title: Manipulation Therapy Relieved Pain More Rapidly Than Acupuncture among Lateral Epicondylalgia (Tennis Elbow) Patients: A Randomized Controlled Trial with 8-Week Follow-Up.
abstract: Radial bone adjustment manipulation treatment may be effective to reduce pain rapidly in lateral epicondylalgia patients and the pathological tension in the biceps brachii muscle is highly concerned. To prove this hypothesis, we conducted a randomized controlled trial and included 35 patients with lateral epicondylalgia for more than 2 months. Either manipulation treatment (n = 16) or acupuncture (n = 19) was given to these patients for 2 weeks and all patients' symptoms were followed up for 8 weeks after treatment. Both groups demonstrated changes in pain VAS score, grip strength, and DASH questionnaire. Lateral epicondylalgia patients who received manipulation treatment felt pain relief sooner than those who had acupuncture treatments during the first few treatments. However, both acupuncture and manipulation are effective, while the difference has no significance at the 8-week follow-up. The trial was registered with Current Controlled Trials ISRCTN81308551 on 5 February 2016.
authors.affiliation: Division of Chinese Acupuncture and Traumatology, Center of Traditional Chinese Medicine, Taoyuan Chang Gung Memorial Hospital, No. 123, Dinghu Road, Guishan District, Taoyuan 333, Taiwan.
authors.forename: Chung-Yuan
authors.identifier: 0000-0002-1338-079X
authors.initials: CY
authors.lastname: Hsu
authors.affiliation: Division of Chinese Acupuncture and Traumatology, Center of Traditional Chinese Medicine, Linkou Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Guishan District, Taoyuan 333, Taiwan.
authors.forename: Ko-Hung
authors.initials: KH
authors.lastname: Lee
authors.affiliation: Division of Chinese Acupuncture and Traumatology, Center of Traditional Chinese Medicine, Taoyuan Chang Gung Memorial Hospital, No. 123, Dinghu Road, Guishan District, Taoyuan 333, Taiwan.
authors.forename: Hsin-Chia
authors.identifier: 0000-0002-2451-5338
authors.initials: HC
authors.lastname: Huang
authors.affiliation: Division of Chinese Acupuncture and Traumatology, Center of Traditional Chinese Medicine, Keelung Chang Gung Memorial Hospital, No. 222, Maigin Road, Anle District, Keelung 204, Taiwan.
authors.forename: Zi-Yu
authors.initials: ZY
authors.lastname: Chang
authors.affiliation: Division of Chinese Internal Medicine, Center of Traditional Chinese Medicine, Taoyuan Chang Gung Memorial Hospital, No. 123, Dinghu Road, Guishan District, Taoyuan 333, Taiwan.
authors.forename: Hsing-Yu
authors.initials: HY
authors.lastname: Chen
authors.affiliation: Division of Chinese Acupuncture and Traumatology, Center of Traditional Chinese Medicine, Taoyuan Chang Gung Memorial Hospital, No. 123, Dinghu Road, Guishan District, Taoyuan 333, Taiwan.
authors.forename: Tsung-Hsien
authors.identifier: 0000-0002-4279-2953
authors.initials: TH
authors.lastname: Yang