Orthotic devices for the treatment of tennis elbow

  • Review
  • Intervention

Authors


Abstract

Background

Lateral epicondylitis (tennis elbow) is a frequently reported condition. A wide variety of treatment strategies has been described. As of yet, no optimal strategy has been identified.

Objectives

To assess the effectiveness of orthotic devices for the treatment of tennis elbow.

Search methods

We searched Medline, Embase, CINAHL, the Cochrane Controlled Trial Register, Current Contents up to May 1999 and reference lists from all retrieved articles. Experts on the subjects were approached for additional trials.

Selection criteria

All randomised clinical trials (RCT) describing individuals with diagnosed lateral epicondylitis and comparing the use of an orthotic device as a treatment strategy were evaluated for inclusion.

Data collection and analysis

Two reviewers independently assessed the validity of the included trials and extracted data on relevant outcome measures. Dichotomous outcomes were expressed as Relative Risks (RRs) and continuous outcomes as Standardised Mean Differences (SMD), both with corresponding 95% confidence intervals (95% CI). Statistical pooling and subgroup analyses were intended

Main results

Five RCTs (N per group 7-49) were included. Validity score ranged from 3-9 positive items out of 11. Subgroup analyses were not performed due to the small number of trials. The limited number of included trials present few outcome measures and limited long-term results. Pooling was not possible due to large heterogeneity amongst trials.

Authors' conclusions

No definitive conclusions can be drawn concerning effectiveness of orthotic devices for lateral epicondylitis. More well-designed and well-conducted RCTs of sufficient power are warranted.

摘要

背景

矯正輔具用於治療網球肘

肱骨外上髁炎﹝網球肘﹞是常見狀況。許多治療方式被提出過,但至今尚未有適當治療策略。

目標

研究矯正輔具用於治療網球肘

搜尋策略

搜尋包括Medline, Embase, CINAHL, Cochrane Controlled Trial Register, Current Contents (到1999年5月),同時手動搜尋所選文章之參考文獻及聯絡專家看是否有其他臨床試驗。

選擇標準

收錄所有隨機對照研究有描述網球肘診斷病人,並比較矯正輔具當為治療策略之臨床研究。

資料收集與分析

兩位作者獨立進行信度評估並摘錄相關測量資料。二分法資料以相對風險﹝RR﹞,連續性資料以標準化平均差異(standardized mean difference, SMD)及95%信賴區間做評估,並做次群分析。

主要結論

5個研究包含於分析中﹝每組樣本數為7到49例﹞。信度分數介於3到9分之間。因樣本數少而未做次群分析。研究篇數及結果測量少,且長期結果不易取得而限制分析。因各研究間之異質性而無法統合在一起做分析。

作者結論

關於矯正輔具用於治療網球肘,並無確定結論。需要進一步良好設計及執行之隨機對照研究。

翻譯人

本摘要由林口長庚醫院余光輝翻譯。

此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。

總結

無總結

Plain language summary

Orthotic devices for the treatment of tennis elbow

Lateral epicondylitis (tennis elbow) is a frequently reported condition. A wide variety of treatment strategies has been described. As of yet, no optimal strategy has been identified.

Five RCTs (N per group 7-49) were included. Validity score ranged from 3-9 positive items out of 11. Subgroup analyses were not performed due to the small number of trials. The limited number of included trials present few outcome measures and limited long-term results. Pooling was not possible due to large heterogeneity amongst trials.

No definitive conclusions can be drawn concerning effectiveness of orthotic devices for lateral epicondylitis. More well-designed and well-conducted RCTs of sufficient power are warranted.

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