Orthotic devices for the treatment of tennis elbow

Struijs PAA, Smidt N, Arola H, van Dijk CN, Buchbinder R, Assendelft WJJ

Published Online:

January 21, 2009

Lateral epicondylitis (tennis elbow) is a frequently reported condition. A wide variety of treatment strategies has been described. As of yet, no optimal strategy has been identified.

Five RCTs (N per group 7-49) were included. Validity score ranged from 3-9 positive items out of 11. Subgroup analyses were not performed due to the small number of trials. The limited number of included trials present few outcome measures and limited long-term results. Pooling was not possible due to large heterogeneity amongst trials.

No definitive conclusions can be drawn concerning effectiveness of orthotic devices for lateral epicondylitis. More well-designed and well-conducted RCTs of sufficient power are warranted.

Abstract (click to read)

Background:

Lateral epicondylitis (tennis elbow) is a frequently reported condition. A wide variety of treatment strategies has been described. As of yet, no optimal strategy has been identified.

Objectives:

To assess the effectiveness of orthotic devices for the treatment of tennis elbow.

Search strategy:

We searched Medline, Embase, CINAHL, the Cochrane Controlled Trial Register, Current Contents up to May 1999 and reference lists from all retrieved articles. Experts on the subjects were approached for additional trials.

Selection criteria:

All randomised clinical trials (RCT) describing individuals with diagnosed lateral epicondylitis and comparing the use of an orthotic device as a treatment strategy were evaluated for inclusion.

Data collection and analysis:

Two reviewers independently assessed the validity of the included trials and extracted data on relevant outcome measures. Dichotomous outcomes were expressed as Relative Risks (RRs) and continuous outcomes as Standardised Mean Differences (SMD), both with corresponding 95% confidence intervals (95% CI). Statistical pooling and subgroup analyses were intended

Main results:

Authors' conclusions:

No definitive conclusions can be drawn concerning effectiveness of orthotic devices for lateral epicondylitis. More well-designed and well-conducted RCTs of sufficient power are warranted.

This record should be cited as:

Struijs PAA, Smidt N, Arola H, van Dijk CN, Buchbinder R, Assendelft WJJ. Orthotic devices for the treatment of tennis elbow. Cochrane Database of Systematic Reviews 2002, Issue 1. Art. No.: CD001821. DOI: 10.1002/14651858.CD001821

Assessed as up to date:

October 26, 2001

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Primary Review Group:

Musculoskeletal Group

Arthritis topics:

Chronic Musculoskeletal Pain > Elbow Pain

Health topics:

Rheumatology > Soft tissue disorders > Elbow pain

Cochrane Summaries^beta

Independent high-quality evidence for health care decision making

Orthotic devices for the treatment of tennis elbow

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