Short-term efficacy of physical interventions for lateral epicondylitis: a network meta-analysis based on multidimensional evaluation of pain and function - Report - MDSpire
Advertisement
Short-term efficacy of physical interventions for lateral epicondylitis: a network meta-analysis based on multidimensional evaluation of pain and function
Clinical Report: Short-term effectiveness of physical therapies for lateral epicondylitis
Overview
This network meta-analysis evaluates the short-term efficacy of various physical interventions for lateral epicondylitis, highlighting percutaneous electrolysis as the most effective for pain relief and dry needling for functional improvement.
Background
Lateral epicondylitis (LE), or tennis elbow, is a common chronic tendinopathy that affects upper limb function and quality of life, with a prevalence of 1-3% in the general population. Despite various treatment options, evidence-based guidance for clinicians remains limited.
Data Highlights
Intervention
Effectiveness
SUCRA
Percutaneous Electrolysis
Most effective for pain reduction
98.5%
Dry Needling
Highest for functional improvement
DASH: 79.7%; PRTEE: 85.2%
Platelet-rich Plasma
Moderate effectiveness
N/A
Corticosteroid Injections
Moderate effectiveness
N/A
Key Findings
Percutaneous electrolysis (PE) ranked highest for pain relief with a mean difference of -6.00 on the VAS.
Dry needling (DN) showed significant functional improvement on the PRTEE scale, with a mean difference of -25.04.
Other interventions like platelet-rich plasma and corticosteroid injections demonstrated only moderate effectiveness.
High heterogeneity in the data suggests caution in interpreting SUCRA rankings.
Clinical Implications
Clinicians should consider percutaneous electrolysis for rapid pain relief in patients with lateral epicondylitis, while dry needling may be more suitable for those needing functional restoration. Tailoring treatment to the patient's predominant symptoms is essential for optimal outcomes.
Conclusion
The study provides valuable insights into the short-term effectiveness of various physical therapies for lateral epicondylitis, emphasizing the need for individualized treatment approaches based on patient symptoms.
