Effects of Instrument-Assisted Soft Tissue Mobilization and Extracorporeal Shock Wave Therapy in Individuals With Lateral Elbow Pain: A Randomized Single-Blind Clinical Trial.

IF 1.3 4区 医学 Q3 REHABILITATION
Hasan Gercek, Bayram Sonmez Unuvar, Onur Aydoğdu, Ozlem Akkoyun Sert, Zubeyir Sari
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引用次数: 0

Abstract

Context: In lateral elbow pain (LEP), it is important to improve pain, grip strength, and function. The aim of this study is to compare the effects of Instrument-Assisted Soft Tissue Mobilization (IASTM) and extracorporeal shock wave therapy (ESWT) methods on pain, grip strength, and function in LEP.

Design: Randomized single-blind clinical trial.

Methods: Forty-eight adults with LEP were randomly assigned to the IASTM, ESWT, and control groups. Home exercise consisting of special static stretching and eccentric strengthening exercises was given to the control group. The ESWT group received a total of 8 sessions of ESWT in addition to home exercise. The IASTM group received a total of 8 sessions of IASTM in addition to home exercise. The visual analog scale for pain, hydraulic hand dynamometer for grip strength, and Patient-Rated Tennis Elbow Evaluation scale for functionality were used for assessment. Data were collected at baseline, after intervention, and at 4-weeks postintervention.

Results: At the end of the treatment and the 4-week follow-up, a decrease in pain scores and improvement in muscle strength and functionality was detected in all 3 groups (P < .001). IASTM applications were more effective than ESWT and control groups in reducing pain both after application and at follow-up (P < .001), whereas ESWT application was also effective compared with the control group (P < .001). IASTM applications were more effective than the ESWT and control groups in reducing Patient-Rated Tennis Elbow Evaluation total scores both after the applications and follow-up (P < .001). IASTM was more effective in grip strength than ESWT and control groups (P < .001).

Conclusion: It was determined that IASTM and ESWT treatments were effective in reducing pain and increasing grip strength and functionality in both the short and long term in patients with LEP. It was determined that IASTM treatment was superior to ESWT treatment in reducing pain and improving grip strength and functionality.

器械辅助软组织活动和体外冲击波治疗对肘关节外侧疼痛患者的影响:一项随机单盲临床试验。
背景:在侧肘疼痛(LEP)中,重要的是改善疼痛、握力和功能。本研究的目的是比较器械辅助软组织动员(IASTM)和体外冲击波治疗(ESWT)方法对LEP疼痛、握力和功能的影响。设计:随机单盲临床试验。方法:48例LEP成年患者随机分为IASTM组、ESWT组和对照组。对照组进行由特殊静态拉伸和偏心强化运动组成的家庭运动。除在家练习外,ESWT组共接受了8次ESWT训练。IASTM组除家庭练习外,共接受了8次IASTM。疼痛的视觉模拟量表,握力的液压手测力仪,和病人评定的网球肘功能评估量表被用于评估。在基线、干预后和干预后4周收集数据。结果:治疗结束及4周随访时,3组患者疼痛评分均降低,肌肉力量和功能均改善(P < 0.001)。IASTM应用比ESWT和对照组在应用后和随访时减轻疼痛更有效(P < .001),而ESWT应用与对照组相比也有效(P < .001)。在应用和随访后,IASTM应用比ESWT和对照组更有效地降低了患者评定的网球肘评估总分(P < 0.001)。IASTM组握力比ESWT组和对照组更有效(P < 0.001)。结论:IASTM和ESWT治疗在短期和长期内均能有效减轻LEP患者的疼痛,增加握力和功能。结果表明,IASTM治疗在减轻疼痛、改善握力和功能方面优于ESWT治疗。
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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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