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Lateral epicondylalgia: a structured programme better than corticosteroids and NSAID
Tandemkliniken, Tvååker Primary Health Care Centre, Varberg, Sweden; Research and Development Unit, Primary Health Care, General Practice and Public Health, Falkenberg, Sweden; Department of Primary Health Care, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
Research and Development Unit, Primary Health Care, General Practice and Public Health, Falkenberg, Sweden; Department of Primary Health Care, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
Department of Orthopaedics, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden; Sahlgrenska University Hospital, Göteborg, Sweden .
Centre for Caring Sciences, Örebro County Council, Örebro, Sweden; Department of Primary Health Care, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.ORCID iD: 0000-0003-2411-1795
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2012 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, no 5, p. 404-410Article in journal (Refereed) Published
Abstract [en]

Aim: To evaluate whether patients with lateral epicondylalgia had less pain or function loss two years following treatment by a structured programme and if the number of recurrent episodes and sick leave days differed compared with a control group.

Subjects: All of the patients were diagnosed by a physician with the diagnosis code M77.1 (lateral epicondylitis). The intervention group (n = 103) was treated by a physiotherapist and an occupational therapist with a home training programme that included ergonomic advice. Wrist supports and/or night bandages were also available. Controls (n = 194) were diversely treated by different professionals.

Major findings: In the total study group (n = 297), 54% of the patients experienced pain and 55% experienced function loss after two years. The intervention group had less pain than patients treated with corticosteroid injections (p < 0.0001) or NSAIDs (p = 0.048) and experienced better function than those treated with corticosteroid injections (p = 0.002). The intervention group had a lower recurrence (p < 0.0001) and fewer sick leave days at the time of the visit to the health care centre (p = 0.005).

Principal conclusions: A structured treatment programme was more effective than corticosteroid injections and NSAIDs. Patients did not require additional treatment or sick leave and had learned self-treatment of the disorder.

Place, publisher, year, edition, pages
Oxon, United Kingdom: Taylor & Francis, 2012. Vol. 19, no 5, p. 404-410
National Category
Occupational Therapy
Research subject
Nursing Science w. Occupational Therapy Focus
Identifiers
URN: urn:nbn:se:oru:diva-24200DOI: 10.3109/11038128.2011.620983ISI: 000307993200003PubMedID: 22050362Scopus ID: 2-s2.0-84865319344OAI: oai:DiVA.org:oru-24200DiVA, id: diva2:542672
Available from: 2012-08-02 Created: 2012-08-02 Last updated: 2018-05-09Bibliographically approved

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Möller, Margareta

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