皮质类固醇注射与深度摩擦按摩治疗外侧上髁炎的疗效比较

Dr.Arun Kumar, Dr. P Krishna Sandeep, D. S. Ramkumar, D. A. Ravi, Dr. Yeshwanth Subash
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摘要

背景:外上髁炎主要发生在中年人群。尽管有大量的研究,但它仍然是一种知之甚少的疾病,没有明确的治疗指南。本研究的目的是比较深度摩擦按摩与皮质类固醇注射治疗外侧上髁炎的效果。方法:采用随机对照试验进行结果比较。将患者分为两组。第一组接受皮质类固醇注射,第二组接受深度摩擦按摩。治疗前后分别测量手臂、肩膀和手部残疾(DASH)评分、视觉模拟量表(VAS)和握力。结果:预计6-12周得到结果,随访6个月。随访6 ~ 12周,两组患者VAS疼痛评分、DASH评分、握力均有明显改善。在6个月的随访中,VAS疼痛评分、握力和DASH评分均显示深度摩擦按摩组患者有明显改善。结论:对于外上髁炎,深摩擦按摩是最好的治疗方法,可用于各种治疗方法均无效的患者。与皮质类固醇注射相比,这种形式的治疗具有良好的功能效果,没有任何并发症。
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Efficacy of corticosteroid injection vs deep friction massage in lateral epicondylitis
Background: Lateral epicondylitis affects people mainly in middle-aged groups. Despite numerous studies, it is still a poorly understood illness with no clear treatment guidelines. The goal of the study was to compare deep friction massage vs corticosteroid injection for the management of lateral epicondylitis. Methods: To compare outcomes, a randomised controlled trial was conducted. The patients were divided into 2 different groups. The first group was given a corticosteroid injection, while the second was given a deep friction massage. Disabilities of the Arm, Shoulder, and Hand (DASH) scores, visual analogue scale (VAS), and grip strength were measured before and after treatment. Results: The results were expected in 6-12 weeks, with a 6-month follow-up. At the 6-to 12-week follow-up, both groups showed significant improvements in VAS pain score, DASH score, and grip strength. At the 6-month follow-up, all three end measures, VAS pain score, grip strength, and DASH score, indicated a substantial improvement in group 2 deep friction massage. Conclusion: For lateral epicondylitis, deep friction massage is the best line of management and can be utilized in patients for whom various treatment options have failed. This form of treatment gives good functional outcomes without any complications as compared to a corticosteroid injection.
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