Evidence map›Paper›PMID 17012266›Full record

Trial reportBMJ (Clinical research ed.)2006

Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial.

Leanne Bisset, Elaine Beller, Gwendolen Jull, Peter Brooks, Ross Darnell, Bill Vicenzino

2 registry-linked trialsOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 146 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 16 pooled it
18.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02378285 nacompletednot on this mapstarted 2010, after this paper: background citation

Treatment of Epicondylitis by Ultrasound-guided Local Injections of Autologous Conditioned Plasma (ACP®): a Double-blind Placebo-controlled Randomized Clinical Trial With One-year Follow-up

TypeinterventionalSponsorArthrex SASRan2010 to 2014Enrolled50ConditionsEpicondylitisArmsACP, Saline solution
NCT06535594 naunknown statusnot on this mapstarted 2024, after this paper: background citation

The Potential Efficacy Of Laser Acupuncture Combined With Physiotherapy In Managing Pain And Improve The Elbow Active Range Of Motions Improve The Elbow Active Range Of Motion In 30 Tennis Elbow Syndrome Patients: A Pre - Post Trial

TypeinterventionalSponsorUniversity of Medicine and Pharmacy at Ho Chi Minh CityRan2024 to 2024Enrolled30ConditionsPainArmsLaser acupuncture, Physical therapy
3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 16 syntheses or guidelines pooled it, 555 citations in OpenAlex.

  1. Manual therapy and exercise for lateral elbow pain.The Cochrane database of systematic reviews · 2024
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  6. Proximal Hamstring Tendinopathy: A Systematic Review of Interventions.International journal of sports physical therapy · 2021
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  10. Tennis elbow.BMJ clinical evidence · 2011
    Pooled it
  11. Surgery for lateral elbow pain.The Cochrane database of systematic reviews · 2011
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86 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Leanne BissetSchool of Health and Rehabilitation Sciences, University of Queensland, St Lucia, QLD, Australia 4072.
Elaine Beller
Gwendolen Jull
Peter Brooks
Ross Darnell
Bill Vicenzino
University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the efficacy of physiotherapy compared with a wait and see approach or corticosteroid injections over 52 weeks in tennis elbow.

designSingle blind randomised controlled trial.

settingCommunity setting, Brisbane, Australia.

participants198 participants aged 18 to 65 years with a clinical diagnosis of tennis elbow of a minimum six weeks' duration, who had not received any other active treatment by a health practitioner in the previous six months.

interventionsEight sessions of physiotherapy; corticosteroid injections; or wait and see.

main outcome measuresGlobal improvement, grip force, and assessor's rating of severity measured at baseline, six weeks, and 52 weeks.

resultsCorticosteroid injection showed significantly better effects at six weeks but with high recurrence rates thereafter (47/65 of successes subsequently regressed) and significantly poorer outcomes in the long term compared with physiotherapy. Physiotherapy was superior to wait and see in the short term; no difference was seen at 52 weeks, when most participants in both groups reported a successful outcome. Participants who had physiotherapy sought less additional treatment, such as non-steroidal anti-inflammatory drugs, than did participants who had wait and see or injections.

conclusionPhysiotherapy combining elbow manipulation and exercise has a superior benefit to wait and see in the first six weeks and to corticosteroid injections after six weeks, providing a reasonable alternative to injections in the mid to long term. The significant short term benefits of corticosteroid injection are paradoxically reversed after six weeks, with high recurrence rates, implying that this treatment should be used with caution in the management of tennis elbow.

Indexed as

AdolescentAdrenal Cortex HormonesAdultAgedExercise TherapyFemaleHumansInjectionsMaleMiddle AgedMovementSingle-Blind MethodTennis ElbowTreatment OutcomeAdrenal Cortex Hormones

Identifiers

PMID17012266
PMCPMC1633771
OpenAlexW2106225896

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.