Muscle Energy Technique Versus Corticosteroid Injection for Management of Chronic Lateral Epicondylitis: Randomized Controlled Trial With 1-Year Follow-up

Basit Öğe Kaydı
dc.contributor.authorKucuksen, Sami
dc.contributor.authorYilmaz, Halim
dc.contributor.authorSalli, Ali
dc.contributor.authorUgurlu, Hatice
dc.date.accessioned2024-02-23T14:02:06Z
dc.date.available2024-02-23T14:02:06Z
dc.date.issued2013
dc.departmentNEÜen_US
dc.description.abstractObjective: To determine the short- and long-term effectiveness of the muscle energy technique (MET) compared with corticosteroid injections (CSIs) for chronic lateral epicondylitis (LE). Design: Randomized controlled trial with 1 year of follow-up. Setting: Outpatient clinic of a university's department of physical medicine and rehabilitation. Participants: Patients with chronic LE (N=82; 45 women, 37 men). Interventions: Eight sessions of MET, or a single CSI was applied. Main Outcome Measures: Grip strength, pain intensity, and functional status were assessed using the pain-free grip strength (PFGS), a visual analog scale (VAS), and the Disabilities of the Aim, Shoulder and Hand (DASH) questionnaire, respectively. Measurements were performed before beginning treatment and at 6, 26, and 52 weeks afterward. Results: When the baseline PFGS, VAS, and DASH scores were compared with the scores at the 52-week follow-up, statistically significant improvements were observed in both groups over time. The patients who received a CSI showed significantly better effects at 6 weeks according to the PFGS and VAS scores, but declined thereafter. At the 26- and 52-week follow-ups, the patients who received the MET were statistically significantly better in terms of grip strength and pain scores. At 52 weeks, the mean PFGS score in the MET group was significantly higher (75.08 +/- 26.19 vs 62.24 +/- 21.83; P=.007) and the mean VAS score was significantly lower (3.28 +/- 2.86 vs 4.95 +/- 2.36; P=.001) than those of the CSI group. Although improvements in the DASH scores were more pronounced in the MET group, the differences in DASH scores between the groups were not statistically significant. Conclusions: This study showed that while both MET and CSI improved measures of strength, pain, and function compared with baseline, subjects receiving MET had better scores at 52 weeks for PFGS and the VAS for pain. We conclude that MET appears to be an effective intervention in the treatment of LE. (C) 2013 by the American Congress of Rehabilitation Medicineen_US
dc.identifier.doi10.1016/j.apmr.2013.05.022
dc.identifier.endpage2074en_US
dc.identifier.issn0003-9993
dc.identifier.issn1532-821X
dc.identifier.issue11en_US
dc.identifier.pmid23796685en_US
dc.identifier.scopus2-s2.0-84886722265en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2068en_US
dc.identifier.urihttps://doi.org/10.1016/j.apmr.2013.05.022
dc.identifier.urihttps://hdl.handle.net/20.500.12452/11587
dc.identifier.volume94en_US
dc.identifier.wosWOS:000326852600005en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofArchives Of Physical Medicine And Rehabilitationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCorticosteroidsen_US
dc.subjectEpicondylitis, Lateral Humeralen_US
dc.subjectFunctionen_US
dc.subjectHand Strengthen_US
dc.subjectPainen_US
dc.subjectPhysiologyen_US
dc.subjectRehabilitationen_US
dc.titleMuscle Energy Technique Versus Corticosteroid Injection for Management of Chronic Lateral Epicondylitis: Randomized Controlled Trial With 1-Year Follow-upen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu