Comparison of effects of phonophoresis and iontophoresis of naproxen in the treatment of lateral epicondylitis

Başkurt, Ferdi; Özcan, Ayşe; Algun, Candan

doi:10.1191/0269215503cr588oa

Cited by 58 publications

(26 citation statements)

References 12 publications

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“…However, the systematic review of Sayegh & Strauch [11] regarding the effectiveness of physical interventions for lateral epicondylalgia reported contradictions in the results and heterogeneity of the interventions. Additionally, how the drugs intervene with iontophoresis was not considered making it difficult to draw conclusions about the treatment [12][13][14][15][16]. Pooled data from the RCTs point at a lack of intermediate to long-term clinical benefit for the nonsurgical treatment of lateral epicondylitis compared with observation only or placebo.…”

Section: Res Inves Sports Med Research and Investigations In Sports Medmentioning

confidence: 99%

A Systematic Review on the Efficacy of Iontophoresis as a Treatment for Lateral Epicondylitis

McKivigan¹

2017

RISM

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Background and purpose: It is still inconclusive which method of iontophoresis delivers the most medication deepest through the skin, and therefore most effective in treating lateral epicondylitis. The purpose of this systematic review is to analyze the efficacy of treatments for lateral epicondylitis using iontophoresis. Method:The review included articles from peer-reviewed journals with sufficient data related to the purpose and focus of the study. Inclusion criteria included randomized control trials, cohort studies, case studies, systematic reviews, meta-analyses, and pilot studies published since 2000. Results:Fourteen relevant studies were identified. Twelve were experimental in vivo studies, two were review studies. All studies were published 2002 through 2015, providing a robust overview of treatments over the last 15 years. Discussion and conclusion: Among studies in this systemic review, pooled data from RCTs pointed to minimal intermediate-to long-term clinical benefit for the nonsurgical treatment of lateral epicondylitis. Of drug treatments, the most frequently used in iontophoresis are dexamethasone and lidocaine. Studies of iontophoresis with dexamethasone show evidence that the combination of treatments may be effective in reducing pain; there is evidence supporting the iontophoretic administration of dexamethasone as an alternative to other medication and oral therapy. Based on this review, it is not conclusive that iontophoresis be recommended as a treatment approach for the management of epicondylitis, however iontophoresis should not be ruled out in treating epicondylitis as it is a dose-response modality. More research and review of research is needed on the use of iontophoresis in managing epicondylitis.

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Section: Res Inves Sports Med Research and Investigations In Sports Medmentioning

confidence: 99%

A Systematic Review on the Efficacy of Iontophoresis as a Treatment for Lateral Epicondylitis

McKivigan¹

2017

RISM

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“…Ne može se realno procjeniti koliko u ovom ima značaja samo mirovanje koje prati ovaj vid liječenja. (8,9).…”

Section: Zaključak I Komentarunclassified

Znacaj Terapije Epikondilitisa Lakta Metodom Jonoforeze

Ždrale¹,

Radanović²,

Vuković³

2016

SIZ

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Ključne riječi: epicondilitis lateralis cubiti, jontoforeza, dexomen, mirovanje, klinički pregled. UVODKolateralni epikondilits je entenzopatija često zvani teniski lakat. On je mjesto polazišta ekstenzora šake i prstiju. /1/ Najčešće i najintezivnije zahvata musculus extensor caerpi radialis brevis i extensor digitorum communis /2/. Spada u najčešća obolenja tzv. van zglobnog reumatizma. Iz tih razloga ni terminologija nije usaglašena. Kod nas je dugo stavljen u grupu van zglobnog reumatizma. Amerikanci ga zovu "Oversus syndrom", Rusi "perenapreienie sustavov". Zadnjih godina se svrstava s pravom u sindrom entenzopatija. Obzirom na nejedinstvenu etilogiju možda je zadnji naziv i najbolji, jer bar upućuje na karakter anatomske promjene i na lokaciju iste. Oboljnje je često i pogadja oko 2,5% cjelokupne populacije. /2/ Naziv teniski lakat je često korišten, mada kod nas to ne prelazi 5% ovih bolesnika. Taj naziv je uveo Morris 1883 godine. Kod nas se to najčešće javlja kod zanatlija koji rade alatom posebno čvrsto drežeći isti i stalno izvode istvovremeno ponavljanje pokrete, koji opterećuje iste mišiće. To su zidari, stolari, kovači, radnici na mašinama alatnicama, sjekači, radnici sa vibracionim alatima. (3) Može se slobodno reći da je to profesionalna bolest, u PREGLEDNI NAUČNI RAD

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“…186 Iontophoresis with topical naproxen showed similar benefits in pain and function scores in patients with epicondylitis. 187 Of note, no studies have compared topical nonsteroidal anti-inflammatory drugs (NSAIDs) with topical steroids in epicondylitis.…”

Section: Evidencementioning

confidence: 99%

“…In 1 randomized study of 60 patients with lateral epicondylitis, phonophoresis and iontophoresis with topical 10% naproxen showed similar benefits in pain and function scores. 186,187 In overuse syndromes, rest, ice, stretching, and activity modification are mainstays of therapy. Although formal studies are lacking, NSAID phonophoresis has been used with anecdotal success.…”

Section: Evidencementioning

confidence: 99%

Therapeutic Modalities—An Updated Review for the Hand Surgeon

Hartzell

Rubinstein

Herman

2012

The Journal of Hand Surgery

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Comparison of effects of phonophoresis and iontophoresis of naproxen in the treatment of lateral epicondylitis

Abstract: The results suggest that iontophoresis and phonophoresis of naproxen are equally effective electrotherapy methods in the treatment of lateral epicondylitis.

Cited by 58 publications

References 12 publications

A Systematic Review on the Efficacy of Iontophoresis as a Treatment for Lateral Epicondylitis

A Systematic Review on the Efficacy of Iontophoresis as a Treatment for Lateral Epicondylitis

Znacaj Terapije Epikondilitisa Lakta Metodom Jonoforeze

Therapeutic Modalities—An Updated Review for the Hand Surgeon

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