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Welcome to the literature resource section.
We have created a library of the latest evidenced-based research within the physiotherapy field of practice, orthopedic rehabilitation and medicine.
Our library is expanding every day. If you would like to make a contribution to our library by posting a journal article you will be entered into PT Health's Journal Contest. The individual that contributes the most legitimate journal articles will receive $1500.00.
POST AN ARTICLE
We have created a library of the latest evidenced-based research within the physiotherapy field of practice, orthopedic rehabilitation and medicine.
Our library is expanding every day. If you would like to make a contribution to our library by posting a journal article you will be entered into PT Health's Journal Contest. The individual that contributes the most legitimate journal articles will receive $1500.00.
POST AN ARTICLE
Physiotherapy Research
Journal Name:
British Medical Journal (333) 939 ,1-6
Article Title:
Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial.
Abstract:
Objective To investigate the efficacy of physiotherapy compared with a wait and see approach or corticosteroid injections over 52 weeks in tennis elbow. Design Single blind randomised controlled trial. Setting Community setting, Brisbane, Australia. Participants 198 participants aged 18 to 65 years with a clinical diagnosis of tennis elbow of a minimum six weeks’ duration, who had not received any other active treatment by a health practitioner in the previous six months. Interventions Eight sessions of physiotherapy; corticosteroid injections; or wait and see. Main outcome measures Global improvement, grip force, and assessor’s rating of severity measured at baseline, six weeks, and 52 weeks. Results Corticosteroid injection showed significantly better effects at six weeks but with high recurrence rates thereafter (47/65 of successes subsequently regressed) and significantly poorer outcomes in the long term compared with physiotherapy. Physiotherapy was superior to wait and see in the short term; no difference was seen at 52 weeks, when most participants in both groups reported a successful outcome. Participants who had physiotherapy sought less additional treatment, such as non-steroidal anti-inflammatory drugs, than did participants who had wait and see or injections. Conclusion Physiotherapy combining elbow manipulation and exercise has a superior benefit to wait and see in the first six weeks and to corticosteroid injections after six weeks, providing a reasonable alternative to injections in the mid to long term. The significant short term benefits of corticosteroid injection are paradoxically reversed after six weeks, with high recurrence rates, implying that this treatment should be used with caution in the management of tennis elbow
Posted By:
admin
Posted Date:
2007-06-22
Posting(s) to Date:
13
British Medical Journal (333) 939 ,1-6
Article Title:
Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial.
Abstract:
Objective To investigate the efficacy of physiotherapy compared with a wait and see approach or corticosteroid injections over 52 weeks in tennis elbow. Design Single blind randomised controlled trial. Setting Community setting, Brisbane, Australia. Participants 198 participants aged 18 to 65 years with a clinical diagnosis of tennis elbow of a minimum six weeks’ duration, who had not received any other active treatment by a health practitioner in the previous six months. Interventions Eight sessions of physiotherapy; corticosteroid injections; or wait and see. Main outcome measures Global improvement, grip force, and assessor’s rating of severity measured at baseline, six weeks, and 52 weeks. Results Corticosteroid injection showed significantly better effects at six weeks but with high recurrence rates thereafter (47/65 of successes subsequently regressed) and significantly poorer outcomes in the long term compared with physiotherapy. Physiotherapy was superior to wait and see in the short term; no difference was seen at 52 weeks, when most participants in both groups reported a successful outcome. Participants who had physiotherapy sought less additional treatment, such as non-steroidal anti-inflammatory drugs, than did participants who had wait and see or injections. Conclusion Physiotherapy combining elbow manipulation and exercise has a superior benefit to wait and see in the first six weeks and to corticosteroid injections after six weeks, providing a reasonable alternative to injections in the mid to long term. The significant short term benefits of corticosteroid injection are paradoxically reversed after six weeks, with high recurrence rates, implying that this treatment should be used with caution in the management of tennis elbow
Posted By:
admin
Posted Date:
2007-06-22
Posting(s) to Date:
13