Abstract | BACKGROUND: METHODS: RCTs published in the PubMed, Embase, Cochrane Library, and SpringerLink databases comparing ESWT and US in treating tennis elbow were identified by a software and manual search. The risk of bias and clinical relevance of the included studies were assessed. Publication bias was explored using funnel plot and statistical tests (Egger's test and Begg's test). The major outcomes of the studies were analyzed using the Review Manager 5.3. RESULTS: Five RCTs comprising five patients were included in the present meta-analysis. The results revealed a significantly lower VAS score of pain in the ESWT group (1 month: MD = 4.47, p = 0.0001; 3 months: MD = 20.32, p < 0.00001; and 6 months: MD = 4.32, p < 0.0001) compared to US. Besides, the grip strength was markedly higher 3 months after the intervention in ESWT (MD = 8.87, p < 0.00001) than in the US group. Although no significant difference was observed in the scores of the elbow function after 3 months of treatment (SMD = 1.51, p = 0.13), the subjective scores of elbow functions were found to be better in the ESWT group (SMD = 3.34; p = 0.0008) compared to the US group. CONCLUSIONS: Although there was no significant difference in the elbow function evaluation scores between ESWT and US, the superiority of the ESWT group in the VAS of pain (both at 1 month, 3 months, and 6 months follow-ups) raised grip strength in ESWT group and the scores for subjective evaluation of efficacy indicated that ESWT offers more effective therapy for lateral epicondylitis than US therapy.
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Authors | Chenchen Yan, Yuan Xiong, Lang Chen, Yori Endo, Liangcong Hu, Mengfei Liu, Jing Liu, Hang Xue, Abudula Abududilibaier, Bobin Mi, Guohui Liu |
Journal | Journal of orthopaedic surgery and research
(J Orthop Surg Res)
Vol. 14
Issue 1
Pg. 248
(Aug 06 2019)
ISSN: 1749-799X [Electronic] England |
PMID | 31387611
(Publication Type: Comparative Study, Journal Article, Meta-Analysis, Review)
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Topics |
- Extracorporeal Shockwave Therapy
(methods, standards)
- Follow-Up Studies
- Humans
- Pain Management
(methods, standards)
- Randomized Controlled Trials as Topic
(methods, standards)
- Tennis Elbow
(diagnosis, therapy)
- Treatment Outcome
- Ultrasonic Therapy
(methods, standards)
- Ultrasonic Waves
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