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COMPARISON OF EFFECTS OF CYRIAX PHYSIOTHERAPY, A SUPERVISED EXERCISE PROGRAMME AND POLARIZED POLYCHROMATIC NON-COHERENT LIGHT (BIOPTRON LIGHT) FOR THE TREATMENT OF LATERAL EPICONDYLITIS
Background: There are many possible therapeutic interventions for lateral epicondylopathy (tennis elbow), including physiotherapy, exercise rehabilitation and, recently, polarised polychromatic non-coherent (Bioptron) light.
Research question/s: What is the effectiveness of Cyriax physiotherapy, a supervised exercise and polarised polychromatic non-coherent light (Bioptron light) in the treatment of lateral epicondylitis?
Methodology:Subjects: 75 patients with clinically diagnosed lateral “epicondylitis”.
Experimental procedure: Subjects were sequentially allocated to 3 treatment (3/week) groups for 4 weeks: Cyriax physiotherapy (CP = 25), supervised exercise (EX = 25) and polarised polychromatic non-coherent light (Bioptron light) (BIOP = 25). Pain, function and grip strength were assessed before and after 4, 8, 16 and 28 weeks.
Measures of outcome: Pain (visual analogue scale; VAS), function (VAS), pain-free grip strength.
Improvement of function was also greatest in the EX group compared with the other groups at any of the follow-up time points (p<0.05).
Conclusion/s: Compared with Cyriax physiotherapy or polarised polychromatic non-coherent light (Bioptron light), a supervised exercise programme was superior in pain reduction and improved function in the management of patients with lateral epicondylitis.
Evidence based rating: 7/10
Clinical interest rating: 7/10
Type of study: Non randomised, clinical trial
Methodological considerations: No randomisation of subjects, no …