Comparison of an epicondylitis bandage with a wrist orthosis in patients with lateral epicondylitis

Akkurt, Halil Ekrem; Kocabaş, Hilal; Yılmaz, Halim; Eser, Cemile; Şen, Zafer; Erol, Kemal; Göksu, Hamit; Karaca, Gülten; Baktik, Suleyman

doi:10.1177/0309364618774193

Cited by 13 publications

(10 citation statements)

References 28 publications

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“…The meta-analysis (Figure 3(a)) showed a small-to-moderate improvement in favor of the wrist splint group on pain scores (SMD 0.35; 95% CI −0.07 to 0.76) with moderate statistical heterogeneity (heterogeneity χ 2 = 9.08 (p = 0.059) I 2 = 55.9%). However, only Akkurt et al 29 showed a small improvement in favor of a counterforce brace group at six weeks (SMD −0.07; 95% CI −0.50 to 0.36). The trial by Forogh et al 32 used a new orthosis with a covered forearm in the comparison group.…”

Section: Counterforce Brace Versus Wrist Splintmentioning

confidence: 94%

“…After screening based on title and abstract, 79 studies were selected for full-text evaluation. Finally, 17 RCTs 3, [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] were considered in the final synthesis. However, one study 3 was removed from the meta-analysis due to categorical data.…”

Section: Study Selectionmentioning

confidence: 99%

“…Finally, almost all of the studies had a low or unclear risk of bias regarding whether the groups were similar at baseline for the most important prognostic indicators, only one RCT was assessed as having a high risk of bias. 44 Overall, the quality of four studies 3,31,39,43 was considered "good," five studies 30,32,37,41,44 were considered "fair," and eight studies 29,[33][34][35][36]38,40,42 were considered "poor." Supplemental Figure 2 presents the percentage of reviewers' judgments for each risk of bias item.…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

“…Five trials 29,30,32,33,42 were included in this comparison. The meta-analysis (Figure 3(a)) showed a small-to-moderate improvement in favor of the wrist splint group on pain scores (SMD 0.35; 95% CI −0.07 to 0.76) with moderate statistical heterogeneity (heterogeneity χ 2 = 9.08 (p = 0.059) I 2 = 55.9%).…”

Section: Counterforce Brace Versus Wrist Splintmentioning

confidence: 99%

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The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy

Shahabi

Lankarani

Heydari

et al. 2020

Prosthetics &Amp; Orthotics International

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Background: Lateral elbow tendinopathy, also known as “tennis elbow” or “lateral epicondylitis,” is a common disease leading to pain in the lateral side of the elbow and disability during hand gripping. A counterforce brace is one of the most conventional treatments. However, its effects on outcomes remain inconclusive. Objectives: To investigate the effects of counterforce braces on pain in subjects with lateral elbow tendinopathy. Grip strength was reviewed as a secondary outcome. Study design: Systematic review and meta-analysis of randomized controlled trials. Methods: PubMed, Embase, Scopus, Web of Science, CENTRAL, PEDro, ProQuest, RECAL, and RehabData were searched from January 1, 1995, through June 15, 2019. Results: Seventeen studies were included with a total of 1145 participants. A small improvement in pain over the short term (standardized mean difference −0.02; 95% confidence interval: −0.85 to 0.80) and a moderate-to-large improvement in pain in subjects 45 years or younger (standardized mean difference −0.86; 95% confidence interval: −2.45 to 0.72) in favor of the brace versus physiotherapy interventions were found. In contrast, over the long-term physiotherapy interventions (standardized mean difference 1.17; 95% confidence interval: −0.00 to 2.34), wrist splint (standardized mean difference 0.35; 95% confidence interval: −0.07 to 0.76), and laser therapy (standardized mean difference 0.58; 95% confidence interval: −0.44 to 1.59) had better effects on pain improvement versus the brace. Conclusion: The results indicated that physiotherapy interventions compared to counterforce braces have better effects, especially over the long-term. However, counterforce braces may have better effects on pain in younger people (<45 years old) over the short term (<6 weeks). Clinical relevance The results suggest that counterforce bracing is a reasonable strategy to alleviate pain over the short term. However, the subgroup analysis suggests that factors such as age may have a role in their effectiveness.

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Section: Counterforce Brace Versus Wrist Splintmentioning

confidence: 94%

Section: Study Selectionmentioning

confidence: 99%

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

Section: Counterforce Brace Versus Wrist Splintmentioning

confidence: 99%

See 2 more Smart Citations

The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy

Shahabi

Lankarani

Heydari

et al. 2020

Prosthetics &Amp; Orthotics International

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“…Furthermore, there are wrist orthoses which should reduce the overload on the wrist extensors. However, the reported effects of those orthoses in LE are heterogeneous and there are limited studies that compare different orthotic devices against each other or a placebo with a high evidence level [ 18 – 20 ]. There are no studies that evaluate the effect of a dynamic wrist orthoses.…”

Section: Introductionmentioning

confidence: 99%

Prospective randomized controlled trial in the treatment of lateral epicondylitis with a new dynamic wrist orthosis

et al. 2018

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BackgroundIn the treatment of lateral epicondylitis (LE), the role of a new dynamic wrist orthosis is unclear.Patients and methodsPatients suffering from a LE longer than 3 months were multicentrically and prospectively randomized into a physiotherapeutic group (PT group) and in a physiotherapy group plus wrist orthosis (PT + O group). Physiotherapy consisted of daily eccentric strengthening exercises under initial professional supervision. Inclusion criteria were a Placzek score greater than 4. Exclusion criteria were previous surgery, rheumatic arthritis, elbow instability, radicular symptoms, higher-grade extensor tendon rupture, or cervical osteoarthritis. The clinical evaluation was performed after 12 weeks and 12 months. The Patient-Rated Tennis Elbow Evaluation (PRTEE) scale, Placzek Score, the pain rating (VAS), range of motion and the Subjective Elbow Score were evaluated.ResultsOf the initially 61 patients, 31 were followed up after 12 weeks and 22 after 12 months. Twenty-nine patients (43%) were male, the mean age was 46, and 44 patients (66%) had the right elbow involved. At 12 weeks, there was a pain reduction on the VAS in both groups (PT + O: 6.5–3.7 [p = .001]; PT: 4.7–4.1 [p = .468]), albeit it was only significant for the PT + O group. At 12 months, reduction was significant in both groups (PT + O: 1.1 [p = .000]; PT: 1.3 [p = .000]). The painless maximum hand strength in kg improved in both groups significant after 3 and 12 months. The Placzek score was reduced from 8.25 to 3.5 [p = .001] after 12 weeks for the PT + O group and from 8.1 to 3.8 [p = .000] in the PT group, as well as after 12 months in the PT + O group to 0 [p = .000] and in the PT group to 2.0 [p = .000]. The PRTEE improved in both groups after 12 weeks (PT + O: 52.8––31.3 [p = .002]; PT: 48.6–37.6 [p = .185]) and 12 months (PT + O: 16.15 [p = .000]; PT: 16.6 [p = .000]), although the reduction at 12 weeks was not significant for the PT group.ConclusionThe elbow orthosis appears to accelerate the healing process with respect to the PRTEE and pain on the VAS (12 weeks follow-up), although there is an adjustment after 12 months in both groups and a significant improvement of symptoms is achieved in all endpoints.

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Comparative analysis of the therapeutic effects of extracorporeal shock wave therapy and high-intensity laser therapy in lateral epicondylitis: a randomised clinical trial

Sen,

Kosehasanogullari,

Yilmaz

et al. 2024

Rheumatol Int

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Comparison of an epicondylitis bandage with a wrist orthosis in patients with lateral epicondylitis

Abstract: Epicondylitis bandage and hand-wrist resting orthosis are equally effective treatment options for lateral epicondylitis-induced pain, functional status, muscle strength, and quality of life.

Cited by 13 publications

References 28 publications

The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy

The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy

Prospective randomized controlled trial in the treatment of lateral epicondylitis with a new dynamic wrist orthosis

Comparative analysis of the therapeutic effects of extracorporeal shock wave therapy and high-intensity laser therapy in lateral epicondylitis: a randomised clinical trial

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