Deep Friction Massage Versus Steroid Injection in the Treatment of Lateral Epicondylitis.
Deep Friction Massage Versus Steroid Injection in the Treatment of Lateral Epicondylitis.
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DOI：
10.1177/1558944717692088
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发表时间：
2018-01-01
期刊：
影响因子：
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通讯作者：
Tan, Virak
中科院分区：
文献类型：
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作者：
Yi, Rosemary;Bratchenko, Walter W;Tan, Virak
背景：本研究的目的是通过比较夹板治疗和治疗的对照组和局部注射类固醇的实验组的结果来确定深度摩擦按摩治疗外上髁炎的疗效。方法：进行一项随机临床试验，比较连续招募外上髁炎患者后的结果。患者随机接受3种治疗方法中的一种：1组：夹板和拉伸，2组：可的松注射，或3组：利多卡因注射加深摩擦按摩。测量视觉模拟量表（VAS）疼痛评分、手臂、肩和手残疾（DASH）评分、握力等治疗前后参数。结果：在早期随访（6-12周）和6个月随访时测量结果。早期随访时，各治疗组VAS疼痛评分均有显著改善。随访早期，可的松注射组和深摩擦按摩组的DASH评分和握力均有改善；这些参数在夹板和拉伸组没有改善。在6个月的随访中，只有深度摩擦按摩组的患者在VAS疼痛评分、DASH评分和握力等所有结果指标上均有显著改善。结论：深度摩擦按摩是治疗外上髁炎的有效方法，可用于注射可的松等非手术治疗失败的患者。
BACKGROUND: The aim of the study was to determine the efficacy of deep friction massage in the treatment of lateral epicondylitis by comparing outcomes with a control group treated with splinting and therapy and with an experimental group receiving a local steroid injection.METHODS: A randomized clinical trial was conducted to compare outcomes after recruitment of consecutive patients presenting with lateral epicondylitis. Patients were randomized to receive one of 3 treatments: group 1: splinting and stretching, group 2: a cortisone injection, or group 3: a lidocaine injection with deep friction massage. Pretreatment and posttreatment parameters of visual analog scale (VAS) pain ratings, Disabilities of the Arm, Shoulder and Hand (DASH) scores, and grip strength were measured.RESULTS: Outcomes were measured at early follow-up (6-12 weeks) and at 6-month follow-up. There was a significant improvement in VAS pain score in all treatment groups at early follow-up. DASH score and grip strength improved in the cortisone injection group and the deep friction massage group at early follow-up; these parameters did not improve in the splinting and stretching group. At 6-month follow-up, only patients in the deep friction massage group demonstrated a significant improvement in all outcome measures, including VAS pain score, DASH score, and grip strength.CONCLUSIONS: Deep friction massage is an effective treatment for lateral epicondylitis and can be used in patients who have failed other nonoperative treatments, including cortisone injection.