bionka M A
creatorcontribDingemanse, Rudi ; Randsdorp, Manon ; Koes, Bart W ; Huisstede, Bionka M A
descriptionBackground Several treatments are available to treat epicondylitis. Among these are instrumental electrophysical modalities, ranging from ultrasound, extracorporeal shock wave therapy (ESWT), transcutaneous electrical nerve stimulation (TENS) to laser therapy, commonly used to treat epicondylitis. Objectives To present an evidence-based overview of the effectiveness of electrophysical modality treatments for both medial and lateral epicondylitis (LE). Methods Searches in PubMed, EMBASE, CINAHL and Pedro were performed to identify relevant randomised clinical trials (RCTs) and systematic reviews. Two reviewers independently extracted data and assessed the methodological quality. A best-evidence synthesis was used to summarise the results. Results A total of 2 reviews and 20 RCTs were included, all of which concerned LE. Different electrophysical regimes were evaluated: ultrasound, laser, electrotherapy, ESWT, TENS and pulsed electromagnetic field therapy. Moderate evidence was found for the effectiveness of ultrasound versus placebo on mid-term follow-up. Ultrasound plus friction massage showed moderate evidence of effectiveness versus laser therapy on short-term follow-up. On the contrary, moderate evidence was found in favour of laser therapy over plyometric exercises on short-term follow-up. For all other modalities only limited/conflicting evidence for effectiveness or evidence of no difference in effect was found. Conclusions Potential effectiveness of ultrasound and laser for the management of LE was found. To draw more definite conclusions high-quality RCTs examining different intensities are needed as well as studies focusing on long-term follow-up results.
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subjectAcupuncture Therapy - methods ; Care and treatment ; Clinical trials ; Elbow ; Electric Stimulation Therapy - methods ; Electromagnetism ; Evidence-Based Medicine ; Exercise ; Exercise Therapy - methods ; Friction ; Humans ; Inflammation ; Intervention ; Laser therapy ; Laser Therapy - methods ; Lithotripsy ; Lithotripsy - methods ; Magnetic Field Therapy - methods ; Manipulation, Chiropractic - methods ; Massage - methods ; Medical treatment ; Pain ; Physical Therapy Modalities ; Randomized Controlled Trials as Topic ; Studies ; Tennis elbow ; Tennis Elbow - therapy ; Transcutaneous electrical nerve stimulation-TENS ; Treatment Outcome ; Ultrasonic imaging ; Ultrasonic Therapy - methods ; Ultrasonic waves ; Usage
ispartofBritish Journal of Sports Medicine, 2014-06, Vol.48 (12), p.957-965
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descriptionBackground Several treatments are available to treat epicondylitis. Among these are instrumental electrophysical modalities, ranging from ultrasound, extracorporeal shock wave therapy (ESWT), transcutaneous electrical nerve stimulation (TENS) to laser therapy, commonly used to treat epicondylitis. Objectives To present an evidence-based overview of the effectiveness of electrophysical modality treatments for both medial and lateral epicondylitis (LE). Methods Searches in PubMed, EMBASE, CINAHL and Pedro were performed to identify relevant randomised clinical trials (RCTs) and systematic reviews. Two reviewers independently extracted data and assessed the methodological quality. A best-evidence synthesis was used to summarise the results. Results A total of 2 reviews and 20 RCTs were included, all of which concerned LE. Different electrophysical regimes were evaluated: ultrasound, laser, electrotherapy, ESWT, TENS and pulsed electromagnetic field therapy. Moderate evidence was found for the effectiveness of ultrasound versus placebo on mid-term follow-up. Ultrasound plus friction massage showed moderate evidence of effectiveness versus laser therapy on short-term follow-up. On the contrary, moderate evidence was found in favour of laser therapy over plyometric exercises on short-term follow-up. For all other modalities only limited/conflicting evidence for effectiveness or evidence of no difference in effect was found. Conclusions Potential effectiveness of ultrasound and laser for the management of LE was found. To draw more definite conclusions high-quality RCTs examining different intensities are needed as well as studies focusing on long-term follow-up results.
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31Ultrasonic waves
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atitleEvidence for the effectiveness of electrophysical modalities for treatment of medial and lateral epicondylitis: a systematic review
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abstractBackground Several treatments are available to treat epicondylitis. Among these are instrumental electrophysical modalities, ranging from ultrasound, extracorporeal shock wave therapy (ESWT), transcutaneous electrical nerve stimulation (TENS) to laser therapy, commonly used to treat epicondylitis. Objectives To present an evidence-based overview of the effectiveness of electrophysical modality treatments for both medial and lateral epicondylitis (LE). Methods Searches in PubMed, EMBASE, CINAHL and Pedro were performed to identify relevant randomised clinical trials (RCTs) and systematic reviews. Two reviewers independently extracted data and assessed the methodological quality. A best-evidence synthesis was used to summarise the results. Results A total of 2 reviews and 20 RCTs were included, all of which concerned LE. Different electrophysical regimes were evaluated: ultrasound, laser, electrotherapy, ESWT, TENS and pulsed electromagnetic field therapy. Moderate evidence was found for the effectiveness of ultrasound versus placebo on mid-term follow-up. Ultrasound plus friction massage showed moderate evidence of effectiveness versus laser therapy on short-term follow-up. On the contrary, moderate evidence was found in favour of laser therapy over plyometric exercises on short-term follow-up. For all other modalities only limited/conflicting evidence for effectiveness or evidence of no difference in effect was found. Conclusions Potential effectiveness of ultrasound and laser for the management of LE was found. To draw more definite conclusions high-quality RCTs examining different intensities are needed as well as studies focusing on long-term follow-up results.
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pmid23335238
doi10.1136/bjsports-2012-091513