| Rehabilitation for patients with lateral epicondylitis: a systematic review. | |
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MedLine Citation:
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PMID: 15162109 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this systematic review was to determine the effectiveness of conservative treatments for lateral epicondylitis and to provide recommendations based on this evidence. Five reviewers searched computerized bibliographic databases for articles on the conservative treatment of lateral epicondylitis from the years 1983 to 2003. A total of 209 studies were located; however, only 31 of these met the study inclusion criteria. Each of the articles was randomly allocated to reviewers and critically appraised using a structured critical appraisal tool with 23 items. Treatment recommendations were based on this rating and Sackett's Level of Evidence. This review has determined, with at least level 2b evidence, that a number of treatments, including acupuncture, exercise therapy, manipulations and mobilizations, ultrasound, phonophoresis, Rebox, and ionization with diclofenac all show positive effects in the reduction of pain or improvement in function for patients with lateral epicondylitis. There is also at least level 2b evidence showing laser therapy and pulsed electromagnetic field therapy to be ineffective in the management of this condition. Practitioners should use the treatment techniques that have strongest evidence and ensure that studies findings are generalized to patients who are similar to those reported in primary research studies in terms of patient demographics and injury presentation. |
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Authors:
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Daniel Trudel; Jennifer Duley; Ingrid Zastrow; Erin W Kerr; Robyn Davidson; Joy C MacDermid |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Journal of hand therapy : official journal of the American Society of Hand Therapists Volume: 17 ISSN: 0894-1130 ISO Abbreviation: J Hand Ther Publication Date: 2004 Apr-Jun |
Date Detail:
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Created Date: 2004-05-26 Completed Date: 2004-10-26 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8806591 Medline TA: J Hand Ther Country: United States |
Other Details:
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Languages: eng Pagination: 243-66 Citation Subset: IM |
Affiliation:
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Canadian Forces Base Kingston, Ontario, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acupuncture Therapy Electromagnetic Fields Humans Laser Therapy Physical Therapy Modalities Tennis Elbow / therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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