Journal of Rafsanjan University of Medical Sciences

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Background and Objectives: Lateral epicondylitis of the elbow is the most common contractile lesion of the elbow. It causes inflamation and pain at the origin of the wrist extensors muscles. The aim of this study was to evaluate the effect of low power laser on the treatment of lateral epicondylitis of elbow.
Materials and Methods: This double blinded clinical trial study was conducted in Fattemieh physiotherapy clinic of Rafsanjan. Fifty patients who were suffering from lateral epicondylitis of elbow were divided into two equal groups, randomly. One group received laser treatment and the other group was treated by placcbo. Intensity of local pain, radicular pain, sensitivity to palpation and grip strength were assessed in 1st, 5th and 10th sessions. Pain intensity and using grip strength were evaluated by Visual Analogue Scale and dynamometer respectively. Data were analysed using ANOVA, tuoky and chi-squire tests.
Results: Results showed that laser has been effective in reduction of local pain and in increasing of grip strength of lateral epicondylitis of elbow (p<0.0001). In 10th session, chi-squre test result revealed that low power laser can be effective in reduction of redicular pain and sensitivity to palpation of lateral epicondylitis of elbow (p<0.0001).
Conclusion: This can be concluded that after 10th session, laser can be effective on reduction of local and redicular pain, improving of sensitivity to palpation and increasing of grip strength of lateral epicondylitis of elbow.
Key words: Low power laser, Lateral epicondylitis of elbow, Treatment
 
Funding: This research was funded by Rafsanjan University of Medical Sciences.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Rafsanjan University of Medical Sciences approved this study.
 
How to cite this article: Shahimoridi D, Eghbali M, Vazirinejad R. The Effect of Low Power Laser in the Treatment of the Lateral Epicondylitis of Elbow. J Rafsanjan Univ Med Sci 2011; 10(2): 103-11. [Farsi]

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Background and Objective: Lateral epicondylitis of the elbow is the most common contractile lesion of the elbow and causes inflamation and pain at the origin of the wrist extensor muscles. The aim of this study was comparison of the effect of 1% Hydrocortisone Phonophoresis (1% HcP) with Low Level Laser Therapy (LLLT) on treatment of lateral epicondylis of elbow.

Materials and Methods: This randomized double blinded clinical trial was performed in Fatemieh physiotherapy clinic of Rafsanjan during 2015-2016. Seventy eight patients conflicted to epicondylitis of elbow were divided randomly into three equal groups. The first, second and third groups received 1% HcP, LLLT, and conventional therapy (CT), respectively. Intensity of local pain, radicular pain, sensitivity to palpation and grip strength were assessed during the first, fifth, and tenth sessions and 10 days after end of the treatment. Pain intensity and grip strenth were evaluated by visual analogue scale and dynamometer, respectively. Data were analyzed using two-way repeated measures ANOVA, followed by Tukey’s multiple comparisons test and chi-square test.

Results: The findings showed that 10 sessions of LLLT can be more effective than 1% HcP and CT in reduction of pain in lateral epicondylitis of elbow (p<0.001). Also the results of this study showed that LLLT in increasing grip strength can be more effective than CT (p=0.005) but LLLT in comparison with 1% HcP was not significantly different (P>0.05). In the tenth sessions, chi-squire test revealed that LLLT can be more effective than 1% HcP and conventional therapy in reduction of radicular pain and sensitivity to palpation of lateral epicondylitis of elbow (p<0.001).

Conclusion: From results of this study it can be concluded that during 10 sessions, LLLT could be more effective than 1% HcP and CT in reduction of local pain, radicular pain, and sensitivity to palpation of lateral epicondylitis of elbow.

Key words: Low Level Laser Therapy (LLLT), 1% Hydrocortisone Phonophoresis (1% HcP), Lateral Epicondylitis of Elbow

Funding: This research was funded by Rafsanjan University of Medical Sciences.

Conflict of interest: None declared.

Ethical approval: The Ethic Committee of Rafsanjan University of Medical Sciences approved the study.

How to cite this article: Shahimoridi D, Eghbali M, Abdollahpour HR, Mollahosseini M, Sheikh Fathollahi M. Comparison of 1% Hydrocortisone Phonophoresis with Low Level Laser on Treatment of Lateral Epicondylitis of Elbow: A Randomized Double-blind Clinical Trial. J Rafsanjan Univ Med Sci 2016; 15(8): 715-26. [Farsi]

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Background and Objectives: Conservative treatments for patients with tennis elbow syndrome include a set of nonsurgical methods to cure the inflammation of lateral epicondyle of humerus. The purpose of this article was to evaluate the effects of conservative treatments on pain, function and grip strength among patients with tennis elbow syndrome.
Materials and Methods: In an evidence-based systematic review and according to PICO (Patient, Intervention, Comparision, Out come) method, scientific databases including PubMed, ISI Web of Science and Scopus were searched for articles published during 2000 to 2017. Then titles and abstracts of the retrieved articles were reviewed and intervened according to the including criteria.
Results: Among 76 preliminary articles, 18 articles had the including criteria. 15 articles included physiotherapy methods and 3 articles included splints. 4 articles were about laser, 4 articles about shockwave therapy, 2 articles about acupuncture, 3 articles about combined conservative treatment methods, 3 articles about braces, 1 article was about transcutaneous electrical nerve stimulation (TENS) and 1 article about taping.
Conclusion: All treatment modalities are effective to cure tennis elbow. Combined methods are more preferable in comparison with single method treatments. There is no report of definite preference among different treatments. There were no mentions of side effects in any of the articles.
Key words: Conservative treatments, Pain, Function, Grip strength, Tennis elbow syndrome, Lateral epicondylitis of elbow
Funding: The project was supported by the University of Social Welfare and Rehabilitation Sciences.
Conflict of interest: None declared.Ethical approval: Ethical approval was obtained from the University of Social Welfare and Rehabilitation Sciences Ethics Committee. All participants signed the informed consent.
 
 
How to cite this article: Razi Kazemi H, Ahmadi Bani M, Pazhooman H. The Effects of Conservative Treatments on Pain, Function and Grip Strength among Patients with Tennis Elbow Syndrome: A Systematic Review. J Rafsanjan Univ Med Sci 2020; 18 (11): 1287-1300. [Farsi]