Comparison Between Botulinum Toxin and Corticosteroid Injection in the Treatment of Acute and Subacute Tennis Elbow
| Autor: | Yu Ching Lin, Shih-Ching Chen, How Ran Guo, Yuan-Kun Tu, Sheng-Shiung Chen, I-Ling Lin |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Drug endocrine system medicine.medical_specialty medicine.drug_class viruses media_common.quotation_subject Pilot Projects Physical Therapy Sports Therapy and Rehabilitation Triamcinolone Acetonide Injections Intra-Articular law.invention Double blind Double-Blind Method Randomized controlled trial Adrenal Cortex Hormones law Tennis elbow Humans Medicine Prospective Studies Botulinum Toxins Type A Prospective cohort study Pain Measurement media_common Muscle Weakness Hand Strength business.industry Rehabilitation Tennis Elbow Middle Aged medicine.disease Botulinum toxin Surgery Neuromuscular Agents Corticosteroid Female business Botulinum toxin type medicine.drug |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 89:653-659 |
| ISSN: | 0894-9115 |
| Popis: | To compare botulinum toxin type A injection with corticosteroid injection in the treatment of tennis elbow.In this prospective, randomized, double-blind, drug-controlled trial,19 affected elbows of 16 patients were randomly assigned to receive injection with botulinum toxin type A (Botox group) or triamcinolone acetonide (steroid group). We used the Visual Analog Scale, pain-free grip strength, and World Health Organization Quality of Life Brief Questionnaire to assess the perception of pain, grip strength, and quality of life, respectively. Measures were performed before and at 4, 8, and 12 wks after the treatment.Four weeks after the treatment, the Botox group had smaller decrease in pain (P = 0.02) but greater decrease in grip strength (P = 0.01). The difference in grip strength remained significant at 8 wks (P = 0.03). No significant differences in quality of life were observed throughout the study period.Corticosteroid is superior to botulinum toxin type A in relieving pain in tennis elbow at 4 wks after injection. Because botulinum toxin injection did not relieve pain significantly but is associated with weakness, the muscle weakness caused by botulinum toxin is unlikely to be the sole mechanism of the pain relief observed in previous studies. |
| Databáze: | OpenAIRE |
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