Clinical and functional outcomes of extracorporeal shock wave therapy in isolated medial epicondylitis
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Tarih
2019
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: To evaluate the effectiveness of extracorporeal shock wave therapy (ESWT) for the patients withisolated medial epicondylitis refractory to other conservative methods.Methods: A retrospective analysis of 57 patients with the diagnosis of isolated medial epicondylitis refractoryto conservative measures was done. 36 of them who met our eligibility criteria were included. Patients weresubjected to three sessions of extracorporeal shock wave therapy with 2000 pulses per a session in a dose of0.06-0.12 mJ/mm2. Pain and clinical/functional scores were measured by visual analogue scale (VAS) andQuick-Disabilities of the Arm, Shoulder and Hand (Q-DASH) respectively before the treatment and at 1st weekand 12th week of the last session.Results: Mean age of the patients was 47.3 (25-67) years and there was a higher female presentation (24 femaleand 12 male patients). The VAS scores were improved from a mean of 7.8 before the treatment to 5.3 at 1stweek (p < 0.001) and to 2.9 at 12th week (p < 0.001). Also the results of the Q-DASH showed a meanimprovement from 50.4 before the treatment to 27.1 at 1st week (p < 0.001) and 9.6 at 12th week (p < 0.001).There were no significant differences in the improvements of VAS and Q-DASH scores by the time betweenthe male and female patients.Conclusion: According to the results of this study which will be one of the limited studies about isolated medialepicondylitis; ESWT is a good conservative treatment option for medial epicondylitis in refractory cases likein lateral epicondylitis.
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The European Research Journal
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Cilt
5
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4
