[HTML][HTML] Extracorporeal shock wave therapy vs cryoultrasound therapy in the treatment of chronic lateral epicondylitis. One year follow up study

MC Vulpiani, SM Nusca, M Vetrano… - … and Tendons Journal, 2015 - ncbi.nlm.nih.gov
MC Vulpiani, SM Nusca, M Vetrano, S Ovidi, R Baldini, C Piermattei, A Ferretti, VM Saraceni
Muscles, Ligaments and Tendons Journal, 2015ncbi.nlm.nih.gov
Background the purpose of this study is to compare the therapeutic effects of extracorporeal
shock wave therapy (ESWT) to those of cryoultrasound (Cryo-US) therapy in chronic lateral
epicondylitis during a 12-month period. Methods single-blinded, randomized, controlled
study of 80 participants treated for chronic LE with 3 ESWT sessions at 48/72-hours intervals
(n= 40) or 12 Cryo-US therapy sessions (4 sessions per week)(n= 40). VAS and satisfactory
results, considered as the sum of excellent and good scores in the Roles and Maudsley …
Summary
Background
the purpose of this study is to compare the therapeutic effects of extracorporeal shock wave therapy (ESWT) to those of cryoultrasound (Cryo-US) therapy in chronic lateral epicondylitis during a 12-month period.
Methods
single-blinded, randomized, controlled study of 80 participants treated for chronic LE with 3 ESWT sessions at 48/72-hours intervals (n= 40) or 12 Cryo-US therapy sessions (4 sessions per week)(n= 40). VAS and satisfactory results, considered as the sum of excellent and good scores in the Roles and Maudsley score, were used as outcome measures at baseline and 3, 6 and 12 months post-treatment.
Results
the results show statistically significant differences in VAS between the two groups at 6 (p< 0.001) and 12 months (p< 0.001) in favour of the ESWT Group. At 12 months, a difference of more than 2 points in the VAS between the two groups is demonstrated in favour of the ESWT Group. Considering satisfactory results, significant differences between the two groups are observed at 6 (p= 0.003) and 12 months (p< 0.001) in favour of the ESWT Group where patients achieve a satisfactory rate over 50%.
Conclusions
ESWT has better clinical therapeutic results at 6-and 12-month follow-up as compared to Cryo-US therapy.
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