{"title":"Therapeutic Effects of Manual Therapy on Lateral Epicondylitis: A Randomised Controlled Trial","authors":"Wolfgang Rachold, O. Reis, C. Berger, J. Buchmann","doi":"10.1055/a-1870-3073","DOIUrl":"https://doi.org/10.1055/a-1870-3073","url":null,"abstract":"Abstract Background Epicondylopathia humeri radialis is often diagnosed by general practitioners. Usually, the therapy comprises transcutaneous electrical nerve stimulation using a forearm brace. Manual therapy, performed by specialised physiotherapists, is prescribed before transcutaneous electrical nerve stimulation and forearm brace use. However, studies comparing the effectiveness of all methods are scarce. Objective To compare the therapeutic effects of manual therapy, transcutaneous electrical nerve stimulation, and forearm brace use, as well as the combination of all three. Methods Fifty-two patients diagnosed with epicondylopathia humeri radialis were randomised into three treatment arms: a combination of manual therapy, transcutaneous nerve stimulation, and forearm brace use (n=19); manual therapy only (n=18); and a combination of forearm brace use and transcutaneous nerve stimulation (n=15). All measurements and therapies, excluding manual therapy, were performed at the first author’s practice premises. The primary outcomes included range of motion and pain intensity; the secondary outcomes were elbow function and psychological well-being. Primary and secondary outcomes were measured before and at 4 and 8 weeks after treatment using the Patient Rated Tennis Elbow Evaluation Questionnaire and the Short Form Health Survey Questionnaire. Results The range of motion and pain intensity did not differ among the groups. Conclusion Manual therapy alone was as effective as the combination of transcutaneous nerve stimulation and forearm brace use for epicondylopathia humeri radialis. Our findings support the inclusion of manual therapy as a stand-alone therapy option in the guidelines for treating patients with epicondylopathia humeri radialis.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":"33 1","pages":"79 - 86"},"PeriodicalIF":0.8,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44887882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Beyer, N. Best, J. Glaesener, L. Kasprick, A. Reisshauer, M. Liebl
{"title":"Rehabilitative Kompetenz im Akutbereich verankern: die\u0000 rehabilitationsbeauftragte Ärztin/der rehabilitationsbeauftragte\u0000 Arzt im Krankenhaus (Kurzfassung)","authors":"J. Beyer, N. Best, J. Glaesener, L. Kasprick, A. Reisshauer, M. Liebl","doi":"10.1055/a-1792-3123","DOIUrl":"https://doi.org/10.1055/a-1792-3123","url":null,"abstract":"Die Übergänge aus der Krankenhausbehandlung in die nachfolgenden\u0000 Versorgungssysteme haben sich bereits durch das eingeführte\u0000 Entlassmanagement verbessert. Jedoch gewährleisten weder die\u0000 Krankenhausbehandlung selbst noch das Entlassmanagement derzeit die volle\u0000 Ausschöpfung vorhandener Rehabilitationspotentiale. In den\u0000 Akutkliniken fehlt im ärztlichen Bereich eine ausreichende\u0000 rehabilitationsmedizinische Kompetenz, und zwar sowohl im Hinblick auf die\u0000 Durchführung der stationären Behandlung mit rehabilitativer\u0000 Zielsetzung (vgl. § 39 SGB V, § 43 SGB IX) als auch im Hinblick\u0000 auf die rehabilitativ ausgerichtete Weiterversorgung einschließlich der\u0000 zeitnahen Vermittlung in eine bedarfsgerechte Rehabilitationseinrichtung.\u0000 Rehabilitationsmedizinische Kompetenz innerhalb von\u0000 Krankenhäusern kann über das Einführen\u0000 einer/eines ärztlichen Reha-Beauftragten mit klaren\u0000 Qualifikationsvorgaben erreicht werden.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42364905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}