A Comparison of the short-term effects of steroid injection, prolotherapy and home-based physiotherapy in patients with chronic lateral elbow tendinopathy

Gökhan Bayrak; Hakan Zora

Article Details

A Comparison of the short-term effects of steroid injection, prolotherapy and home-based physiotherapy in patients with chronic lateral elbow tendinopathy

Authors:

Gökhan Bayrak | Hakan Zora

Publisher:

Adıyaman University

Main Topics:

Fizyoterapi

Journal:

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi Vol.10 Issue 1, pp.45-54

Document Type:

Article

Publication Date:

4/2024

Document Language:

English

Document ID (Org No.):

2001315237

pISSN:

2458-9179

Keywords:

Abstract:

 Aim: This study aims to compare the effects of steroid injection SI, prolotherapy, and home-based physiotherapy on pain and function in short-term in chronic lateral elbow tendinopathy LET patients. Materials and Methods: Patients with chronic LET admitted to the orthopedic clinic between 2022 and 2023 were divided into SI n17, prolotherapy n17 and home-based physiotherapy n17 groups. Visual Analogue Scale VAS, Quick Disability Assessment of Arm, Shoulder and Hand Problems QuickDASH, and Health Assessment Questionnaire HAQ for pain and function before, two, and six weeks after treatment were compared. Results: Second and sixth-week VAS, QuickDASH and HAQ were significantly lower in SI and prolotherapy than home-based physiotherapy group p0.001. In the sixth week, sufficient improvement was achieved in VAS, QuickDASH and HAQ in SI compared to prolotherapy and home-based physiotherapy p0.001, η20.30-0.42. Conclusion: SI, prolotherapy, and home-based physiotherapy improved elbow pain and function in short-term, but SI was greater effective. SI may be effective for short-term improvement in chronic LET patients.

 Aim: This study aims to compare the effects of steroid injection SI, prolotherapy, and home-based physiotherapy on pain and function in short-term in chronic lateral elbow tendinopathy LET patients. Materials and Methods: Patients with chronic LET admitted to the orthopedic clinic between 2022 and 2023 were divided into SI n17, prolotherapy n17 and home-based physiotherapy n17 groups. Visual Analogue Scale VAS, Quick Disability Assessment of Arm, Shoulder and Hand Problems QuickDASH, and Health Assessment Questionnaire HAQ for pain and function before, two, and six weeks after treatment were compared. Results: Second and sixth-week VAS, QuickDASH and HAQ were significantly lower in SI and prolotherapy than home-based physiotherapy group p0.001. In the sixth week, sufficient improvement was achieved in VAS, QuickDASH and HAQ in SI compared to prolotherapy and home-based physiotherapy p0.001, η20.30-0.42. Conclusion: SI, prolotherapy, and home-based physiotherapy improved elbow pain and function in short-term, but SI was greater effective. SI may be effective for short-term improvement in chronic LET patients.

 Aim: This study aims to compare the effects of steroid injection SI, prolotherapy, and home-based physiotherapy on pain and function in short-term in chronic lateral elbow tendinopathy LET patients. Materials and Methods: Patients with chronic LET admitted to the orthopedic clinic between 2022 and 2023 were divided into SI n17, prolotherapy n17 and home-based physiotherapy n17 groups. Visual Analogue Scale VAS, Quick Disability Assessment of Arm, Shoulder and Hand Problems QuickDASH, and Health Assessment Questionnaire HAQ for pain and function before, two, and six weeks after treatment were compared. Results: Second and sixth-week VAS, QuickDASH and HAQ were significantly lower in SI and prolotherapy than home-based physiotherapy group p0.001. In the sixth week, sufficient improvement was achieved in VAS, QuickDASH and HAQ in SI compared to prolotherapy and home-based physiotherapy p0.001, η20.30-0.42. Conclusion: SI, prolotherapy, and home-based physiotherapy improved elbow pain and function in short-term, but SI was greater effective. SI may be effective for short-term improvement in chronic LET patients.

 Amaç: Bu çalışmanın amacı, kronik lateral dirsek tendinopatili LDT hastalarda steroid enjeksiyonu SE, proloterapi ve ev-tabanlı fizyoterapinin kısa dönemde ağrı ve fonksiyon üzerindeki etkilerini karşılaştırmaktır. Gereç ve Yöntem: 2022-2023 yılları arasında ortopedi kliniğine başvuran kronik LDTli hastalar SE n17, proloterapi n17 ve ev-tabanlı fizyoterapi n17 gruplarına ayrılmıştır. Tedavi öncesi, ikinci ve altıncı hafta ağrı ve fonksiyon için Görsel Analog Skalası GAS, Kol, Omuz ve El Sorunları Hızlı Anketi QuickDASH ve Sağlık Değerlendirme Ölçeği SDÖ karşılaştırıldı. Bulgular: İkinci ve altıncı hafta GAS, QuickDASH ve SDÖ değerleri SE ve proloterapi grubunda ev-tabanlı fizyoterapi grubuna göre anlamlı şekilde düşüktü p0.001. Altıncı haftada GAS, QuickDASH ve SDÖde SE grubunda proloterapi ve ev-tabanlı fizyoterapiye göre etkili iyileşme sağlanmıştır p0,001, η20,30-0,42. Sonuç: SE, proloterapi ve ev-tabanlı fizyoterapi kısa dönemde dirsek ağrısı ve fonksiyonunu iyileştirmektedir, ancak SE daha etkilidir. SE kronik LDTli hastalarda kısa dönemde iyileşme için etkili olabilir.

Article Details

A Comparison of the short-term effects of steroid injection, prolotherapy and home-based physiotherapy in patients with chronic lateral elbow tendinopathy

Authors:

Gökhan Bayrak | Hakan Zora

Publisher:

Adıyaman University

Main Topics:

Fizyoterapi

Journal:

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi Vol.10 Issue 1, pp.45-54

Document Type:

Article

Publication Date:

4/2024

Document Language:

English

Document ID (Org No.):

2001315237

pISSN:

2458-9179

Elbow tendinopathy

Injections

Steroids

Prolotherapy

PhysiotherapyDirsek tendinopatisi

Enjeksiyonlar

Steroidler

Proloterapi

Fizyoterapi

Issues

Article Details

Authors: Gökhan Bayrak | Hakan Zora

Publisher: Adıyaman University

Main Topics: Fizyoterapi

Journal: Adıyaman Üniversitesi Sağlık Bilimleri Dergisi Vol.10 Issue 1, pp.45-54

Document Type: Article

Publication Date: 4/2024

Document Language: English

Document ID (Org No.): 2001315237

pISSN: 2458-9179

Issues

Authors:

Gökhan Bayrak | Hakan Zora

Publisher:

Adıyaman University

Main Topics:

Fizyoterapi

Journal:

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi Vol.10 Issue 1, pp.45-54

Document Type:

Article

Publication Date:

4/2024

Document Language:

English

Document ID (Org No.):

2001315237

pISSN:

2458-9179