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Lateral Epikondilit Tanısı Olan Hastalarda Farklı Ortez Kullanımının Ağrı, Kavrama Gücü ve Fonksiyonellik Üzerine Etkilerinin Karşılaştırılması: Randomize Klinik Çalışma

Yıl 2025, Cilt: 12 Sayı: 1, 237 - 251, 30.04.2025

Celal Numan Ataş , Sena Özdemir Görgü

Öz

Amaç: Lateral epikondilit (LE), önkol ekstansör yüzeyinde ve lateral epikondilde ağrı ile karakterize, elin kavrama gücünde azalmaya neden olan kronik bir dejenerasyondur. LE’nin konservatif tedavisinde farklı ortez uygulamaları kullanılmaktadır. Bu çalışmanın amacı, LE tanısı olan hastalarda, ön kol bandı (ÖKB) ile epikondil destekli dirseklik (EDD) ortezlerinin ağrı, kavrama gücü, dirsek fonksiyonelliği ve ortez memnuniyeti üzerindeki etkinlerini karşılaştırmaktır.
Gereç ve Yöntem: Çalışmaya LE tanısı olan 40-60 yaş aralığında 28 katılımcı alındı. Katılımcılar ÖKB ortezi kullananlar Grup 1 (n=14) ve EDD ortezi kullananlar Grup 2 (n=14) olarak randomize iki gruba ayrıldı. Ortez kullanım öncesi ve 4 hafta sonrası tüm katılımcıların numerik değerlendirme skalası ile istirahat ve aktivite sırasında ağrı şiddeti, el dinamometresi ile ağrısız ve maksimum kavrama kuvveti, Hasta Bazlı Önkol Değerlendirme Anketi (HBÖDA) ile dirsek fonksiyonelliği değerlendirildi. Ayrıca, numerik değerlendirme skalası ile katılımcıların ortez memnuniyeti değerlendirildi.
Bulgular: Tüm katılımcıların istirahat ve aktivite sırasında ağrı şiddeti, HBÖDA ağrı, fonksiyon ve toplam skorlarında grup içi değişim istatistiksel olarak anlamlı iyileşmeler görülürken (sırasıyla Grup 1: p=0,045, p=0,002, p=0,008, p=0,017, p= 0,011; Grup 2: p=0,003, p=0,001, p=0,001, p=0,001, p=0,001), sadece Grup 2’de maksimum kavrama kuvvetinde istatistiksel olarak anlamlı artış (p=0,013) görüldü.
Sonuç: LE tanısı olan hastalarda, dört hafta ÖKB ve EDD ortezlerinin kullanımı istirahat ve aktivite sırasında ağrı şiddeti ile dirsek fonksiyonelliğinde iyileşmeler sağladığı, ayrıca maksimum kavrama kuvvetinin artışında EDD ortezinin daha etkili olduğu belirlendi.

Anahtar Kelimeler

ön kol bandı lateral epikondilit ortez ön kol bandı epikondil destekli dirseklik kavrama kuvveti

Kaynakça

  • Acosta-Olivo, C. A., Millán-Alanís, J. M., Simental-Mendía, L. E., Álvarez-Villalobos, N., Vilchez-Cavazos, F., Peña-Martínez, V. M., & Simental-Mendía, M. (2020). Effect of normal saline injections on lateral epicondylitis symptoms: a systematic review and meta-analysis of randomized clinical trials. The American journal of sports medicine, 48(12), 3094-3102. https://doi.org/10.1177/0363546519899644
  • Akkurt, H. E., Kocabaş, H., Yılmaz, H., Eser, C., Şen, Z., Erol, K., Göksu, H., Karaca, G., & Baktık, S. (2018). Comparison of an epicondylitis bandage with a wrist orthosis in patients with lateral epicondylitis. Prosthetics and Orthotics International, 42(6), 599–605. https://doi.org/10.1177/0309364618774193
  • Alghadir, A. H., Anwer, S., Iqbal, A., & Iqbal, Z. A. (2018). Test–retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. Journal of pain research, 851-856.
  • Altan, L., & Kanat, E. (2008). Conservative treatment of lateral epicondylitis: comparison of two different orthotic devices. Clinical Rheumatology, 27, 1015-1019. https://doi.org/10.1007/s10067-008-0862-8
  • Altan, L., Ercan, İ., & Konur, S. (2010). Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatology international, 30, 1049-1054. https://doi.org/10.1007/s00296-009-1101-6
  • Barati, H., Rezaie, M. R., Saleh Shariaty, S. S., & Rahimi, Z. (2019a). The Effect of Orthoses on Treatment of Lateral Epicondylitis: a Systematic Review. Journal of Rehabilitation Sciences and Research, 6(2), 51–59. https://doi.org/10.30476/JRSR.2019.75354
  • Barati, H., Zarezadeh, A., MacDermid, J. C., & Sadeghi-Demneh, E. (2019b). The immediate sensorimotor effects of elbow orthoses in patients with lateral elbow tendinopathy: a prospective crossover study. Journal of Shoulder and Elbow Surgery, 28(1), e10–e17. https://doi.org/10.1016/j.jse.2018.08.042
  • Becker, L. A. (2000). Effect Size (ES). Dictionary of Statistics & Methodology. https://doi.org/10.4135/9781412983907.n624
  • Bisset, L. M., Collins, N. J., & Offord, S. S. (2014). Immediate effects of 2 types of braces on pain and grip strength in people with lateral epicondylalgia: A randomized controlled trial. Journal of Orthopaedic and Sports Physical Therapy, 44(2), 120–128. https://doi.org/10.2519/jospt.2014.4744
  • Borkholder, C. D., Hill, V. A., & Fess, E. E. (2004). The efficacy of splinting for lateral epicondylitis: A systematic review. Journal of Hand Therapy, 17(2), 181–199. https://doi.org/10.1197/j.jht.2004.02.007
  • Chen, Q., Shen, P., Zhang, B., Chen, Y., & Zheng, C. (2023). A meta-analysis of the risk factors for lateral epicondylitis. Journal of Hand Therapy. https://doi.org/10.1016/J.JHT.2023.05.013
  • Demirdel, S., Ulaş, K., Çelik, S. E., Karahan, S., & Topuz, S. (2022). Reliability and validity of the Turkish version of the satisfaction module of the Orthotics and Prosthetics Users' Survey. Prosthetics and orthotics international, 46(2), 170-174. https://doi.org/10.1097/PXR.0000000000000067
  • Eraslan, L., ve Baltacı, G. (2024). Lateral Dirsek Tendinopatisinde Kavrama Kuvveti ve Subjektif Sonuç Ölçütleri Arasındaki İlişkinin Araştırılması. Batı Karadeniz Tıp Dergisi, 8(1), 28-35. https://doi.org/10.29058/mjwbs.1355492
  • Farzad, M., MacDermid, J. C., Shafiee, E., Beygi, A. S., Vafaei, A., Varahra, A., & Beikpour, H. (2022). Clinimetric testing of the Persian version of the Patient-Rated Tennis Elbow Evaluation (PRTEE) and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaires in patients with lateral elbow tendinopathy. Disability and Rehabilitation, 44(12), 2902-2907. https://doi.org/10.1080/09638288.2020.1844318
  • Huang, L., Liu, Y., Lin, T., Hou, L., Song, Q., Ge, N., & Yue, J. (2022). Reliability and validity of two hand dynamometers when used by community-dwelling adults aged over 50 years. BMC Geriatrics, 22(1), 1–8. https://doi.org/10.1186/S12877-022-03270-6/FIGURES/3
  • Jafarian, F. S., Demneh, E. S., & Tyson, S. F. (2009). The immediate effect of orthotic management on grip strength of patients with lateral epicondylosis. Journal of Orthopaedic and Sports Physical Therapy, 39(6), 484–489. https://doi.org/10.2519/jospt.2009.2988
  • Karlıbel, İ. A., & Aksoy, M. K. (2022). The efficacy of kinesio taping versus forearm-band therapy in treating lateral epicondylitis: A prospective, single-blind, randomized, controlled clinical trial. Journal of Surgery and Medicine, 6(3), 223–228. https://doi.org/10.28982/JOSAM.1063575
  • Kotnis, N. A., Chiavaras, M. M., & Harish, S. (2012). Lateral epicondylitis and beyond: Imaging of lateral elbow pain with clinical-radiologic correlation. Skeletal Radiology, 41(4), 369–386. https://doi.org/10.1007/s00256-011-1343-8
  • Landesa-Piñeiro, L., & Leirós-Rodríguez, R. (2022). Physiotherapy treatment of lateral epicondylitis: A systematic review. Journal of Back and Musculoskeletal Rehabilitation, 35(3), 463–477. https://doi.org/10.3233/BMR-210053
  • Lapner, P., Alfonso, A., Hebert-Davies, J., Pollock, J. W., Marsh, J., & King, G. J. W. (2022). Nonoperative treatment of lateral epicondylitis: a systematic review and meta-analysis. JSES International, 6(2), 321–330. https://doi.org/10.1016/J.JSEINT.2021.11.010
  • MacDermid, J. (2005). Update: the patient-rated forearm evaluation questionnaire is now the patient-rated tennis elbow evaluation. Journal of Hand Therapy, 18(4), 407-410. https://doi.org/10.1197/j.jht.2005.07.002
  • MacDermid, J., Solomon, G., & Valdes, K. (Eds.). (2015). Clinical assessment recommendations. American Society of Hand Therapists.
  • Mani, P., Sethupathy, K., & Francis, A. K. (2019). Test-retest reliability of electronic hand dynamometer in healthy adults. Int J Adv Res, 7(5), 325-31. http://dx.doi.org/10.21474/IJAR01/9042
  • Mutalib, S. A., Mace, M., Seager, C., Burdet, E., Mathiowetz, V., & Goldsmith, N. (2022). Modernising grip dynamometry: Inter-instrument reliability between GripAble and Jamar. BMC musculoskeletal disorders, 23(1), 80. https://doi.org/10.1186/s12891-022-05026-0
  • Najafi, M., Arazpour, M., Aminian, G., Curran, S., Madani, S. P., & Hutchins, S. W. (2016). Effect of a new hand-forearm splint on grip strength, pain, and function in patients with tennis elbow. Prosthetics and Orthotics International, 40(3), 363-368. https://doi.org/10.1177/0309364615592694
  • Ozden, E., & Guler, M. (2023). Comparison of conservative treatment of lateral epicondylitis with wrist splint and epicondylitis band : assessing patient compliance and clinical outcomes. Annals of Medical Research, 30(9), 1096–1099. https://doi.org/10.5455/annalsmedres.2023.08.192
  • Sadeghi-Demneh, E., & Jafarian, F. (2013). The immediate effects of orthoses on pain in people with lateral epicondylalgia. Pain Research and Treatment, 2013(1), 353597. https://doi.org/10.1155/2013/353597
  • Sarı, M., Öztürk, D., & Bek, N. (2022). Comparison of two different orthoses used in the treatment of lateral epicondylitis. Prosthetics and Orthotics International, 10-1097. https://doi.org/10.1097/PXR.0000000000000345
  • Sayampanathan, A. A., Basha, M., & Mitra, A. K. (2020). Risk factors of lateral epicondylitis: A meta-analysis. Surgeon, 18(2), 122–128. https://doi.org/10.1016/j.surge.2019.08.003
  • Shahabi, S., Bagheri Lankarani, K., Heydari, S. T., Jalali, M., Ghahramani, S., Kamyab, M., ... & Hosseinabadi, M. (2020). The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and orthotics international, 44(5), 341-354.
  • Shaheen, H. M., Fayaz, N., Zaky, L. A., & Mansour, A. (2020). Forearm Support Band Versus Wrist Splint in Treatment of Lateral Epicondylitis. Acta Scientific Orthopaedics (ISSN: 2581-8635), 3(8), 51–68.
  • Songur, K., Demir, Z. D., Baysan, C., & Dilek, B. (2023). Clinical and Ultrasonographic Effectiveness of Two Different Splints Used for the Treatment of Lateral Epicondylitis: A Prospective Randomized Controlled Study. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/J.APMR.2023.12.010
  • Stasinopoulos, D., & Johnson, M. I. (2004). Cyriax physiotherapy for tennis elbow/lateral epicondylitis. British Journal of Sports Medicine, 38(6), 675–677. https://doi.org/10.1136/bjsm.2004.013573
  • Stratford, P. W., Norman, G. R., & McIntosh, J. M. (1989). Generalizability of grip strength measurements in patients with tennis elbow. Physical Therapy, 69(4), 276–281. https://doi.org/10.1093/ptj/69.4.276
  • Struijs, P. A. A., Kerkhoffs, G. M. M. J., & Assendelft, W. J. J. (2004.). Conservative treatment of lateral epicondylitis: brace versus physical therapy or a combination of both—a randomized clinical trial. The American journal of sports medicine, 32(2), 462-469. https://doi.org/10.1177/0095399703258714.
  • Struijs, P. A. A., Smidt, N., Arola, H., Van Dijk, C. N., Buchbinder, R., & Assendelft, W. J. J. (2001). Orthotic devices for tennis elbow: A systematic review. British Journal of General Practice, 51(472), 924–929.
  • Uysal, H. H., ve Öztürk, Ç. P. (2023). Lateral Epı̇kondı̇lı̇t Hastalarında Boyun Kasları Kuvvetı̇ ve Enduransı. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 14(3), 326-337. https://doi.org/10.22312/sdusbed.1319112
  • Van Elk, N., Faes, M., Degens, H., Kooloos, J. G. M., De Lint, J. A., & Hopman, M. T. E. (2004). The Application of an External Wrist Extension Force Reduces Electromyographic Activity of Wrist Extensor Muscles during Gripping. Journal of Orthopaedic and Sports Physical Therapy, 34(5), 228–234. https://doi.org/10.2519/jospt.2004.34.5.228
  • Yildirim, H., Atilgan, E., ve Kayiran, S. (2020). Lateral Epikondilitte Ekstrakorporeal Şok Dalga Tedavisi ve Eksantrik Egzersiz Tedavilerinin Etkinliğinin Karşılaştırılması. Haliç Üniversitesi Sağlık Bilimleri Dergisi, 3(2), 99–106. https://dergipark.org.tr/en/pub/husagbilder/issue/54662/718817

Comparison of the Effects of Different Orthosis Use on Pain, Grip Strength and Functionality in Patients with Lateral Epicondylitis: A Randomised Clinical Study

Yıl 2025, Cilt: 12 Sayı: 1, 237 - 251, 30.04.2025

Celal Numan Ataş , Sena Özdemir Görgü

Öz

Objectives: Lateral epicondylitis (LE) is a chronic degeneration of the forearm extensor surface and lateral epicondyle characterised by pain and decreased grip strength of the hand. Different orthosis applications are used in the conservative treatment of LE. Aim of our study was to compare the efficacy of forearm band (FAB) and epicondyle supported elbow brace (ESEB) orthoses on pain, grip strength, functionality and orthosis satisfaction in patients with LE.
Materials and Methods: The study included 28 participants aged 40-60 years with diagnosis of LE. The participants were randomly divided into two groups as Group 1 (n=14) with FAB orthosis and Group 2 (n=14) with ESEB orthosis. Pain intensity at rest and during activity using numeric rating scale, pain-free and maximum grip strength using hand dynamometer, and elbow functionality using the Patient-Based Lateral Epicondylitis Evaluation scale (PRTEE) were evaluated before and 4 weeks after orthosis use. In addition, orthotic satisfaction of the participants was evaluated with numeric rating scale.
Results: All participants showed statistically significant improvements in pain intensity at rest and during activity and in pain, function and total scores of the PRTEE within-group change (Group 1: p=0. 045, p=0.003, p=0.008, p=0.017, p=0.011; Group 2: p=0.003, p=0.001, p=0.001, p=0.001, p=0.001, respectively), whereas only Group 2 showed statistically significant increase in maximum grip strength (p=0.013).
Conclusion: In patients with LE, four-week use of FAB and ESEB orthoses provided improvements in pain intensity and elbow functionality at rest and during activity, and ESEB orthosis was more effective in increasing maximum grip strength.

Anahtar Kelimeler

forearm band lateral epicondylitis orthosis forearm band epicondyle supported elbow brace grip strength

Etik Beyan

Bu çalışma İstanbul Medipol Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu Başkanlığı’ndan 13.12.2021 tarihli, E-10840098-772.02-6309 dosya numarası ile etik kurul onayı alındı. Bu makalenin tamamı veya bir kısmı başka bir yerde yayınlanmamıştır. Tüm çalışma katılımcıları bilgilendirilmiş onam vermiştir.

Destekleyen Kurum

Çalışma kapsamında finansal destek alınmamıştır.

Kaynakça

  • Acosta-Olivo, C. A., Millán-Alanís, J. M., Simental-Mendía, L. E., Álvarez-Villalobos, N., Vilchez-Cavazos, F., Peña-Martínez, V. M., & Simental-Mendía, M. (2020). Effect of normal saline injections on lateral epicondylitis symptoms: a systematic review and meta-analysis of randomized clinical trials. The American journal of sports medicine, 48(12), 3094-3102. https://doi.org/10.1177/0363546519899644
  • Akkurt, H. E., Kocabaş, H., Yılmaz, H., Eser, C., Şen, Z., Erol, K., Göksu, H., Karaca, G., & Baktık, S. (2018). Comparison of an epicondylitis bandage with a wrist orthosis in patients with lateral epicondylitis. Prosthetics and Orthotics International, 42(6), 599–605. https://doi.org/10.1177/0309364618774193
  • Alghadir, A. H., Anwer, S., Iqbal, A., & Iqbal, Z. A. (2018). Test–retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. Journal of pain research, 851-856.
  • Altan, L., & Kanat, E. (2008). Conservative treatment of lateral epicondylitis: comparison of two different orthotic devices. Clinical Rheumatology, 27, 1015-1019. https://doi.org/10.1007/s10067-008-0862-8
  • Altan, L., Ercan, İ., & Konur, S. (2010). Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatology international, 30, 1049-1054. https://doi.org/10.1007/s00296-009-1101-6
  • Barati, H., Rezaie, M. R., Saleh Shariaty, S. S., & Rahimi, Z. (2019a). The Effect of Orthoses on Treatment of Lateral Epicondylitis: a Systematic Review. Journal of Rehabilitation Sciences and Research, 6(2), 51–59. https://doi.org/10.30476/JRSR.2019.75354
  • Barati, H., Zarezadeh, A., MacDermid, J. C., & Sadeghi-Demneh, E. (2019b). The immediate sensorimotor effects of elbow orthoses in patients with lateral elbow tendinopathy: a prospective crossover study. Journal of Shoulder and Elbow Surgery, 28(1), e10–e17. https://doi.org/10.1016/j.jse.2018.08.042
  • Becker, L. A. (2000). Effect Size (ES). Dictionary of Statistics & Methodology. https://doi.org/10.4135/9781412983907.n624
  • Bisset, L. M., Collins, N. J., & Offord, S. S. (2014). Immediate effects of 2 types of braces on pain and grip strength in people with lateral epicondylalgia: A randomized controlled trial. Journal of Orthopaedic and Sports Physical Therapy, 44(2), 120–128. https://doi.org/10.2519/jospt.2014.4744
  • Borkholder, C. D., Hill, V. A., & Fess, E. E. (2004). The efficacy of splinting for lateral epicondylitis: A systematic review. Journal of Hand Therapy, 17(2), 181–199. https://doi.org/10.1197/j.jht.2004.02.007
  • Chen, Q., Shen, P., Zhang, B., Chen, Y., & Zheng, C. (2023). A meta-analysis of the risk factors for lateral epicondylitis. Journal of Hand Therapy. https://doi.org/10.1016/J.JHT.2023.05.013
  • Demirdel, S., Ulaş, K., Çelik, S. E., Karahan, S., & Topuz, S. (2022). Reliability and validity of the Turkish version of the satisfaction module of the Orthotics and Prosthetics Users' Survey. Prosthetics and orthotics international, 46(2), 170-174. https://doi.org/10.1097/PXR.0000000000000067
  • Eraslan, L., ve Baltacı, G. (2024). Lateral Dirsek Tendinopatisinde Kavrama Kuvveti ve Subjektif Sonuç Ölçütleri Arasındaki İlişkinin Araştırılması. Batı Karadeniz Tıp Dergisi, 8(1), 28-35. https://doi.org/10.29058/mjwbs.1355492
  • Farzad, M., MacDermid, J. C., Shafiee, E., Beygi, A. S., Vafaei, A., Varahra, A., & Beikpour, H. (2022). Clinimetric testing of the Persian version of the Patient-Rated Tennis Elbow Evaluation (PRTEE) and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaires in patients with lateral elbow tendinopathy. Disability and Rehabilitation, 44(12), 2902-2907. https://doi.org/10.1080/09638288.2020.1844318
  • Huang, L., Liu, Y., Lin, T., Hou, L., Song, Q., Ge, N., & Yue, J. (2022). Reliability and validity of two hand dynamometers when used by community-dwelling adults aged over 50 years. BMC Geriatrics, 22(1), 1–8. https://doi.org/10.1186/S12877-022-03270-6/FIGURES/3
  • Jafarian, F. S., Demneh, E. S., & Tyson, S. F. (2009). The immediate effect of orthotic management on grip strength of patients with lateral epicondylosis. Journal of Orthopaedic and Sports Physical Therapy, 39(6), 484–489. https://doi.org/10.2519/jospt.2009.2988
  • Karlıbel, İ. A., & Aksoy, M. K. (2022). The efficacy of kinesio taping versus forearm-band therapy in treating lateral epicondylitis: A prospective, single-blind, randomized, controlled clinical trial. Journal of Surgery and Medicine, 6(3), 223–228. https://doi.org/10.28982/JOSAM.1063575
  • Kotnis, N. A., Chiavaras, M. M., & Harish, S. (2012). Lateral epicondylitis and beyond: Imaging of lateral elbow pain with clinical-radiologic correlation. Skeletal Radiology, 41(4), 369–386. https://doi.org/10.1007/s00256-011-1343-8
  • Landesa-Piñeiro, L., & Leirós-Rodríguez, R. (2022). Physiotherapy treatment of lateral epicondylitis: A systematic review. Journal of Back and Musculoskeletal Rehabilitation, 35(3), 463–477. https://doi.org/10.3233/BMR-210053
  • Lapner, P., Alfonso, A., Hebert-Davies, J., Pollock, J. W., Marsh, J., & King, G. J. W. (2022). Nonoperative treatment of lateral epicondylitis: a systematic review and meta-analysis. JSES International, 6(2), 321–330. https://doi.org/10.1016/J.JSEINT.2021.11.010
  • MacDermid, J. (2005). Update: the patient-rated forearm evaluation questionnaire is now the patient-rated tennis elbow evaluation. Journal of Hand Therapy, 18(4), 407-410. https://doi.org/10.1197/j.jht.2005.07.002
  • MacDermid, J., Solomon, G., & Valdes, K. (Eds.). (2015). Clinical assessment recommendations. American Society of Hand Therapists.
  • Mani, P., Sethupathy, K., & Francis, A. K. (2019). Test-retest reliability of electronic hand dynamometer in healthy adults. Int J Adv Res, 7(5), 325-31. http://dx.doi.org/10.21474/IJAR01/9042
  • Mutalib, S. A., Mace, M., Seager, C., Burdet, E., Mathiowetz, V., & Goldsmith, N. (2022). Modernising grip dynamometry: Inter-instrument reliability between GripAble and Jamar. BMC musculoskeletal disorders, 23(1), 80. https://doi.org/10.1186/s12891-022-05026-0
  • Najafi, M., Arazpour, M., Aminian, G., Curran, S., Madani, S. P., & Hutchins, S. W. (2016). Effect of a new hand-forearm splint on grip strength, pain, and function in patients with tennis elbow. Prosthetics and Orthotics International, 40(3), 363-368. https://doi.org/10.1177/0309364615592694
  • Ozden, E., & Guler, M. (2023). Comparison of conservative treatment of lateral epicondylitis with wrist splint and epicondylitis band : assessing patient compliance and clinical outcomes. Annals of Medical Research, 30(9), 1096–1099. https://doi.org/10.5455/annalsmedres.2023.08.192
  • Sadeghi-Demneh, E., & Jafarian, F. (2013). The immediate effects of orthoses on pain in people with lateral epicondylalgia. Pain Research and Treatment, 2013(1), 353597. https://doi.org/10.1155/2013/353597
  • Sarı, M., Öztürk, D., & Bek, N. (2022). Comparison of two different orthoses used in the treatment of lateral epicondylitis. Prosthetics and Orthotics International, 10-1097. https://doi.org/10.1097/PXR.0000000000000345
  • Sayampanathan, A. A., Basha, M., & Mitra, A. K. (2020). Risk factors of lateral epicondylitis: A meta-analysis. Surgeon, 18(2), 122–128. https://doi.org/10.1016/j.surge.2019.08.003
  • Shahabi, S., Bagheri Lankarani, K., Heydari, S. T., Jalali, M., Ghahramani, S., Kamyab, M., ... & Hosseinabadi, M. (2020). The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and orthotics international, 44(5), 341-354.
  • Shaheen, H. M., Fayaz, N., Zaky, L. A., & Mansour, A. (2020). Forearm Support Band Versus Wrist Splint in Treatment of Lateral Epicondylitis. Acta Scientific Orthopaedics (ISSN: 2581-8635), 3(8), 51–68.
  • Songur, K., Demir, Z. D., Baysan, C., & Dilek, B. (2023). Clinical and Ultrasonographic Effectiveness of Two Different Splints Used for the Treatment of Lateral Epicondylitis: A Prospective Randomized Controlled Study. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/J.APMR.2023.12.010
  • Stasinopoulos, D., & Johnson, M. I. (2004). Cyriax physiotherapy for tennis elbow/lateral epicondylitis. British Journal of Sports Medicine, 38(6), 675–677. https://doi.org/10.1136/bjsm.2004.013573
  • Stratford, P. W., Norman, G. R., & McIntosh, J. M. (1989). Generalizability of grip strength measurements in patients with tennis elbow. Physical Therapy, 69(4), 276–281. https://doi.org/10.1093/ptj/69.4.276
  • Struijs, P. A. A., Kerkhoffs, G. M. M. J., & Assendelft, W. J. J. (2004.). Conservative treatment of lateral epicondylitis: brace versus physical therapy or a combination of both—a randomized clinical trial. The American journal of sports medicine, 32(2), 462-469. https://doi.org/10.1177/0095399703258714.
  • Struijs, P. A. A., Smidt, N., Arola, H., Van Dijk, C. N., Buchbinder, R., & Assendelft, W. J. J. (2001). Orthotic devices for tennis elbow: A systematic review. British Journal of General Practice, 51(472), 924–929.
  • Uysal, H. H., ve Öztürk, Ç. P. (2023). Lateral Epı̇kondı̇lı̇t Hastalarında Boyun Kasları Kuvvetı̇ ve Enduransı. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 14(3), 326-337. https://doi.org/10.22312/sdusbed.1319112
  • Van Elk, N., Faes, M., Degens, H., Kooloos, J. G. M., De Lint, J. A., & Hopman, M. T. E. (2004). The Application of an External Wrist Extension Force Reduces Electromyographic Activity of Wrist Extensor Muscles during Gripping. Journal of Orthopaedic and Sports Physical Therapy, 34(5), 228–234. https://doi.org/10.2519/jospt.2004.34.5.228
  • Yildirim, H., Atilgan, E., ve Kayiran, S. (2020). Lateral Epikondilitte Ekstrakorporeal Şok Dalga Tedavisi ve Eksantrik Egzersiz Tedavilerinin Etkinliğinin Karşılaştırılması. Haliç Üniversitesi Sağlık Bilimleri Dergisi, 3(2), 99–106. https://dergipark.org.tr/en/pub/husagbilder/issue/54662/718817
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Protez ve Ortez
Bölüm Makaleler
Yazarlar

Celal Numan Ataş 0009-0006-1073-8721

Sena Özdemir Görgü 0000-0002-5395-3185

Erken Görünüm Tarihi 30 Nisan 2025
Yayımlanma Tarihi 30 Nisan 2025
Gönderilme Tarihi 10 Mayıs 2024
Kabul Tarihi 22 Kasım 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 12 Sayı: 1

Kaynak Göster

APA Ataş, C. N., & Özdemir Görgü, S. (2025). Lateral Epikondilit Tanısı Olan Hastalarda Farklı Ortez Kullanımının Ağrı, Kavrama Gücü ve Fonksiyonellik Üzerine Etkilerinin Karşılaştırılması: Randomize Klinik Çalışma. Hacettepe University Faculty of Health Sciences Journal, 12(1), 237-251. https://doi.org/10.21020/husbfd.1481520
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