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, n
o3, pp. 734-743 [10 page(s) (article)] (35 ref.)
Langue / Language
Anglais
Editeur / Publisher
Sage Publications, Thousand Oaks, CA, ETATS-UNIS
(1976)
(Revue)
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Localisation / Location
INIST-CNRS, Cote INIST : 17788, 35400011166114.0230
Nº notice refdoc (ud4) : 15667495
