Evidence map›Paper›PMID 30219102›Full record

Trial reportEuropean journal of medical research2018

Prospective randomized controlled trial in the treatment of lateral epicondylitis with a new dynamic wrist orthosis.

J Nowotny, B El-Zayat, J Goronzy, A Biewener, F Bausenhart, S Greiner, P Kasten

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European journal of medical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05853029 (Combined Shockwave Therapy Versus Focused Shockwave Therapy in Patients With Lateral Epicondylitis), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 17% 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.

NCT05853029 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Combined Shockwave Therapy Versus Focused Shockwave Therapy in Patients With Lateral Epicondylitis

TypeinterventionalSponsorMennallah Ahmed Mohamed Anwar ElgendyRan2023 to 2024Enrolled60ConditionsEpicondylitisArmsCombined shockwave therapy & conventional therapy , focused shockwave therapy& conventional therapy , conventional therapy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

J NowotnyOrthopaedic-Traumatology Centre (OUC), Carl-Gustav Carus University Dresden, Fetscherstraße 74, 01307, Deutschland, Germany. joerg.nowotny@uniklinikum-dresden.de.ORCID http://orcid.org/0000-0003-0495-7072
B El-ZayatDepartment of Orthopaedic Surgery, University Hospital, Marburg, Germany.
J GoronzyOrthopaedic-Traumatology Centre (OUC), Carl-Gustav Carus University Dresden, Fetscherstraße 74, 01307, Deutschland, Germany.
A BiewenerOrthopaedic-Traumatology Centre (OUC), Carl-Gustav Carus University Dresden, Fetscherstraße 74, 01307, Deutschland, Germany.
F BausenhartDepartment of Orthopaedic Surgery, University Hospital, Tübingen, Germany.
S GreinerSporthopaedicum, Regensburg, Germany.
P KastenOrthopaedic-Surgery Centre (OCC), Tübingen, Germany.
University Hospital Carl Gustav Carus · DEPhilipps University of Marburg · DEUniversity Children's Hospital Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the treatment of lateral epicondylitis (LE), the role of a new dynamic wrist orthosis is unclear. PATIENTS AND

methodsPatients suffering from a LE longer than 3 months were multicentrically and prospectively randomized into a physiotherapeutic group (PT group) and in a physiotherapy group plus wrist orthosis (PT + O group). Physiotherapy consisted of daily eccentric strengthening exercises under initial professional supervision. Inclusion criteria were a Placzek score greater than 4. Exclusion criteria were previous surgery, rheumatic arthritis, elbow instability, radicular symptoms, higher-grade extensor tendon rupture, or cervical osteoarthritis. The clinical evaluation was performed after 12 weeks and 12 months. The Patient-Rated Tennis Elbow Evaluation (PRTEE) scale, Placzek Score, the pain rating (VAS), range of motion and the Subjective Elbow Score were evaluated.

resultsOf the initially 61 patients, 31 were followed up after 12 weeks and 22 after 12 months. Twenty-nine patients (43%) were male, the mean age was 46, and 44 patients (66%) had the right elbow involved. At 12 weeks, there was a pain reduction on the VAS in both groups (PT + O: 6.5-3.7 [p = .001]; PT: 4.7-4.1 [p = .468]), albeit it was only significant for the PT + O group. At 12 months, reduction was significant in both groups (PT + O: 1.1 [p = .000]; PT: 1.3 [p = .000]). The painless maximum hand strength in kg improved in both groups significant after 3 and 12 months. The Placzek score was reduced from 8.25 to 3.5 [p = .001] after 12 weeks for the PT + O group and from 8.1 to 3.8 [p = .000] in the PT group, as well as after 12 months in the PT + O group to 0 [p = .000] and in the PT group to 2.0 [p = .000]. The PRTEE improved in both groups after 12 weeks (PT + O: 52.8--31.3 [p = .002]; PT: 48.6-37.6 [p = .185]) and 12 months (PT + O: 16.15 [p = .000]; PT: 16.6 [p = .000]), although the reduction at 12 weeks was not significant for the PT group.

conclusionThe elbow orthosis appears to accelerate the healing process with respect to the PRTEE and pain on the VAS (12 weeks follow-up), although there is an adjustment after 12 months in both groups and a significant improvement of symptoms is achieved in all endpoints.

Indexed as

Orthotic DevicesPhysical Therapy ModalitiesWristFemaleHumansMaleMiddle AgedPainProspective StudiesRecovery of FunctionTennis Elbow

Identifiers

PMID30219102
PMCPMC6138897
OpenAlexW2892289728

What OpenQuestion holds

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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.