Konservativa interventioner vid lateral epikondylalgi: Systematisk litteraturstudie
Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
Lateral epicondylalgia is one of the most common conditions in the musculoskeletal system and has a prevalence of 1–3 % and an annual incidence of 0,4 % of the general population. Cases of lateral epicondylalgia have been documented for more than a century and yet there is still a lack of comprehensive research regarding the pathophysiology and etiology. In the literature there are over fourty interventions described for lateral epicondylalgia. The purpose of this study was to compile the evidence for the conservative interventions of lateral epicondylalgia. The authors conducted a literature search in the databases AMED, CINAHL, PubMed and Scopus in October 2011, resulting in thirty-four included RCTs. Articles were reviewed according to the PEDro quality scale and were transferred to a probative, then compiled to a value of evidence-strength according to the SBU. The authors concluded a limited scientific basis for that self-rated health did not increase in use of orthotics in acute pain of lateral epicondylalgia. For intervention of subacute pain, the authors found a moderately strong scientific basis that pain decreases in use of elbow mobilization and a limited scientific basis was found that pain decreases in use of cervical manipulation and orthotics. In case of long-lasting pain a limited scientific basis was found that pain decreases in use of laser therapy. Regardless of pain stage, it was concluded a moderately strong scientific basis for positive effect in use of elbow mobilization and a limited scientific basis for positive effect of laser therapy, physical exercise and cervical manipulation. It was also concluded a limited scientific basis for no effect of orthotics and TENS, regardless of pain stage. The studies combined several interventions, which provided an inadequate evidence-image. However, strongest clinical evidence was concluded for use of elbow mobilization, which showed a moderately strong scientific basis that pain decreases.
Place, publisher, year, edition, pages
2012. , 70 p.
Medicin, evidens, intervention, lateral epikondylalgi, smärta
IdentifiersURN: urn:nbn:se:ltu:diva-48682Local ID: 61b99e88-e807-4d42-9015-517f3ccdb8f8OAI: oai:DiVA.org:ltu-48682DiVA: diva2:1022025
Subject / course
Student thesis, at least 15 credits
Physiotherapy, bachelor's level
Validerat; 20120118 (anonymous)2016-10-042016-10-04Bibliographically approved