The effects of a new designed forearm orthosis in treatment of lateral epicondylitis

Forogh, Bijan; Khalighi, Mohsen; Javanshir, Mohammad Ali; Ghoseiri, Kamiar; Kamali, Mohammad; Raissi, Gholam Reza

doi:10.3109/17483107.2011.635330

Cited by 14 publications

(16 citation statements)

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“…18,[167][168][169][170][172][173][174][175][176][177][178][179][180][181][182][183][184][185][188][189][190][191][192][193][194][195][196][197][198] The majority of studies had small sample sizes (≤ 50 participants, n = 18; 51-100 participants, n = 15; > 100 participants, n = 3).…”

Section: Randomised Controlled Trials Not Included In An Existing Sysmentioning

confidence: 99%

What is the clinical effectiveness and cost-effectiveness of conservative interventions for tendinopathy? An overview of systematic reviews of clinical effectiveness and systematic review of economic evaluations

Long

Briscoe

Cooper

et al. 2015

Health Technology Assessment

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BackgroundLateral elbow tendinopathy (LET) is a common complaint causing characteristic pain in the lateral elbow and upper forearm, and tenderness of the forearm extensor muscles. It is thought to be an overuse injury and can have a major impact on the patient’s social and professional life. The condition is challenging to treat and prone to recurrent episodes. The average duration of a typical episode ranges from 6 to 24 months, with most (89%) reporting recovery by 1 year.ObjectivesThis systematic review aims to summarise the evidence concerning the clinical effectiveness and cost-effectiveness of conservative interventions for LET.Data sourcesA comprehensive search was conducted from database inception to 2012 in a range of databases including MEDLINE, EMBASE and Cochrane Databases.Methods and outcomesWe conducted an overview of systematic reviews to summarise the current evidence concerning the clinical effectiveness and a systematic review for the cost-effectiveness of conservative interventions for LET. We identified additional randomised controlled trials (RCTs) that could contribute further evidence to existing systematic reviews. We searched MEDLINE, EMBASE, Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature, Web of Science, The Cochrane Library and other important databases from inception to January 2013.ResultsA total of 29 systematic reviews published since 2003 matched our inclusion criteria. These were quality appraised using the Assessment of Multiple Systematic Reviews (AMSTAR) checklist; five were considered high quality and evaluated using a Grading of Recommendations, Assessment, Development and Evaluation approach. A total of 36 RCTs were identified that were not included in a systematic review and 29 RCTs were identified that had only been evaluated in an included systematic review of intermediate/low quality. These were then mapped to existing systematic reviews where further evidence could provide updates. Two economic evaluations were identified.LimitationsThe summary of findings from the review was based only on high-quality evidence (scoring of > 5 AMSTAR). Other limitations were that identified RCTs were not quality appraised and dichotomous outcomes were also not considered. Economic evaluations took effectiveness estimates from trials that had small sample sizes leading to uncertainty surrounding the effect sizes reported. This, in turn, led to uncertainty of the reported cost-effectiveness and, as such, no robust recommendations could be made in this respect.ConclusionsClinical effectiveness evidence from the high-quality systematic reviews identified in this overview continues to suggest uncertainty as to the effectiveness of many conservative interventions for the treatment of LET. Although new RCT evidence has been identified with either placebo or active controls, there is uncertainty as to the size of effects reported within them because of the small sample size. Conclusions regarding cost-effectiveness are also unclear. We consider that, although updated or new systematic reviews may also be of value, the primary focus of future work should be on conducting large-scale, good-quality clinical trials using a core set of outcome measures (for defined time points) and appropriate follow-up. Subgroup analysis of existing RCT data may be beneficial to ascertain whether or not certain patient groups are more likely to respond to treatments.Study registrationThis study is registered as PROSPERO CRD42013003593.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Section: Randomised Controlled Trials Not Included In An Existing Sysmentioning

confidence: 99%

What is the clinical effectiveness and cost-effectiveness of conservative interventions for tendinopathy? An overview of systematic reviews of clinical effectiveness and systematic review of economic evaluations

Long

Briscoe

Cooper

et al. 2015

Health Technology Assessment

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“…Of them, 26 were selected as study samples who aged 30-55 years [7] and reported pain in the lateral epicondyle of the humerus which aggravated by pressure on the epicondyle and was resistant to wrist extension. The exclusion criteria consisted of receiving any treatment for the condition in the past month; having a history of fracture, dislocation, half dislocation, osteoarthritis or elbow surgery [8]; limited elbow mobility, or suffering from arthritic diseases [5].…”

Section: Methodsmentioning

confidence: 99%

“…Its prevalence in the general population, in jobs requiring repetitive tasks, and in tennis players are 3-8%, 15% and 50%, respectively. It is common in people aged 35-55 years; it is almost twice as frequent in the dominant hand, compared to the non-dominant hand [3][4][5]. LE is one of the most common causes of lateral elbow pain.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Using Brace Combined With Low Level Laser Therapy on the Pain and Disability of People With Lateral Epicondylitis

Kazemi

Karimi

Honarmand

et al. 2018

PTJ

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Purpose: Lateral Epicondylitis (LE) or tennis elbow is one of the most frequent complications in the general population. Moreover, it is one of the most common lesions in the work-related upper limb. This disease has a significant impact on the daily activities of individuals and their performance. The most frequent problem in patients with LE is pain in the proximal forearm. The current study evaluated and compared a simple proximal forearm strap and a counterforce brace combined with Low Level Laser Therapy (LLLT). Methods: In this quasi-experimental study, 26 patients with LE were selected as samples using non-probability sampling technique (convenience method). They were randomly divided into the two groups of simple brace and brace+LLLT. Jamar Digital Hand Dynamometer, Visual Analog Scale, and the Disabilities of Arm, Shoulder and Hand (DASH) questionnaire were used to measure grip strength, pain and the disability of samples, respectively. The comparison of studied parameters was performed by repeated measures Analysis of Variance (ANOVA). Results: The mean pain score significantly decreased in both groups; however, the difference between the two groups was not significant. The simple counterforce brace had no significant effect on grip strength, but in the group who used counterforce brace with LLLT, the grip strength significantly increased. The mean disability scores decreased significantly in both groups; however, the difference was not significant between the two groups. The counterforce brace with LLLT had more effect on the reduction of disability. Conclusion: Both tested braces could affect grip strength, pain, and the disability of patients with LE. The counterforce brace with LLLT was superior to the simple counterforce brace only on grip strength.

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“…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%

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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The effects of a new designed forearm orthosis in treatment of lateral epicondylitis

Cited by 14 publications

References 10 publications

What is the clinical effectiveness and cost-effectiveness of conservative interventions for tendinopathy? An overview of systematic reviews of clinical effectiveness and systematic review of economic evaluations

What is the clinical effectiveness and cost-effectiveness of conservative interventions for tendinopathy? An overview of systematic reviews of clinical effectiveness and systematic review of economic evaluations

The Effect of Using Brace Combined With Low Level Laser Therapy on the Pain and Disability of People With Lateral Epicondylitis

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

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