Research Article

Comparison of the Supervised and Home-Based Physiotherapy Program in Patients with Lateral Epicondylitis

Volume: 4 Number: 2 December 20, 2021
EN

Comparison of the Supervised and Home-Based Physiotherapy Program in Patients with Lateral Epicondylitis

Abstract

Objective: This study aimed to compare the effectiveness of a supervised and home-based physiotherapy program in the reduction of pain and in improving functional status and quality of life in patients with lateral epicondylitis. Method: Patients diagnosed with lateral epicondylitis and referred to the physiotherapy clinic were evaluated retrospectively. A total of 32 patients were separated into two groups as supervised and home-based physiotherapy groups. All the patients received standard physiotherapy program consisting of static stretching exercises of the ECRB tendon, eccentric exercises of the wrist extensors and cold application, for 3 weeks. The groups were compared in terms of pain severity, range of motion, functional status (Quick-DASH) and quality of life (SF-36) after treatment. Results: Fifteen patients (12 females, 3 males) with a mean age of 44.20±7.35 years were included in the supervised physiotherapy group, and 17 patients (15 females, 2 males) with a mean age of 48.65±12.33 years in the home-based physiotherapy group. There was no statistically significant difference in activity (p=0.980) and rest pain (p=0.483), wrist flexion (p=0.775) and extension (p=0.838) range of motion, functionality (p=0.346) and quality of life (p=0.923) between groups. Conclusion: Patients participating in a home-based physiotherapy program had similar clinical outcomes in terms of pain intensity, range of motion, functionality, and quality of life as patients participating in a supervised physiotherapy. Further prospective randomized studies can be conducted by increasing the sample size and comparing with cost analyzes to determine the rehabilitation regimen that will provide the best outcomes in lateral epicondylitis rehabilitation.

Keywords

Lateral Epicondylitis , Home Based Physiotherapy , Supervised Physiotherapy , Pain , Function , Quality of Life

References

  1. Ahmad, Z., Siddiqui, N., Malik, S. S., Abdus-Samee, M., Tytherleigh-Strong, G., & Rushton, N. (2013). Lateral epicondylitis: a review of pathology and management. The Bone & Joint Journal, 95-B(9), 1158–1164. Doi:10.1302/0301-620x.95b9.29285
  2. Alizadehkhaiyat, O., & Frostick, S. P. (2015). Electromyographic assessment of forearm muscle function in tennis players with and without Lateral Epicondylitis. Journal of Electromyography and Kinesiology, 25(6), 876–886. Doi.1016/j.jelekin.2015.10.013
  3. Argent, R., Daly, A., & Caulfield, B. (2018). Patient Involvement with Home-Based Exercise Programs: Can Connected Health Interventions Influence Adherence? JMIR mHealth and uHealth, 6(3), e47. Doi: 10.2196/mhealth.8518
  4. Brummel, J., Baker, C. L., 3rd, Hopkins, R., & aker, C. L., Jr (2014). Epicondylitis: lateral. Sports Medicine and Arthroscopy Review, 22(3),e1–e6.Doi:10.1097/JSA.00000000000 00024
  5. Cohen, M., & da Rocha Motta Filho, G. (2015). Lateral Epicondylitis of The Elbow. Revista Brasileira de Ortopedia, 47(4), 414–420. Doi:10.1016/S2255-4971(15)30121-X
  6. Day, J. M., Lucado, A. M., & Uhl, T. L. (2019). A Comprehensive Rehabilitation Program for Treating Lateral Elbow Tendinopathy. International Journal of Sports Physical Therapy, 14(5), 818–829.
  7. Dimitrios S. (2016). Lateral Elbow Tendinopathy: Evidence of Physiotherapy Management. World Journal of Orthopedics, 7(8), 463–466. Doi: 10.5312/wjo.v7.i8.463
  8. Dimitrios, S. & Manias, P. (2013). Comparing Two Exercise Programmes for the Management of Lateral Elbow Tendinopathy (Tennis Elbow/Lateral Epicondylitis)-A Controlled Clinical Trial. The Open Access Journal of Science and Technology, 1: 1-8. DOI: 10.11131/2013/100013
  9. Düger, T., Yakut, E., Öksüz, Ç., Yörükan, S., Semin Bilgütay, B., Ayhan, Ç., Leblebicioğlu, G., Kayıhan, H., Kırdı, N., Yakut, Y., Güler, Ç. (2006). Reliability and Validity of the Turkish Version of the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Physiotherapy Rehabilitation, 17(3);99-107.
  10. Granviken, F., & Vasseljen, O. (2015). Home Exercises and Supervised Exercises Are Similarly Effective for People with Subacromial Impingement: A Randomised Trial. Journal of Physiotherapy, 61(3), 135–141. Doi: 10.1016/j.jphys.2015.05.014
APA
Şavkın, R., & Şimşek, Ş. (2021). Comparison of the Supervised and Home-Based Physiotherapy Program in Patients with Lateral Epicondylitis. International Journal of Disabilities Sports and Health Sciences, 4(2), 124-129. https://doi.org/10.33438/ijdshs.978993
AMA
1.Şavkın R, Şimşek Ş. Comparison of the Supervised and Home-Based Physiotherapy Program in Patients with Lateral Epicondylitis. International Journal of Disabilities Sports &Health Sciences. 2021;4(2):124-129. doi:10.33438/ijdshs.978993
Chicago
Şavkın, Raziye, and Şule Şimşek. 2021. “Comparison of the Supervised and Home-Based Physiotherapy Program in Patients With Lateral Epicondylitis”. International Journal of Disabilities Sports and Health Sciences 4 (2): 124-29. https://doi.org/10.33438/ijdshs.978993.
EndNote
Şavkın R, Şimşek Ş (December 1, 2021) Comparison of the Supervised and Home-Based Physiotherapy Program in Patients with Lateral Epicondylitis. International Journal of Disabilities Sports and Health Sciences 4 2 124–129.
IEEE
[1]R. Şavkın and Ş. Şimşek, “Comparison of the Supervised and Home-Based Physiotherapy Program in Patients with Lateral Epicondylitis”, International Journal of Disabilities Sports &Health Sciences, vol. 4, no. 2, pp. 124–129, Dec. 2021, doi: 10.33438/ijdshs.978993.
ISNAD
Şavkın, Raziye - Şimşek, Şule. “Comparison of the Supervised and Home-Based Physiotherapy Program in Patients With Lateral Epicondylitis”. International Journal of Disabilities Sports and Health Sciences 4/2 (December 1, 2021): 124-129. https://doi.org/10.33438/ijdshs.978993.
JAMA
1.Şavkın R, Şimşek Ş. Comparison of the Supervised and Home-Based Physiotherapy Program in Patients with Lateral Epicondylitis. International Journal of Disabilities Sports &Health Sciences. 2021;4:124–129.
MLA
Şavkın, Raziye, and Şule Şimşek. “Comparison of the Supervised and Home-Based Physiotherapy Program in Patients With Lateral Epicondylitis”. International Journal of Disabilities Sports and Health Sciences, vol. 4, no. 2, Dec. 2021, pp. 124-9, doi:10.33438/ijdshs.978993.
Vancouver
1.Raziye Şavkın, Şule Şimşek. Comparison of the Supervised and Home-Based Physiotherapy Program in Patients with Lateral Epicondylitis. International Journal of Disabilities Sports &Health Sciences. 2021 Dec. 1;4(2):124-9. doi:10.33438/ijdshs.978993