Transvers friksiyon masajının lateral epikondilit üzerindeki etkisi randomize kontrollü çalışmaların sistematik derlemesi

Öz

Giriş: Lateral epikondilit tedavisinde kullanılan modalitelerin uzmanlar arası korelasyonu zayıftır ve bu alandaki derleme çalışmalarının sayısı literatürde yetersizdir. Amaç: Bu çalışmanın amacı lateral epikondilitli hastalarda transvers friksiyon masajı ile ilgili randomize kontrollü çalışmalar hakkındaki literatürü gözden geçirmektir. Gereç ve Yöntemler: “ScienceDirect, PubMed, Scopus ve Web of Science (WoS)” elektronik veri tabanlarında literatür taraması yapıldı. Belirlenen anahtar kelimeler aracılığıyla toplam 3.615 çalışmaya ulaşıldı. Dahil edilme ve dışlanma kriterlerine göre toplam 17 makale dahil edilmiştir. Dahil edilen çalışmaların metodolojik kalitesini değerlendirmek için “PEDro ölçeği” kullanılmıştır. Bulgular: On yedi çalışma sistematik incelemeye dahil edilmiştir. Dahil edilen çalışmalar ortalama PEDro skoruna göre “iyi” kaliteye sahipti. Görsel Analog Skala, global iyileşme ölçeği, Hasta Değerlendirmeli Tenisçi Dirseği Değerlendirmesi, Kol, Omuz ve El Engelleri Ölçeği ve algometre en çok değerlendirilen sonuçlar arasındaydı. Transvers friksiyon masajı artı diğer kombine müdahaleler grubunun diğer gruba göre anlamlı derecede daha iyi sonuçlar gösterdiği 8 çalışma vardı. Transvers friksiyon masajı artı diğer kombine müdahale grubunun diğer gruba karşı anlamlı bir fark göstermediği 4 çalışma vardı. Sonuç: Sonuç olarak, kanıtlar transvers friksiyon masajının lateral epikondilit tedavisinde etkili ve uygun bir seçenek olabileceğini göstermektedir. Lateral epikondilitli hastalarda transvers sürtünme masajının Mills manipülasyonu, germe ve eksantrik egzersizlerle birleştirilmesiyle daha iyi bir sonuç elde edilebileceğini düşünüyoruz.

Anahtar Kelimeler

• Tenisçi Dirseği
• Friksiyon
• Derleme

A systematic review of randomized controlled trials on the effect of transverse friction massage in lateral epicondylitis

Öz

Background: Inter-specialist correlation of modalities employed in the management of lateral epicondylitis is poor and the number of review studies in this area is insufficient in the literature. Aim: The present study aimed to review the literature on randomized controlled trials of transverse friction massage in patients with lateral epicondylitis. Methods: A literature search was conducted in electronic databases “ScienceDirect, PubMed, Scopus and Web of Science (WoS)”. A total of 3,615 studies were accessed via the identified keywords. According to the inclusion and exclusion criteria, a total of 17 articles were included. The “PEDro scale” was used to assess the methodological quality of the included studies. Results: Seventeen studies were included in the systematic review. The included studies were of “good” quality based on the mean PEDro score. Visual Analog Scale, global improvement scale, Patient Rated Tennis Elbow Evaluation, Disabilities of Arm, Shoulder, and Hand Scale and algometer were among the most assessed outcomes. There were 8 studies in which the transverse friction massage plus other combined interventions group showed significantly better results than the other group. There were 4 studies in which the transverse friction massage plus other combined intervention group did not show a significant difference against the other group. Conclusion: In conclusion, evidence suggests that transvers friction massage may be an effective and appropriate option in the treatment of lateral epicondylitis. We suggest that a better result can be obtained by combining transvers friction massage with Mills manipulation, stretching, and eccentric exercises in patients with lateral epicondylitis.

Anahtar Kelimeler

• Tennis Elbow
• Friction
• Review

Kaynakça

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