Modalidades eletroterapêuticas para epicondilite lateral do úmero: revisão sistemática

• Ano de defesa: 2018
• Autor(a) principal: Silva, Milla Pompilio da [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Modalidades eletroterapêuticas; Eletroterapia; Cotovelo de tenista; Epicondilite lateral; Meta-análise
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=6339505; https://repositorio.unifesp.br/handle/11600/52489

Introduction: Lateral epicondylitis (EL) is a common affection of the elbow. There are several methods of intervention to treat it, including the electrotherapeutic modalities (METS), however no evidence was found regarding the effectiveness of these treatments. Objective: To evaluate the effectiveness of METS for EL. Methods: This is a systematic review of randomized controlled trials comparing METS with other interventions. The MEDLINE, EMBASE, CENTRAL and ECR records were searched until September 2017. The main outcomes were: pain score, function, treatment success, failure and hand grip strength with a followup of up to one year. The effects of the interventions were evaluated by relative risk and mean difference, with 95% CI. Results: Twentynine RCTs were included and two were excluded. In the metaanalysis, 18 trials were analysed with a total of 1303 participants. LaserLLLT was superior to placebo, considering DASH (p = 0.004, DM9.81, fixed effect, 95% CI [16.41,3.22]) up to three weeks; and between three and six weeks (p = 0.00001, DM 13.65,95% CI [19.49, 7.80]), and hand grip strength (p = 0.02, DM, 3.49, 95% CI [ (P = 0.04, DM 4.92, 95% CI) Conclusion: In the metaanalysis, there is evidence of moderate quality that: LaserLLLT showed more benefits than placebo, in relation to function and hand grip strength in the period up to six months, and US + CT showed more benefit than corticoid injection, considering the hand grip strength, between three and six months of follow up.