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Conservative treatment of lateral epicondylitis: Comparison of two different orthotic devices
Clinical Rheumatology, 05/09/08
Print     Email This Article     Save in My Library   Free Abstract
Altan L et al. – Although epicondyle bandage was not found to be superior to wrist splint, it could be favored over splint since it is more practical and cosmetically acceptable.

Methods
  • Effectiveness of braces in the treatment of lateral epicondylitis was investigated
  • Effects of two different types of most frequently used braces were compared
  • 50 pts (7 males; 43 females; age 34-60)
  • Pts were distributed into two groups; group I: 25 pts were given a lateral epicondyle bandage; group II: 25 pts were given a wrist resting splint holding the wrist in slight dorsiflexion
  • Evaluations of the pts were done before treatment and at the second and sixth wks of treatment
  • Evaluation parameters were pain during rest and movement, sensitivity, algometer score, hand grip strength, and evaluation of the response to treatment
  • The response to treatment was evaluated according to the following categories: excellent, good, medium, and bad

Results
  • In group I, only pain during rest and movement decreased at 2 wks while improvement was obtained for all parameters at 6 wks
  • In group II, all parameters except for algometric sensitivity showed improvement at 2 wks
  • Improvement was obtained for all parameters at 6 wks in this group
  • Comparison of the two groups showed better improvement in resting pain in group II at 2 wks while there was no difference for other parameters
  • Braces might be a good strategy to help wait out the natural course of tennis elbow complaints


 

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