Cochrane · systematic review · CD013042
Manual therapy and exercise for lateral elbow pain
Wallis, JA, Bourne, AM, Jessup, RL, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
8
No studies
6
Included studies
NR
No studies 6 · 42.9%Ungraded 0 · 0%Very low 2 · 14.3%Low 6 · 42.9%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Manual therapy, prescribed exercises or both compared with placebo for lateral elbow pain
Population: lateral elbow pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PainScale: numerical rating scale (0 to 10, 0 is no pain) Manual therapy, prescribed exercises or both vs placebo | no estimate extracted | 1 study · 23 participants | Low Downgraded: imprecision, indirectness |
DisabilityScale: 0 to 100 (0 is no disability) Manual therapy, prescribed exercises or both vs placebo | no estimate extracted | 1 study · 23 participants | Low Downgraded: imprecision, indirectness |
Quality of life Manual therapy, prescribed exercises or both vs placebo | no estimate extracted | NR | No studies |
Participant‐reported treatment success Manual therapy, prescribed exercises or both vs placebo | no estimate extracted | NR | No studies |
Proportion of withdrawals Manual therapy, prescribed exercises or both vs placebo | no estimate extracted | NR | No studies |
Proportion with adverse events Manual therapy, prescribed exercises or both vs placebo | no estimate extracted | NR | No studies |
Proportion with a serious adverse event Manual therapy, prescribed exercises or both vs placebo | no estimate extracted | NR | No studies |
Manual therapy, prescribed exercises or both compared to minimal or no intervention for lateral elbow pain
Population: lateral elbow pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PainScale: VAS (0 to 10, 0 is no pain) Manual therapy, prescribed exercises or both vs minimal or no intervention | no estimate extracted | 12 studies · 1023 participants | Low Downgraded: risk of bias, imprecision, indirectness |
DisabilityScale: Disability questionnaires (0 to 100, 0 is no disability) Manual therapy, prescribed exercises or both vs minimal or no intervention | no estimate extracted | 10 studies · 732 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Health‐related quality of lifefScale: SF‐36 (0 to 100, 100 indicates perfect health) Manual therapy, prescribed exercises or both vs minimal or no intervention | no estimate extracted | 2 studies · 113 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Participant‐reported treatment success Manual therapy, prescribed exercises or both vs minimal or no intervention | RR 1.36 [0.96, 1.93] | 6 studies · 770 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Proportion of overall withdrawals Manual therapy, prescribed exercises or both vs minimal or no intervention | RR 0.86 [0.66, 1.12] | 12 studies · 1147 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Proportion with any adverse event Manual therapy, prescribed exercises or both vs minimal or no intervention | RR 3.69 [0.98, 13.97] | 6 studies · 457 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Proportion with a serious adverse event Manual therapy, prescribed exercises or both vs minimal or no intervention | no estimate extracted | NR | No studies |