Titre du document / Document title

Conservative treatment of lateral epicondylitis: Brace versus physical therapy or a combination of both: A randomized clinical trial

Auteur(s) / Author(s)

STRUIJS P. A. A. ⁽¹⁾ ; KERKHOFFS G. M. M. J. ⁽¹⁾ ; ASSENDELFT W. J. J. ⁽²⁾ ; VAN DIJK C. N. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, PAYS-BAS
⁽²⁾ Division of Public Health, Department of General Practice, Academic Medical Center, Amsterdam, PAYS-BAS

Résumé / Abstract

Background: The authors evaluated the effectiveness of brace-only treatment, physical therapy, and the combination of these for patients with tennis elbow. Methods: Patients were randomized over 3 groups: brace-only treatment, physical therapy, and the combination of these. Main outcome measures were success rate, severity of complaints, pain, disability, and satisfaction. Data were analyzed using both intention-to-treat and per-protocol analyses. Follow-up was 1 year. Results: A total of 180 patients were randomized. Physical therapy was superior to brace only at 6 weeks for pain, disability, and satisfaction. Contrarily, brace-only treatment was superior on ability of daily activities. Combination treatment was superior to brace on severity of complaints, disability, and satisfaction. At 26 weeks and 52 weeks, no significant differences were identified. Conclusion: Conflicting results were found. Brace treatment might be useful as initial therapy. Combination therapy has no additional advantage compared to physical therapy but is superior to brace only for the short term.

Revue / Journal Title

American journal of sports medicine   ISSN 0363-5465   CODEN AJSMDO 

Source / Source

2004, vol. 32, n^o2, pp. 462-469 [8 page(s) (article)] (21 ref.)

Langue / Language

Anglais

Editeur / Publisher

American Orthopaedic Society for Sports Medicine, Waltham, MA, ETATS-UNIS  (1976) (Revue)

Mots-clés anglais / English Keywords

Diseases of the osteoarticular system ; Juxtaarticular disease ; Physiology ; Orthopedics ; Ergonomics ; Clinical trial ; Drug combination ; Comparative study ; Brace ; Lateral ; Combined treatment ; Epicondylitis ;

Mots-clés français / French Keywords

Système ostéoarticulaire pathologie ; Juxtaarticulaire pathologie ; Physiologie ; Orthopédie ; Ergonomie ; Essai clinique ; Association médicamenteuse ; Etude comparative ; Etrésillon ; Latéral ; Traitement associé ; Epicondylite ;

Mots-clés espagnols / Spanish Keywords

Sistema osteoarticular patología ; Yuxtaarticular patología ; Fisiología ; Ortopedia ; Ergonomía ; Ensayo clínico ; Asociación medicamentosa ; Estudio comparativo ; Codal ; Lateral ; Tratamiento asociado ; Epicondilitis ;

Localisation / Location

INIST-CNRS, Cote INIST : 17788, 35400011922789.0250