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Correo Científico Médico
versión On-line ISSN 1560-4381
Resumen
LABRADA RODRIGUEZ, Yunia Herbania et al. Medium-term results of treatment with piezoelectric shockwaves in lateral epicondylitis. ccm [online]. 2020, vol.24, n.1, pp.73-87. Epub 01-Mar-2020. ISSN 1560-4381.
Introduction:
the use of shockwaves is an option to consider in the treatment of epicondylitis.
Objective:
to assess the medium-term effectiveness of piezoelectric shockwave treatment with ultrasound support in lateral epicondilitis.
Material and method:
quasi-experimental study from June 2015 to March 2017 in Servicio Medicina Física y Rehabilitación of Hospital Universitario Clínico San Carlos, Madrid, España. Sample of 25 patients with lateral epicondylitis. Three treatment sessions were carried out, with shockwaves (PiezoWave F10 G4) with ultrasound support, a weekly session and review at 3 months. Variables studied: pain by Visual Analogue Scale (VAS) and degree of satisfaction (Roles and Maudsley Score).
Results:
25 patients treated with 3 sessions and reviewed at 3 months. Average age of patients 51.72 years. Average intensity 0.32 mJ/mm ². Median frequency 8 Hz. Median depth focus 5mm. 2000 pulses/session were applied. 86.4 % of patients obtained moderate or large VAS improvement at 3 months. There is a statistically significant improvement of the EVA between the different treatment sessions, a result that is maintained at three months (p < 0.05). The degree of patient satisfaction according to Roles and Maudsley Score was excellent or good in 68.2 % of patients.
Conclusions:
treatment with echoguided shockwaves was effective and safe in epicondylitis, obtaining good results in terms of pain relief and patient satisfaction.
Palabras clave : shockwaves; lateral epicondylitis; tennis elbow.