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Orthotic devices for tennis elbow: a systematic review
P A Struijs1, N Smidt, H Arola
1Academic Medical Center, Department of Orthopaedic Surgery, Amsterdam, The Netherlands. p.a.struys@amc.uva.nl
Summary
Orthotic devices show no definitive effectiveness for treating lateral epicondylitis (tennis elbow). More high-quality randomized controlled trials are needed to establish optimal treatment strategies for this common condition.
Area of Science:
- Orthopedics
- Sports Medicine
- Rehabilitation
Background:
- Lateral epicondylitis, commonly known as tennis elbow, is a prevalent condition.
- Numerous treatment modalities exist, yet no universally optimal strategy has been identified.
Purpose of the Study:
- To systematically review the effectiveness of orthotic devices in the treatment of tennis elbow.
Main Methods:
- A comprehensive electronic database search (MEDLINE, EMBASE, CINAHL, Cochrane) and expert consultation were performed.
- Included were randomized controlled trials (RCTs) evaluating orthotic devices for diagnosed lateral epicondylitis.
- Data extraction and validity assessment were conducted by two independent reviewers.
Main Results:
- Five small-sized RCTs with limited outcome measures and short-term results were included.
- High heterogeneity prevented statistical pooling and subgroup analyses.
- The validity scores of the included trials varied.
Conclusions:
- Current evidence is insufficient to draw definitive conclusions on the effectiveness of orthotic devices for tennis elbow.
- Further well-designed, adequately powered RCTs are essential to guide treatment decisions.