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Comparison of four treatment approaches for lateral epicondylitis of the elbow
Halle JS, Franklin RJ, Karalfa BL
The Journal of Orthopaedic and Sports Physical Therapy 1986 Aug;8(2):62-69
clinical trial
2/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The relative effectiveness of four treatment protocols on lateral epicondylitis of the elbow were compared by assessing patient pain responses with a modified McGill Pain Questionnaire. The four protocols examined were ultrasound and a home program, ultrasound with 10% hydrocortisone and a home program, transcutaneous electrical nerve stimulation and a home program, and subcutaneous injection with a steroid and a home program. A total of 48 subjects were used in the study, with 12 in each treatment category. All protocols descriptively showed a decrease in mean pain intensity after the 5-day treatment time, and all of the pain indexes showed some statistical differences between pre-and post-treatment values, indicating that all the treatments were effective in reducing pain. The analysis also demonstrated, however, that the four treatment protocols did not differ significantly in their effectiveness, so the treatment of choice should be based on clinical considerations.

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