Document Detail

Rehabilitation for patients with lateral epicondylitis: a systematic review.
MedLine Citation:
PMID:  15162109     Owner:  NLM     Status:  MEDLINE    
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.
Daniel Trudel; Jennifer Duley; Ingrid Zastrow; Erin W Kerr; Robyn Davidson; Joy C MacDermid
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
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:
Created Date:  2004-05-26     Completed Date:  2004-10-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8806591     Medline TA:  J Hand Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  243-66     Citation Subset:  IM    
Canadian Forces Base Kingston, Ontario, Canada.
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MeSH Terms
Acupuncture Therapy
Electromagnetic Fields
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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