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A single blind, placebo controlled study of acupuncture versus pulsed ultrasound and deep transverse friction in the treatment of lateral epicondylagia

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dc.contributor.author Bell-Jenje TC en
dc.date.accessioned 2016-09-22T11:19:01Z
dc.date.available 2016-09-22T11:19:01Z
dc.date.submitted 1999 en
dc.identifier.uri http://hdl.handle.net/20.500.11892/110615
dc.description.abstract Lateral epicondylagia, or tennis elbow, is a syndrome that commonly has a poor treatment outcome in clinical practice. There is little scientifically based evidence for the optimal treatment of this condition. The purpose of this study was to determine whether two different treatment regimens of pulsed ultrasound with deep transverse frictions (ultrasound /DTF) and acupuncture were superior to a placebo procedure of deactivated ultrasound in patients with the clinical diagnosis of lateral epicondylagia. Testing procedures included the assessment of joint and neural tissue function. The purpose of this was to identify any associated dysfunction of the three joint elbow complex or the neural tissue and to determine the effect that any of these three treatment groups might have on the outcome of these structures. Thirty-one participants fulfilling the diagnostic criteria were entered into the study, randomly assigned into one of the three treatment groups. Outcome measures resting pain, grip strength, lifting test, most positive isometric test, and upper limb tension test with radial nerve bias (ULTT2b) were assessed before and after each treatment session for a total of six treatments. The ultrasound /DTF and acupuncture groups were found to be superior to the placebo treatment for the lifting test outcome measure only (ANOVA, p>0.05). All other differences amongst the three groups were non-significant (ANOVA, p<0.05). This trial verified the power of a placebo procedure, as this group showed a trend of improvement over the six treatments. The acupuncture group was only as effective as a placebo procedure with patients experiencing an immediate post-intervention worsening of symptoms. The premise that lateral epicondylagia might be a multistructural pathology was supported as adverse neural tension was reproduced in 58% of participants prior to intervention. This improved significantly in both the ultrasound /DTF and acupuncture groups (McNemar's test for symmetry, p<0.05), demonstrating the effect these two treatment regimens inadvertently had on neural tissue extensibility. Similarly, signs of articular dysfunction improved, especially in the ultrasound /DTF group. en
dc.language English en
dc.title A single blind, placebo controlled study of acupuncture versus pulsed ultrasound and deep transverse friction in the treatment of lateral epicondylagia en
dc.type Masters degree en
dc.description.degree MSc(Physiotherapy) en


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