Cargando…
Effectiveness of High-Intensity Laser Therapy Plus Ultrasound-Guided Peritendinous Hyaluronic Acid Compared to Therapeutic Exercise for Patients with Lateral Elbow Tendinopathy
Lateral elbow tendinopathy (LET) is a common painful musculoskeletal disorder. Several treatments have been proposed to provide pain reduction and functional recovery, including laser therapy, hyaluronic acid peritendinous injection (Hy-A), and therapeutic exercise (TE). Our study aims to assess the...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9572841/ https://www.ncbi.nlm.nih.gov/pubmed/36233361 http://dx.doi.org/10.3390/jcm11195492 |
_version_ | 1784810717587701760 |
---|---|
author | Pellegrino, Raffaello Paolucci, Teresa Brindisino, Fabrizio Mondardini, Paolo Di Iorio, Angelo Moretti, Antimo Iolascon, Giovanni |
author_facet | Pellegrino, Raffaello Paolucci, Teresa Brindisino, Fabrizio Mondardini, Paolo Di Iorio, Angelo Moretti, Antimo Iolascon, Giovanni |
author_sort | Pellegrino, Raffaello |
collection | PubMed |
description | Lateral elbow tendinopathy (LET) is a common painful musculoskeletal disorder. Several treatments have been proposed to provide pain reduction and functional recovery, including laser therapy, hyaluronic acid peritendinous injection (Hy-A), and therapeutic exercise (TE). Our study aims to assess the effectiveness of a combined approach with high-intensity laser therapy (HILT) and Hy-A injections compared to TE on pain, muscle strength, and disability in patients with painful LET. A retrospective longitudinal study was carried out by consulting the medical records of patients with a diagnosis of painful LET formulated by clinical and instrumental findings that received functional evaluations, including the Patient-Rated Tennis Elbow Evaluation (PRTEE) and muscle strength measurement at least four times: T0 (“baseline”), 1-month (T1), 3-month (T2), and 6-month follow-ups (T3). Medical records of 80 patients were analyzed. In the HILT + HyA group, the Peak-strength (p < 0.001) and mean strength (p < 0.001) significantly increased compared to the TE group between study times. For the PRTEE-total-score as for the subscales, the HILT + HyA group reported statistically significant reductions only for the comparisons of baseline versus T1 and baseline versus T2. No serious adverse events occurred. Our findings suggest that Hy-A associated with HILT might be more effective than TE for people with LET in the short–medium term. |
format | Online Article Text |
id | pubmed-9572841 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-95728412022-10-17 Effectiveness of High-Intensity Laser Therapy Plus Ultrasound-Guided Peritendinous Hyaluronic Acid Compared to Therapeutic Exercise for Patients with Lateral Elbow Tendinopathy Pellegrino, Raffaello Paolucci, Teresa Brindisino, Fabrizio Mondardini, Paolo Di Iorio, Angelo Moretti, Antimo Iolascon, Giovanni J Clin Med Article Lateral elbow tendinopathy (LET) is a common painful musculoskeletal disorder. Several treatments have been proposed to provide pain reduction and functional recovery, including laser therapy, hyaluronic acid peritendinous injection (Hy-A), and therapeutic exercise (TE). Our study aims to assess the effectiveness of a combined approach with high-intensity laser therapy (HILT) and Hy-A injections compared to TE on pain, muscle strength, and disability in patients with painful LET. A retrospective longitudinal study was carried out by consulting the medical records of patients with a diagnosis of painful LET formulated by clinical and instrumental findings that received functional evaluations, including the Patient-Rated Tennis Elbow Evaluation (PRTEE) and muscle strength measurement at least four times: T0 (“baseline”), 1-month (T1), 3-month (T2), and 6-month follow-ups (T3). Medical records of 80 patients were analyzed. In the HILT + HyA group, the Peak-strength (p < 0.001) and mean strength (p < 0.001) significantly increased compared to the TE group between study times. For the PRTEE-total-score as for the subscales, the HILT + HyA group reported statistically significant reductions only for the comparisons of baseline versus T1 and baseline versus T2. No serious adverse events occurred. Our findings suggest that Hy-A associated with HILT might be more effective than TE for people with LET in the short–medium term. MDPI 2022-09-20 /pmc/articles/PMC9572841/ /pubmed/36233361 http://dx.doi.org/10.3390/jcm11195492 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Pellegrino, Raffaello Paolucci, Teresa Brindisino, Fabrizio Mondardini, Paolo Di Iorio, Angelo Moretti, Antimo Iolascon, Giovanni Effectiveness of High-Intensity Laser Therapy Plus Ultrasound-Guided Peritendinous Hyaluronic Acid Compared to Therapeutic Exercise for Patients with Lateral Elbow Tendinopathy |
title | Effectiveness of High-Intensity Laser Therapy Plus Ultrasound-Guided Peritendinous Hyaluronic Acid Compared to Therapeutic Exercise for Patients with Lateral Elbow Tendinopathy |
title_full | Effectiveness of High-Intensity Laser Therapy Plus Ultrasound-Guided Peritendinous Hyaluronic Acid Compared to Therapeutic Exercise for Patients with Lateral Elbow Tendinopathy |
title_fullStr | Effectiveness of High-Intensity Laser Therapy Plus Ultrasound-Guided Peritendinous Hyaluronic Acid Compared to Therapeutic Exercise for Patients with Lateral Elbow Tendinopathy |
title_full_unstemmed | Effectiveness of High-Intensity Laser Therapy Plus Ultrasound-Guided Peritendinous Hyaluronic Acid Compared to Therapeutic Exercise for Patients with Lateral Elbow Tendinopathy |
title_short | Effectiveness of High-Intensity Laser Therapy Plus Ultrasound-Guided Peritendinous Hyaluronic Acid Compared to Therapeutic Exercise for Patients with Lateral Elbow Tendinopathy |
title_sort | effectiveness of high-intensity laser therapy plus ultrasound-guided peritendinous hyaluronic acid compared to therapeutic exercise for patients with lateral elbow tendinopathy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9572841/ https://www.ncbi.nlm.nih.gov/pubmed/36233361 http://dx.doi.org/10.3390/jcm11195492 |
work_keys_str_mv | AT pellegrinoraffaello effectivenessofhighintensitylasertherapyplusultrasoundguidedperitendinoushyaluronicacidcomparedtotherapeuticexerciseforpatientswithlateralelbowtendinopathy AT paolucciteresa effectivenessofhighintensitylasertherapyplusultrasoundguidedperitendinoushyaluronicacidcomparedtotherapeuticexerciseforpatientswithlateralelbowtendinopathy AT brindisinofabrizio effectivenessofhighintensitylasertherapyplusultrasoundguidedperitendinoushyaluronicacidcomparedtotherapeuticexerciseforpatientswithlateralelbowtendinopathy AT mondardinipaolo effectivenessofhighintensitylasertherapyplusultrasoundguidedperitendinoushyaluronicacidcomparedtotherapeuticexerciseforpatientswithlateralelbowtendinopathy AT diiorioangelo effectivenessofhighintensitylasertherapyplusultrasoundguidedperitendinoushyaluronicacidcomparedtotherapeuticexerciseforpatientswithlateralelbowtendinopathy AT morettiantimo effectivenessofhighintensitylasertherapyplusultrasoundguidedperitendinoushyaluronicacidcomparedtotherapeuticexerciseforpatientswithlateralelbowtendinopathy AT iolascongiovanni effectivenessofhighintensitylasertherapyplusultrasoundguidedperitendinoushyaluronicacidcomparedtotherapeuticexerciseforpatientswithlateralelbowtendinopathy |