Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 6 Issue 8

The Effectiveness of Thermal Mode of 448 kHz Capacitive Resistive Monopolar Radiofrequency in the Continuous Wave in Patients with Chronic Lateral Elbow Tendinopathy. A Pilot Clinical Trial

Efstratia Giannikou, Tatiana Adamak, Amalia Maria Kallianioti, Kontozoudaki Antonia and Dimitrios Stasinopoulos

Department of Physical Therapy, University of West Attica: Agiou Spyridonos, Athens, Greece

*Corresponding Author: Dimitrios Stasinopoulos, Department of Physical Therapy, University of West Attica: Agiou Spyridonos, Athens, Greece.

Received: May 31, 2023; Published: July 21, 2023

Abstract

The aim of the present clinical trial was to compare the clinical results of the use of an exercise program with those of an exercise program and thermal (thermia or hyperthermia) mode of 448 kHz Capacitive Resistive Monopolar Radiofrequency in the continuous wave in patients with chronic lateral elbow tendinopathy. Patients were allocated to two groups. Pain, function, strength, and kinesiophobia were measured. An exercise programme and thermal (thermia or hyperthermia) mode of 448 kHz Capacitive Resistive Monopolar Radiofrequency in continuous wave, had reduced the pain and kinisiophobia and improved function and strength in patients with chronic lateral elbow tendinopathy at the end of the treatment and at the follow-ups. Future well-designed randomised controlled clinical trials are needed to establish the effectiveness 448 kHz Capacitive Resistive Monopolar Radiofrequency in the management of chronic lateral elbow tendinopathy.

Keywords: Lateral Elbow Tendinopathy; Exercise; Capacitive Resistive Monopolar Radiofrequency 448kHz

References

  1. Bisset LM and Vicenzino B. "Physiotherapy management of lateral epicondylalgia”. Journal of Physiotherapy 61 (2015): 174-181.
  2. Coombes B., et al. “Management of Lateral Elbow Tendinopathy: One Size Does Not Fit All”. Journal of Orthopaedic and Sports Physical Therapy11 (2015): 938-949.
  3. Cioce T., et al. “Assessment and Management of Lateral Elbow Pain in Physiotherapy Clinical Practice: an Italian National Survey”. Muscles, Ligaments and Tendons Journal4 (2020): 698-712.
  4. Shiri R and Viikari-Juntura E. “Lateral and medial epicondylitis: Role of occupational factors”. Best Practice and Research in Clinical Rheumatology 1 (2011): 43-57.
  5. Ahmad Ζ., et al. “Lateral epicondylitis: A review of pathology and management”. The Bone and Joint Journal 95B (2013): 1158-1164.
  6. Behrens SB., et al. “A review of modern management of lateral epicondylitis”. The Physician and Sportsmedicine 2 (2012): 34-40.
  7. Samaras P., et al. “Greek physiotherapists’ contemporary knowledge and practice for lateral elbow tendinopathy: An online survey”. Musculoskeletal Science and Practice 57 (2022): 102502.
  8. Manias P and Stasinopoulos D. “A controlled clinical pilot trial to study the effectiveness of ice as a supplement to the exercise programme for the management of lateral elbow tendinopathy”. British Journal of Sports Medicine1 (2006): 81-85.
  9. Stasinopoulos D and Stasinopoulos I. “Comparison of effects of Cyriax physiotherapy, a supervised exercise programme and polarized polychromatic non-coherent light (Bioptron light) for the treatment of lateral epicondylitis”. Clinical Rehabilitation1 (2006): 12-23.
  10. Stasinopoulos D., et al. “Comparison of effects of a home exercise programme and a supervised exercise programme for the management of lateral elbow tendinopathy”. British Journal of Sports Medicine 44 (2010): 579-583.
  11. Stasinopoulos D., et al. “448 kHz Capacitive Resistive Monopolar Radiofrequency and a Supervised Exercise Programme in Patients with Lateral Elbow Tendinopathy? A Research Protocol”. EC Orthopaedics 4 (2020): 98-106.
  12. Cho Y., et al. “Healthcare Utilization for Lateral Epicondylitis: A 9-Year Analysis of the 2010-2018 Health Insurance Review and Assessment Service National Patient Sample Data”. Healthcare (Basel)4 (2022): 636.
  13. Amar E., et al. “Lateral epicondylitis treatment: international survey of surgeons’ preferences and literature review”. International Journal of Clinical Practice11 (2014): 1383-1387.
  14. Vaquero-Picado A., et al. “Lateral epicondylitis of the elbow”. EFORT Open Review11 (2016): 391–397.
  15. Lapner P., et al. “Nonoperative treatment of lateral epicondylitis: a systematic review and meta-analysis”. JSES International 2 (2022): 321-330.
  16. Weber C., et al. “Efficacy of physical therapy for the treatment of lateral epicondylitis: a meta-analysis”. BMC Musculoskeletal Disorders 25 (2015): 223.
  17. Stasinopoulos D. “A Progressive Loading Supervised Exercise Program and Manual Therapy for The Management of Lateral Elbow Tendinopathy: A Case Report”. Journal of Clinical Case Studies Reviews and Reports 6 (2022): 1-4.
  18. Kumaran B. “Physiological and clinical effects of Radiofrequency-based therapy”. PhD. University of Hertfordshire, Hatfield, UK (2017).
  19. Fousekis K., et al. “Posterior thigh thermal skin adaptations to radiofrequency treatment at 448 kHz applied with or without Indiba® fascia treatment tools”. The Journal of Physical Therapy Science4 (2020): 292-296.
  20. Stasinopoulos D., et al. “448 kHz Capacitive Resistive Monopolar Radiofrequency in Patients with Rotator Cuff Tendinopathy. A Pilot Study”. Acta Scientific Orthopaedics4 (2020): 16-20.
  21. Stasinopoulos D., et al. “The Effectiveness of Thermal Mode of 448 KHz Capacitive Resistive Monopolar Radiofrequency in Continuous Wave in Patients with Chronic Rotator Cuff Tendinopathy: A Clinical Trial”. Journal of Orthopedics and Bone Disorders 1 (2020): 196.
  22. Piponas K and Stasinopoulos D. “The Effectiveness of 448 kHz Capacitive Resistive Monopoles Radio Frequency in Acute Ankle Sprain: A Case Report”. Journal of Complementary and Integrative Medicine 7 (2021): 141.
  23. Stasinopoulos D. “The Effectiveness of 448 kHz Capacitive Resistive Monopoles Radiofrequency in Acute Lateral Elbow Tendinopathy: A Case Report”. Annals of Clinical Case Reports-Physiotherapy 4 (2019): 1613.
  24. Pienimäki TT., et al. “Progressive Strengthening and Stretching Exercises and Ultrasound for Chronic Lateral Epicondylitis”. Physiotherapy9 (1996): 522-530.
  25. Shrier I and Gossal K. “Myths and truths of stretching: individualized recommendations for healthy muscles”. The Physician and Sportsmedicine 8 (2000): 57-63.
  26. Stanish W., et al. “Tendinitis: its etiology and treatment”. British Journal of Sports Medicine2 (2001): 139.
  27. Fyfe I and Stanish W. “The use of eccentric training and stretching in the treatment and prevention of tendon injuries”. Clinical Sports Medicine 11 (1992): 601-624.
  28. Stasinopoulos D., et al. “An exercise programme for the management of lateral elbow tendinopathy”. British Journal of Sports Medicine 39 (2005): 944-947.
  29. Bhatt JB., et al. “Middle and lower trapezius strengthening for the management of lateral epicondylalgia: a case report”. Journal of Orthopaedic and Sports Physical Therapy 43 (2013): 841-847.
  30. Sharma M., et al. “Effect of adding rotator cuff strengthening to therapeutic ultrasound and wrist extensor eccentric exercise for lateral epicondylalgia-a randomized clinical trial”. International Journal of Health Sciences and Research 5 (2015): 250-257.
  31. Demosthenous M., et al. “Comparison of the Effectiveness of Eccentric-Concentric Training of Wrist Extensors and Eccentric - Concentric Training Combined with Supinator Strengthening in Healthy Population”. Journal of Orthopedic Research and Physiotherapy 2 (2017): 036.
  32. Park JY., et al. “Prospective evaluation of the effectiveness of a home-based program of isometric strengthening exercises: 12-month follow-up”. Clinics in Orthopedic Surgery 2 (2010): 173-178.
  33. Pearson SJ., et al. “Immediate and Short-Term Effects of Short- and Long-Duration Isometric Contractions in Patellar Tendinopathy”. Clinical Journal of Sport Medicine 4 (2020): 335-340.
  34. Vicenzino B., et al. “The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia”. Pain 1 (1996): 69-74.
  35. Shridhar Thakare P., et al. “Long term effect of cyriax physiotherpy with supervised exercise program in subjects with tennis elbow”. International Journal of Physics 2 (2016): 74-82.
  36. Rompe J., et al. “Validation of the Patient-rated Tennis Elbow Evaluation Questionnaire”. Journal of Hand Therapy 1 (2007): 3-10.
  37. Papadopoulos K., et al. “Greek adaptation and validation of the Patients Rated Tennis Elbow Evaluation (PRTEE)”. Journal of Hand Therapy 3 (2015): 286-291.
  38. Stasinopoulos D., et al. “Greek adaptation and validation of the Patients Rated Tennis Elbow Evaluation (PRTEE)”. Journal of Hand Therapy 3 (2015): 286-290.
  39. Stratford P and Levy D. “Assessing valid change over time in patients with lateral epicondylitis at the elbow”. Clinical Journal of Sport Medicine 4 (1994): 88-91.
  40. Hamilton GF., et al. “Measurement of grip strength: validity and reliability of the sphygmomanometer and Jamar grip dynamometer”. Journal of Orthopaedic and Sports Physical Therapy5 (1992): 215-219.
  41. Miller R., et al. “The Tampa Scale: a Measure of Kinesophobia”. The Clinical Journal of Pain 1 (1991): 51.
  42. Georgoudis G., et al. “Physiotherapy assessment in painful musculoskeletal conditions: Validity and Reliability of the Greek Tampa Scale of Kinesiophobia”. (pilot study). 2005, Poster 119, World Institute of Pain, European Federation of IASP Chapters, International Forum on Pain Medicine, Sofia, Bulgaria (2005).
  43. Huang J., et al. “A Mixed Comparison of Interventions for Kinesiophobia in Individuals With Musculoskeletal Pain: Systematic Review and Network Meta-Analysis”. Frontiers in Psychology 13 (2022): 886015.
  44. Kirthika V., et al. “Prevalence of kinesiophobia among the tennis elbow patients in India”. GJRA 11 (2018): 2277.
  45. Xu Y., et al. “Effect of multi-modal therapies for kinesiophobia caused by musculoskeletal disorders: a systematic review and meta-analysis”. International Journal of Environmental Research and Public Health 17 (2020): 9439.
  46. Tseng SY., et al. “The Effectiveness of Whole-Body Vibration and Heat Therapy on the Muscle Strength, Flexibility, and Balance Abilities of Elderly Groups”. International Journal of Environmental Research and Public Health 2 (2023): 1650.
  47. Kumaran B and Watson T. “Treatment using 448kHz capacitive resistive monopolar radiofrequency improves pain and function in patients with osteoarthritis of the knee joint: a randomised controlled trial”. Physics 1 (2019): 98-107.
  48. Avendaño-Coy J., et al. “Capacitive resistive monopolar radiofrequency at 448 kHz plus exercising versus exercising alone for subacromial pain: A sham-controlled randomized clinical trial”. Clinical Rehabilitation11 (2022): 1450-1462.
  49. Gadhvi M and Waseem M. “Physiology, Sensory System”. StatPearls Publishing LLC, Tampa, Florida, United States (2022).
  50. Pienimäki TT., et al. “Progressive Strengthening and Stretching Exercises and Ultrasound for Chronic Lateral Epicondylitis”. Physics9 (1996): 522-530.
  51. Vicenzino B. “Lateral epicondylalgia: a musculoskeletal physiotherapy perspective”. Manual Therapy 2 (2003): 66-79.
  52. Coombes BK., et al. “Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: A randomized controlled trial”. JAMA 309 (2013): 461-469.
  53. Yelland M., et al. “Prolotherapy injections and physiotherapy used singly and in combination for lateral epicondylalgia: a single-blinded randomised clinical trial”. BMC Musculoskeletal Disorders 1 (2019): 509.
  54. Solveborn SA. “Radial epicondylalgia ('tennis elbow'): treatment with stretching or forearm band. A prospective study with long-term follow-up including range-of-motion measurements”. Scandinavian Journal of Medicine and Science in Sports4 (1997): 229-237.
  55. Nilsson P., et al. “A prospective pilot study of a multidisciplinary home training programme for lateral epicondylitis”. Musculoskeletal Care1 (2007): 36-50.
  56. Svernlöv B and Adolfsson L. “Non-operative treatment regime including eccentric training for lateral humeral epicondylalgia”. Scandinavian Journal of Medicine and Science in Sports6 (2001): 328-334.
  57. Stasinopoulos D and Stasinopoulos I. “Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy”. Journal of Hand Therapy1 (2017): 13-19.
  58. Stasinopoulos D and Johnson MI. “Treatment/management for tendinopathy”. BMJ (2004).
  59. Stasinopoulos D and Manias P. “Comparing Two Exercise Programmes for the Management of Lateral Elbow Tendinopathy (Tennis Elbow/Lateral Epicondylitis)-A Controlled Clinical Trial”. The Open Access Journal of Science Technology (2013): 1.
  60. Chen Z and Baker NA. “Effectiveness of eccentric strengthening in the treatment of lateral elbow tendinopathy: A systematic review with meta-analysis”. Journal of Hand Therapy 1 (2021): 18-28.
  61. Karanasios S., et al. “Exercise interventions in lateral elbow tendinopathy have better outcomes than passive interventions, but the effects are small: a systematic review and meta-analysis of 2123 subjects in 30 trials”. British Journal of Sports Medicine9 (2021): 477-485.
  62. Raman J., et al. “Effectiveness of different methods of resistance exercises in lateral epicondylosisea systematic review”. Journal of Hand Therapy 1 (2012): 5e26.
  63. MacDermid JC., et al. “Hand therapist management of the lateral epicondylosis: a survey of expert opinion and practice patterns”. Journal of Hand Therapy 1 (2010): 18e30.
  64. Rio E., et al. “Tendon neuroplastic training: changing the way we think about tendon rehabilitation: a narrative review”. British Journal of Sports Medicine 50 (2016): 209-215.
  65. Welsh P. “Tendon neuroplastic training for lateral elbow tendinopathy: 2 case reports”. The Journal of the Canadian Chiropractic Association 2 (2018): 98-104.
  66. Stasinopoulos D. “The Management of Lateral Elbow Tendinopathy using Tendon Neuroplastic Training: A Case Report”. Acta Scientific Orthopaedics 3 (2019): 2-5.
  67. Plinsinga ML., et al. “Evidence of Nervous System Sensitization in Commonly Presenting and Persistent Painful Tendinopathies: A Systematic Review”. Journal of Orthopaedic and Sports Physical Therapy11 (2015): 864-875.
  68. Stasinopoulos D. “Scapular and rotator cuff strengthening in patients with lateral elbow tendinopathy”. Hong Kong Physiotherapy Journal 37 (2017): 25-26.
  69. Gatchel RJ., et al. “The biopsychosocial approach to chronic pain: scientific advances and future directions”. Psychological Bulletin 4 (2007): 581-624.
  70. Sørvoll M., et al. “The Significance of Touch in Pediatric Physiotherapy”. Frontiers in Rehabilitation Sciences 3 (2022): 893551.
  71. Bateman M., et al. “Development of a core outcome set for lateral elbow tendinopathy (COS-LET) using best available evidence and an international consensus process”. British Journal of Sports Medicine 56 (2022): 657-666.
  72. Lupton-Smith A., et al. “Measurement of hand grip strength: A cross-sectional study of two dynamometry devices”. South African Journal of Physiotherapy 1 (2022): 1768.
  73. Jeswani K and Rathi M. “The Tampa scale of Kinesiophobia and pain, disability and grip strength in patients with lateral Epicondylalgia: A narrative review of the literature”. International Journal of Sciences and Applied Research 2 (2021): 365-369.
  74. Mallows A., et al. “Association of psychological variables and outcome in tendinopathy: a systematic review”. British Journal of Sports Medicine9 (2015): 743-748.
  75. Thiese M., et al. “Psychosocial Factors Related to Lateral and Medial 387 EpicondylitisResults From Pooled Study Analyses”. International Journal of Occupational and Environmental Medicine 6 (2016): 588-593.
  76. Feleus A., et al. “Kinesiophobia in patients with non-traumatic arm, neck and shoulder complaints: a prospective cohort study in general practice”. BMC Musculoskeletal Disorder 8 (2007): 117.
  77. Julious SA. “Sample size of 12 per group rule of thumb for a pilot study”. Pharmaceutical Statistics 4 (2005): 287-291.
  78. Lewis M., et al. “Determining sample size for progression criteria for pragmatic pilot RCTs: the hypothesis test strikes back!” Pilot Feasibility Study 7 (2021): 40.
  79. Eldridge SM., et al. “CONSORT 2010 statement: extension to randomised pilot and feasibility trials”. Pilot Feasibility Study1 (2016).
  80. Thabane L., et al. “A tutorial on pilot studies: what, why and how”. BMC Medical Research Methodology 1 (2010).
  81. Browne RH. “On the use of a pilot sample for sample size determination”. Statistics in Medicine 17 (1995): 1933-1940.

Citation

Citation: Dimitrios Stasinopoulos., et al. “The Effectiveness of Thermal Mode of 448 kHz Capacitive Resistive Monopolar Radiofrequency in the Continuous Wave in Patients with Chronic Lateral Elbow Tendinopathy. A Pilot Clinical TrialActa Scientific Orthopaedics 6.8 (2023): 58-65.

Copyright

Copyright: © 2023 Dimitrios Stasinopoulos., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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