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Comparison of short-term effects of deep transverse friction massage and extracorporeal shock wave therapy in the treatment of lateral epicondylitis

Year 2020, Volume: 45 Issue: 1, 48 - 55, 31.03.2020
https://doi.org/10.17826/cumj.640715

Abstract

Purpose: This study aimed to determine and compare (a) the short-term effects of deep transverse friction massage (DTFM) and extracorporeal shock wave therapy (ESWT) on pain, grip strength, function in patients with lateral epicondylitis (LE) and (b) the costs of both treatment modalities.
Materials and Methods: A total of 52 patients (39 females, 13 males) with LE were randomly divided into two groups: DTFM group (n=25) and ESWT group (n=27). Six sessions of DTFM was applied for the patients in DTFM group twice a week. Three sessions of ESWT was applied for the patients in the other group once a week. Pre- and post-treatment pain severity, pain threshold, grip strength, and functional status of the patients were assessed by the Mayo Elbow Performance Index (MEPI) and Disabilities of the Arm, Shoulder, and Hand (DASH-T) questionnaire.
Results: In both groups, a significant decrease was observed in pain at rest and during activity, DASH-T and there was a significant increase in the pain threshold, grip strength and MEPI scores after the treatment. However, DTFM was found to be more effective than ESWT in terms of reducing pain during activity and improving functionality. The treatment costs were found to be TRY 69.60 for DTFM and TRY 124.0 for ESWT.
Conclusion: DTFM, which can be easily applied by a physiotherapist, does not require expensive devices or equipment and is less costly, can be used as an effective method in the treatment of patients with LE. 

References

  • 1. Tang HY, Yu T, Wei W, Zhao Y. Effect of extracorporeal shock wave for tennis elbow: A protocol for systematic review of randomized controlled trial. Medicine. 2019;98(7):e14517.
  • 2. Stasinopoulos D. Can extracorporeal shock-wave therapy be used for the management of lateral elbow tendinopathy? World J Methodol. 2018;8(3):37-9.
  • 3. Calfee RP, Patel A, DaSilva MF, Akelman E. Management of lateral epicondylitis: current concepts. J Am Acad Orthop Surg. 2008;16(1):19-29.
  • 4. Herquelot E, Bodin J, Roquelaure Y, Ha C, Leclerc A, Goldberg M, et al. Work-related risk factors for lateral epicondylitis and other cause of elbow pain in the working population. Am J Ind Med. 2013;56(4):400-9.
  • 5. Waugh EJ, Jaglal SB, Davis AM, Tomlinson G, Verrier MC. Factors associated with prognosis of lateral epicondylitis after 8 weeks of physical therapy. Arch Phys Med Rehabil. 2004;85(2):308-18.
  • 6. Buchbinder R, Green SE, Youd JM, Assendelft WJ, Barnsley L, Smidt N. Systematic review of the efficacy and safety of shock wave therapy for lateral elbow pain. J Rheumatol. 2006;33(7):1351-63.
  • 7. Ozturan KE, Yucel I, Cakici H, Guven M, Sungur I. Autologous blood and corticosteroid injection and extracoporeal shock wave therapy in the treatment of lateral epicondylitis. Orthopedics. 2010;33(2):84-91.
  • 8. Spacca G, Necozione S, Cacchio A. Radial shock wave therapy for lateral epicondylitis: a prospective randomised controlled single-blind study. Eura Medicophys. 2005;41(1):17-25.
  • 9. Yi R, Bratchenko WW, Tan V. Deep Friction Massage Versus Steroid Injection in the Treatment of Lateral Epicondylitis. Hand (N Y). 2018;13(1):56-9.
  • 10. Loew LM, Brosseau L, Tugwell P, Wells GA, Welch V, Shea B, et al. Deep transverse friction massage for treating lateral elbow or lateral knee tendinitis. Cochrane Database Syst Rev. 2014;8(11):CD003528.
  • 11. Gunduz R, Malas FU, Borman P, Kocaoglu S, Ozcakar L. Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis. Clinical and ultrasonographical comparison. Clin Rheumatol. 2012;31(5):807-12.
  • 12. Somprasong S, Mekhora K, Vachalathiti R, Pichaiyongwongdee S. Correlation between Pressure Pain Threshold and Soft Tissue Displacement in Muscle Pain Conditions. J Med Assoc Thai. 2015;98(5):68-73.
  • 13. Solgaard S, Kristiansen B, Jensen JS. Evaluation of instruments for measuring grip strength. Acta Orthop Scand. 1984;55(5):569-72.
  • 14. Celik D. Psychometric properties of the Mayo Elbow Performance Score. Rheumatol Int. 2015;35(6):1015-20.
  • 15. Düger T, Yakut E, Öksuz Ç, Yörükan S, Bilgütay BS, Ayhan Ç, et al. Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Turk J Physiother Rehabil. 2006;17(3):99-107.
  • 16. Hisli N. Beck depresyon envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji Dergisi. 1989;7(23):3-13.
  • 17. Ware J, Jr., Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-33.
  • 18. Stasinopoulos D, Johnson MI. Effectiveness of extracorporeal shock wave therapy for tennis elbow (lateral epicondylitis). Br J Sports Med. 2005;39(3):132-6.
  • 19. Notarnicola A, Moretti B. The biological effects of extracorporeal shock wave therapy (eswt) on tendon tissue. Muscles Ligaments Tendons J. 2012;2(1):33-7.
  • 20. Aydin A, Atic R. Comparison of extracorporeal shock-wave therapy and wrist-extensor splint application in the treatment of lateral epicondylitis: a prospective randomized controlled study. J Pain Res. 2018;11:1459-67.
  • 21. Speed C. A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence. Br J Sports Med. 2014;48(21):1538-42.
  • 22. Bisset L, Paungmali A, Vicenzino B, Beller E. A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia. Br J Sports Med. 2005;39(7):411-22.
  • 23. Staples MP, Forbes A, Ptasznik R, Gordon J, Buchbinder R. A randomized controlled trial of extracorporeal shock wave therapy for lateral epicondylitis (tennis elbow). J Rheumatol. 2008;35(10):2038-46.
  • 24. Wang CJ. Extracorporeal shockwave therapy in musculoskeletal disorders. J Orthop Surg Res. 2012;7:11.
  • 25. Yan C, Xiong Y, Chen L, Endo Y, Hu L, Liu M, et al. A comparative study of the efficacy of ultrasonics and extracorporeal shock wave in the treatment of tennis elbow: a meta-analysis of randomized controlled trials. J Orthop Surg Res. 2019;14(1):248.
  • 26. Vasseljen O. Low-level Laser versus Traditional Physiotherapy in the Treatment of Tennis Elbow. Physiotherapy. 1992;78(5):329-34.
  • 27. Nagrale AV, Herd CR, Ganvir S, Ramteke G. Cyriax physiotherapy versus phonophoresis with supervised exercise in subjects with lateral epicondylalgia: a randomized clinical trial. J Man Manip Ther. 2009;17(3):171-8.
  • 28. Olaussen M, Holmedal O, Mdala I, Brage S, Lindbaek M. Corticosteroid or placebo injection combined with deep transverse friction massage, Mills manipulation, stretching and eccentric exercise for acute lateral epicondylitis: a randomised, controlled trial. BMC Musculoskelet Disord. 2015;16:122.

Lateral epikondilit tedavisinde derin transvers friksiyon masajı ve ekstrakorporeal şok dalga tedavisinin kısa dönem etkilerinin karşılaştırılması

Year 2020, Volume: 45 Issue: 1, 48 - 55, 31.03.2020
https://doi.org/10.17826/cumj.640715

Abstract

Amaç: Bu çalışmamızda (a) lateral epikondilit (LE) tanılı hastalarda derin transvers friksiyon masajı (DTFM) ve ekstrakorporeal şok dalga tedavisinin (ESWT) ağrı, kavrama kuvveti, fonksiyon üzerindeki kısa dönem etkilerini ve (b) her iki tedavi yönteminin maliyetlerini belirlemeyi ve karşılaştırmayı amaçladık.
Gereç ve Yöntem: Çalışmamıza LE tanısı alan 52 hasta (39 kadın, 13 erkek) randomize olarak iki gruba ayrıldı: DTFM grubu (n=25) ve ESWT (n=27) grubu. DF grubundaki hastalara haftada 2 gün toplam 6 seans DTFM uygulandı. ESWT grubundaki hastalara haftada bir kez 3 seans ESWT uygulandı. Tedavi öncesi ve tedaviden hemen sonraki ağrı şiddeti, ağrı eşiği, kavrama kuvveti, fonksiyonel durum (Mayo Dirsek Performans Skorlama Sistemi-MDPSS ve Kol, Omuz ve El Sorunları Anketi-DASH-T) değerlendirildi.
Bulgular: Her iki grubun tedavi sonrası istirahat ve aktivite sırasındaki ağrılarında, DASH-T skorlarında tedavi öncesine göre anlamlı derecede azalma; ağrı eşiği, kavrama kuvveti ve MDPSS skorunda ise anlamlı derecede artış saptandı. Bununla birlikte DTFM aktivite sırasındaki ağrının azaltılması ve fonksiyonelliğin arttırılmasında açısından ESWT’ye göre daha etkili bulundu. DTFM’nin tedavi maliyeti 69.60 TL, ESWT nin ise 124 TL olarak belirlendi.
Sonuç: Fizyoterapist tarafından kolaylıkla uygulanabilen, pahalı cihaz-ekipman gerektirmeyen ve daha az maliyetli olan DTFM, LE’li hastaların tedavisinde etkili bir tedavi yöntemi olarak kullanılabilir.  

References

  • 1. Tang HY, Yu T, Wei W, Zhao Y. Effect of extracorporeal shock wave for tennis elbow: A protocol for systematic review of randomized controlled trial. Medicine. 2019;98(7):e14517.
  • 2. Stasinopoulos D. Can extracorporeal shock-wave therapy be used for the management of lateral elbow tendinopathy? World J Methodol. 2018;8(3):37-9.
  • 3. Calfee RP, Patel A, DaSilva MF, Akelman E. Management of lateral epicondylitis: current concepts. J Am Acad Orthop Surg. 2008;16(1):19-29.
  • 4. Herquelot E, Bodin J, Roquelaure Y, Ha C, Leclerc A, Goldberg M, et al. Work-related risk factors for lateral epicondylitis and other cause of elbow pain in the working population. Am J Ind Med. 2013;56(4):400-9.
  • 5. Waugh EJ, Jaglal SB, Davis AM, Tomlinson G, Verrier MC. Factors associated with prognosis of lateral epicondylitis after 8 weeks of physical therapy. Arch Phys Med Rehabil. 2004;85(2):308-18.
  • 6. Buchbinder R, Green SE, Youd JM, Assendelft WJ, Barnsley L, Smidt N. Systematic review of the efficacy and safety of shock wave therapy for lateral elbow pain. J Rheumatol. 2006;33(7):1351-63.
  • 7. Ozturan KE, Yucel I, Cakici H, Guven M, Sungur I. Autologous blood and corticosteroid injection and extracoporeal shock wave therapy in the treatment of lateral epicondylitis. Orthopedics. 2010;33(2):84-91.
  • 8. Spacca G, Necozione S, Cacchio A. Radial shock wave therapy for lateral epicondylitis: a prospective randomised controlled single-blind study. Eura Medicophys. 2005;41(1):17-25.
  • 9. Yi R, Bratchenko WW, Tan V. Deep Friction Massage Versus Steroid Injection in the Treatment of Lateral Epicondylitis. Hand (N Y). 2018;13(1):56-9.
  • 10. Loew LM, Brosseau L, Tugwell P, Wells GA, Welch V, Shea B, et al. Deep transverse friction massage for treating lateral elbow or lateral knee tendinitis. Cochrane Database Syst Rev. 2014;8(11):CD003528.
  • 11. Gunduz R, Malas FU, Borman P, Kocaoglu S, Ozcakar L. Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis. Clinical and ultrasonographical comparison. Clin Rheumatol. 2012;31(5):807-12.
  • 12. Somprasong S, Mekhora K, Vachalathiti R, Pichaiyongwongdee S. Correlation between Pressure Pain Threshold and Soft Tissue Displacement in Muscle Pain Conditions. J Med Assoc Thai. 2015;98(5):68-73.
  • 13. Solgaard S, Kristiansen B, Jensen JS. Evaluation of instruments for measuring grip strength. Acta Orthop Scand. 1984;55(5):569-72.
  • 14. Celik D. Psychometric properties of the Mayo Elbow Performance Score. Rheumatol Int. 2015;35(6):1015-20.
  • 15. Düger T, Yakut E, Öksuz Ç, Yörükan S, Bilgütay BS, Ayhan Ç, et al. Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Turk J Physiother Rehabil. 2006;17(3):99-107.
  • 16. Hisli N. Beck depresyon envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji Dergisi. 1989;7(23):3-13.
  • 17. Ware J, Jr., Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-33.
  • 18. Stasinopoulos D, Johnson MI. Effectiveness of extracorporeal shock wave therapy for tennis elbow (lateral epicondylitis). Br J Sports Med. 2005;39(3):132-6.
  • 19. Notarnicola A, Moretti B. The biological effects of extracorporeal shock wave therapy (eswt) on tendon tissue. Muscles Ligaments Tendons J. 2012;2(1):33-7.
  • 20. Aydin A, Atic R. Comparison of extracorporeal shock-wave therapy and wrist-extensor splint application in the treatment of lateral epicondylitis: a prospective randomized controlled study. J Pain Res. 2018;11:1459-67.
  • 21. Speed C. A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence. Br J Sports Med. 2014;48(21):1538-42.
  • 22. Bisset L, Paungmali A, Vicenzino B, Beller E. A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia. Br J Sports Med. 2005;39(7):411-22.
  • 23. Staples MP, Forbes A, Ptasznik R, Gordon J, Buchbinder R. A randomized controlled trial of extracorporeal shock wave therapy for lateral epicondylitis (tennis elbow). J Rheumatol. 2008;35(10):2038-46.
  • 24. Wang CJ. Extracorporeal shockwave therapy in musculoskeletal disorders. J Orthop Surg Res. 2012;7:11.
  • 25. Yan C, Xiong Y, Chen L, Endo Y, Hu L, Liu M, et al. A comparative study of the efficacy of ultrasonics and extracorporeal shock wave in the treatment of tennis elbow: a meta-analysis of randomized controlled trials. J Orthop Surg Res. 2019;14(1):248.
  • 26. Vasseljen O. Low-level Laser versus Traditional Physiotherapy in the Treatment of Tennis Elbow. Physiotherapy. 1992;78(5):329-34.
  • 27. Nagrale AV, Herd CR, Ganvir S, Ramteke G. Cyriax physiotherapy versus phonophoresis with supervised exercise in subjects with lateral epicondylalgia: a randomized clinical trial. J Man Manip Ther. 2009;17(3):171-8.
  • 28. Olaussen M, Holmedal O, Mdala I, Brage S, Lindbaek M. Corticosteroid or placebo injection combined with deep transverse friction massage, Mills manipulation, stretching and eccentric exercise for acute lateral epicondylitis: a randomised, controlled trial. BMC Musculoskelet Disord. 2015;16:122.
There are 28 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research
Authors

Nihal Büker 0000-0001-7259-7983

Raziye Şavkın 0000-0002-1636-4082

Feyza Altındal 0000-0001-7181-0906

Hasan Atacan Tonak 0000-0002-3545-936X

Publication Date March 31, 2020
Acceptance Date December 10, 2019
Published in Issue Year 2020 Volume: 45 Issue: 1

Cite

MLA Büker, Nihal et al. “Lateral Epikondilit Tedavisinde Derin Transvers Friksiyon Masajı Ve Ekstrakorporeal şok Dalga Tedavisinin kısa dönem Etkilerinin karşılaştırılması”. Cukurova Medical Journal, vol. 45, no. 1, 2020, pp. 48-55, doi:10.17826/cumj.640715.