The Effectiveness Of Zhangs Tendon-regulation Combined With Extracorporeal Shock Wave For Treatment Of Lateral Epicondylitis

Objectives In this paper,Zhangs tendon-regulation combined with extracorporeal shock wave was used for lateral epicondylitis to analyze the clinical efficacy of integrated Chinese and Western treatment,providing an effective and safe compound therapy.Methods 90 patients with lateral epicondylitis collected from the Orthopedics Department of Zhangzhou Traditional Chinese Medicine Hospital from December 2017 to September 2018 were randomly divided into 3 groups.Massage group: 30 patients included were treated with Zhangs tendon-regulation;shock wave group: 30 patients included were treated with extracorporeal shock wave therapy;massage & shock wave group: 30 patients included were given Zhangs tendon-regulation combined with extracorporeal shock wave therapy.During the course of 2 weeks,their gripping indices,VAS pain grades and Mayo elbow performance scores before and after the treatment were tested and evaluated to confirm the clinical efficacy.SPSS 19.0 statistical software was used to statistically analyze the collected data.Results(1)There was no significant difference between the 3 groups in their general conditions(age,gender,course of disease,disease location)and observational indexes(gripping indices,VAS pain grades and Mayo elbow performance scores)before treatment(P>0.05),but comparable;(2)Their gripping indices after the treatment were better than that of before in the 3 groups(P<0.05).The total points of massage & shock wave group were higher than that of massage group and shock wave group,but the differences were not statistically significant(P>0.05).There was no statistically difference between massage group and shock wave group(P>0.05).(3)In the 3 groups,their VAS pain grades decreased after the treatment(P<0.05).The total points of massage & shock wave group were lower than that of massage group and shock wave group,with the differences statistically significant(P<0.05).There was no statistically difference between massage group and shock wave group(P>0.05).(4)Mayo elbow performance scores of the 3 groups were superior to that before treatment(P<0.05).The total points of massage & shock wave group were lower than that of massage group and shock wave group,with the differences statistically significant(P<0.05).There was no statistically difference between massage group and shock wave group(P>0.05(5)).Clinical efficacy: The statistical data showed that the integrated therapy in this paper was clinically effective.The efficiency percentage was: 78.57% in massage group,75.86% in shock wave group,and 89.66% of massage & shock wave group.The differences among the 3 groups were statistically significant(P<0.05).Conclusions 1.Zhangs tendon-regulation,extracorporeal shock wave therapy or Zhangs tendon-regulation combined with extracorporeal shock wave were all effective in relieving regional pain of lateral epicondylitis and improving the grip strength and function of elbow joint.2.Zhangs tendon-regulation combined with extracorporeal shock wave showed a better clinical efficacy compared with the others.With the combination of traditional Chinese and western medicine,it is safe and effective for the treatment of lateral epicondylitis and worthy of popularization.