Hong Kong Physiotherapy Journal
Volume 25, Issue 1 , Pages 14-20, 2007

Effectiveness of Microcurrent Therapy in the Management of Lateral Epicondylitis: A Pilot Study

  • Lydie O.L. Ho, MMedSc

      Affiliations

    • Physiotherapy Department, Tuen Mun Hospital, The Hong Kong Polytechnic University, Hong Kong SAR, China
  • ,
  • Wai Lun Kwong, MSc

      Affiliations

    • Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China
  • ,
  • Gladys L.Y. Cheing, PhD

      Affiliations

    • Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China
    • Corresponding Author InformationReprint requests and correspondence to: Dr Gladys Cheing, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China

Received 29 October 2007; accepted 4 November 2007.

Article Outline

Abstract 

Lateral epicondylitis is a musculoskeletal condition that is commonly encountered in outpatient physio-therapy clinics. In the recent decade, various types of electrophysical modalities and exercise therapy have been used for the management of lateral epicondylitis. Limited research has been done on microcurrent therapy. The present study was a randomized controlled pilot trial that aimed to evaluate if the addition of microcurrent therapy could enhance the treatment effects of exercise therapy in the management of lateral epicondylitis. Sixteen subjects participated in the study; they were randomly allocated to receive either microcurrent therapy and exercise, or exercise therapy alone. All subjects completed the whole treatment course of 10 sessions. Outcome measures included mechanical-pain threshold, pain-free handgrip, maximum handgrip and visual analogue scale to document the intensity of pain aggravated by a maximum handgrip. Assessments were taken in the first treatment session (baseline), at the end of week 1, week 2, week 3, and at the 3-week follow-up session. The results showed trends of improvement in all outcomes. However, no significant between-group difference was observed in mechanical-pain threshold, pain-free handgrip, maximum handgrip or visual analogue scale during maximum handgrip testing. Our findings seem to suggest that exercise alone is already effective for the management of lateral epicondylitis. The addition of microcurrent therapy to exercise does not enhance the treatment effect. However, the present study had a small sample size, so further research with a larger sample size is recommended.

Key words:  exercise therapy , lateral epicondylitis , microcurrent therapy

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Boyer MI , Hastings H . Lateral tennis elbow: is there any science out there? . J Shoulder Elbow Surg . 1999;8:481–491
  2. Noteboom T , Cruver R , Keller J , et al.   Tennis elbow: a review . J Orthop Sports Phys Ther . 1994;19:357–366
  3. Regan W , Wold LE , Coonrad R , et al.   Microscopic histopathol-ogy of chronic refractory lateral epicondylitis . Am J Sports Med . 1992;20:746–749
  4. Organ SW , Nirschl RP , Kraushaar BS , et al.   Salvage surgery for lateral tennis elbow . Am J Sports Med . 1997;25:746–750
  5. Ljung BO , Forsgren S , Fridén J . Substance P and calcitonin gene-related peptide expression at the extensor carpi radialis brevis muscle origin: implications for the etiology of tennis elbow . J Orthop Res . 1999;17:554–559
  6. Sevier TL , Wilson JK . Treating lateral epicondylitis . Sports Med . 1999;28:375–380
  7. Ollivierre CO , Nirschl RP . Tennis elbow: current concepts of treatment and rehabilitation . Sports Med . 1996;22:133–139
  8. Ramirez A , Schwane J , McFarland C , et al.   The effect of ultrasound on collagen synthesis and fibroblast proliferation in vitro . Med Sci Sports Exerc . 1997;29:326–332
  9. Pienimäki TT , Tarvainen TK , Siira PT , et al.   Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylitis . Physiotherapy . 1996;82:522–530
  10. Svernlöv B , Adolfsson L . Non-operative treatment regime including eccentric training for lateral humeral epicondylalgia . Scand J Med Sci Sports . 2001;11:328–334
  11. Kirsh DL , Lerner FN . Electromedicine: the other side of physiology . In:  Weiner RS editors. Pain Management: A Practical Guide for clinicians . New York: St Lucie Press; 1998; Chapter 55.
  12. Stanish WD , Rubinovich M , Kozey J , et al.   The use of electricity in ligament and tendon repair . Physician Sports Med . 1985;13:109–116
  13. Akai M , Oda H , Shirasaki Y , et al.   Electrical stimulation of ligament healing: an experimental study of the patellar ligament of rabbits . Clin Orthop Relat Res . 1988;235:296–301
  14. Johannsen F , Gam A , Hauschild B , et al.   Rebox: an adjunct in physical medicine? . Arch Phys Med Rehabil . 1993;74:438–440
  15. Tan G , Monga T , Thornby J . Efficacy of microcurrent electrical stimulation on pain severity, psychological distress, and disability . Am J Pain Manag . 2000;10:35–44
  16. Chapman-Jones D , Hill D . Novel microcurrent treatment is more effective than conventional therapy for chronic Achilles tendinopathy: randomized comparative trial . Physiotherapy . 2002;88:471–480
  17. Rubenstein A , Milovich J . In: Microcurrent Therapy: Protocols & Applications . Oxford: Chesapeake Electromedical, Inc. & Modmode Medical, Inc.; 1994;p. 15–18
  18. Smidt N , van der Windt DA , Assendelft WJ , et al.   Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis . Arch Phys Med Rehabil . 2002;83:1145–1150
  19. Dalton JA , McNaull F . A call for standardizing the clinical rating of pain intensity using a 0 to 10 rating scale . Cancer Nurs . 1998;2:46–49
  20. Benjamin SJ , Williams DA , Kalbfleisch JH , et al.   Normalized forces and active range of motion in unilateral radial epi-condylalgia (tennis elbow) . J Orthop Sports Phys Ther . 1999;29:668–676
  21. Khan KM , Cook JL , Bonar F , et al.   Histopathology of common tendinopathies: update and implications for clinical management . Sports Med . 1999;27:393–408
  22. Pienimäki T . Conservative treatment and rehabilitation of tennis elbow: a review article . Crit Rev Phys Rehabil Med . 2000;12:213–228
  23. Sölveborn SA , Olerud C . Radial epicondylalgia (tennis elbow): measurement of range of motion of the wrist and the elbow . J Orthop Sports Phys Ther . 1996;23:251–257

PII: S1013-7025(08)70004-6

doi:10.1016/S1013-7025(08)70004-6

Hong Kong Physiotherapy Journal
Volume 25, Issue 1 , Pages 14-20, 2007