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Titre du document / Document title

Repetitive low-energy shock wave Treatment for chronic lateral epicondylitis in tennis players

Auteur(s) / Author(s)

ROMPE Jan D. (1) ; DECKING Jens (1) ; SCHOELLNER Carsten (1) ; THEIS Christoph (1) ;

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

(1) Department of Orthopaedic Surgery, Johannes Gutenberg University School of Medicine, Mainz, ALLEMAGNE

Résumé / Abstract

Background: There is conflicting evidence regarding extracorporeal shock wave treatment for chronic tennis elbow. Hypothesis: Treatment with repetitive low-energy extracorporeal shock wave treatment is superior to repetitive placebo extracorporeal shock wave treatment. Methods: Seventy-eight patients enrolled in a placebo-controlled trial. All patients were tennis players with recalcitrant MRI-confirmed tennis elbow of at least 12 months' duration. Patients were randomly assigned to receive either active low-energy extracorporeal shock wave treatment given weekly for 3 weeks (treatment group 1) or an identical placebo extracorporeal shock wave treatment (sham group 2). Main outcome measure was pain during resisted wrist extension at 3 months; secondary measures were >50% reduction of pain and the Upper Extremity Function Scale. Results: At 3 months, there was a significantly higher improvement in pain during resisted wrist extension in group 1 than in group 2 (mean [SD] improvement, 3.5 [2.0] and 2.0 [1.9]; P =.001 for between-group difference of improvement) and in the Upper Extremity Function Scale (mean [SD] improvement, 23.4 [14.8] and 10.9 [14.9]; P <.001 for between-group difference of improvement). In the treatment group, 65% of patients achieved at least a 50% reduction of pain, compared with 28% of patients in the sham group (P =.001 for between-group difference). Conclusion: Low-energy extracorporeal shock wave treatment as applied is superior to sham treatment for tennis elbow.

Revue / Journal Title

American journal of sports medicine    ISSN  0363-5465   CODEN AJSMDO 

Source / Source

2004, vol. 32, no3, pp. 734-743 [10 page(s) (article)] (35 ref.)

Langue / Language

Anglais

Editeur / Publisher

Sage Publications, Thousand Oaks, CA, ETATS-UNIS  (1976) (Revue)

Mots-clés anglais / English Keywords

Diseases of the osteoarticular system

;

Juxtaarticular disease

;

Physiology

;

Orthopedics

;

Ergonomics

;

Tennis

;

Lateral

;

Chronic

;

Treatment

;

Shock wave

;

Low energy

;

Epicondylitis

;

Mots-clés français / French Keywords

Système ostéoarticulaire pathologie

;

Juxtaarticulaire pathologie

;

Physiologie

;

Orthopédie

;

Ergonomie

;

Tennis

;

Latéral

;

Chronique

;

Traitement

;

Onde choc

;

Basse énergie

;

Epicondylite

;

Mots-clés espagnols / Spanish Keywords

Sistema osteoarticular patología

;

Yuxtaarticular patología

;

Fisiología

;

Ortopedia

;

Ergonomía

;

Tenis

;

Lateral

;

Crónico

;

Tratamiento

;

Onda choque

;

Baja energía

;

Epicondilitis

;

Localisation / Location

INIST-CNRS, Cote INIST : 17788, 35400011166114.0230

Nº notice refdoc (ud4) : 15667495



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