C.1.1.3 Epicondylitis lateralis

Er is vooralsnog onvoldoende bewijs dat fysiotherapie effectief is bij epicondylitis lateralis.

Verschillende systematische reviews zijn uitgevoerd naar de effecten van fysiotherapie bij epicondylitis lateralis.120,121 Uit deze systematische reviews is niet gebleken dat fysiotherapeutische interventies effectief zijn bij deze aandoening. Een uitzondering hierop vormt ultrageluidtherapie in vergelijking tot placebo-ultrageluid, maar deze effecten bestaan alleen op de korte termijn (tot aan 3 maanden) en verdwijnen op langere termijn.120

Het literatuuronderzoek van de systematische review van Bisset et al. liep tot september 2003. 
Er zijn nog 6 gerandomiseerde onderzoeken gevonden van latere datum, waarvan 1 onderzoek122 een lage methodologische kwaliteit had en 5 onderzoeken120,123-126 een hoge. In deze onderzoeken zijn de effecten van braces, ultrageluid, oefentherapie en fysiotherapie bestaande uit verschillende behandelmodaliteiten onderzocht, zonder positieve resultaten ten faveure van een of meer van de onderzochte therapievormen. Een uitzondering hierop vormde het onderzoek van Bisset et al., waarin fysiotherapie bestaande uit manipulatie en oefeningen op korte termijn effectiever bleek dan een afwachtend beleid in de eerste 6 weken en dan cortico-steroïdinjecties in de periode daarna.120

Doordat in veel onderzoeken verschillende vergelijkingen zijn gemaakt is het moeilijk om algemene conclusies te trekken. Er is vooralsnog onvoldoende bewijs (niveau C) dat fysiotherapie effectief is bij epicondylitis lateralis.

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