A Comprehensive Rehabilitation Program for Treating Lateral Elbow Tendinopathy

Day, Joseph M.; Lucado, Ann M.; Uhl, Timothy L.

doi:10.26603/ijspt20190818

Cited by 31 publications

(16 citation statements)

References 53 publications

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“…The specific treatment algorithm administered to both groups has been previously published. 40 All outcomes were measured at baseline and discharge from physical therapy (4-6 weeks). To determine the long-term effects of treatment, follow-ups were obtained at 6 and 12 months.…”

Section: Eligibilitymentioning

confidence: 99%

The Effect of Scapular Muscle Strengthening on Functional Recovery in Patients With Lateral Elbow Tendinopathy: A Pilot Randomized Controlled Trial

Day¹,

Lucado²,

Dale³

et al. 2021

Journal of Sport Rehabilitation

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Context: There is a lack of consensus on the best management approach for lateral elbow tendinopathy (LET). Recently, scapular stabilizer strength impairments have been found in individuals with LET. Objective: The purpose of this study was to compare the effectiveness of local therapy (LT) treatment to LT treatment plus a scapular muscle-strengthening (LT + SMS) program in patients diagnosed with LET. Design: Prospective randomized clinical trial. Setting: Multisite outpatient physical therapy. Patients: Thirty-two individuals with LET who met the criteria were randomized to LT or LT + SMS. Interventions: Both groups received education, a nonarticulating forearm orthosis, therapeutic exercise, manual therapy, and thermal modalities as needed. Additionally, the LT + SMS group received SMS exercises. Main Outcome Measure: The primary outcome measure was the patient-rated tennis elbow evaluation; secondary outcomes included global rating of change (GROC), grip strength, and periscapular muscle strength. Outcomes were reassessed at discharge, 6, and 12 months from discharge. Linear mixed-effect models were used to analyze the differences between groups over time for each outcome measure. Results: The average duration of symptoms was 10.2 (16.1) months, and the average total number of visits was 8.0 (2.2) for both groups. There were no significant differences in gender, age, average visits, weight, or height between groups at baseline (P > .05). No statistical between-group differences were found for any of the outcome measures. There were significant within-group improvements in all outcome measures from baseline to all follow-up points (P < .05). Conclusion: The results of this pilot study suggest that both treatment approaches were equally effective in reducing pain, improving function, and increasing grip strength at discharge as well as the 6- and 12-month follow-ups. Our multimodal treatment programs were effective at reducing pain and improving function up to 1 year after treatment in a general population of individuals with LET.

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Section: Eligibilitymentioning

confidence: 99%

The Effect of Scapular Muscle Strengthening on Functional Recovery in Patients With Lateral Elbow Tendinopathy: A Pilot Randomized Controlled Trial

Day¹,

Lucado²,

Dale³

et al. 2021

Journal of Sport Rehabilitation

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“…The most commonly affected muscle is extensor carpi radialis brevis (ECRB) [4]. Tissue Extensibility Dysfunction: [5] Most favorable elbow function requires ample of muscle extensibility, joint play of radiohumeral and ulnohumeral joints along with muscle play. In Lateral Epicondylitis the presence of inflammation of the common tendon decreases the mobility of the elbow joint due to pain.…”

Section: Introductionmentioning

confidence: 99%

Effect of Mulligan’s Pain Release Phenomenon on Ted in Subjects with Subacute Lateral Epicondylitis

Chintamani

2021

JOCAMR

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Introduction: Lateral Epicondylitis is a overuse syndrome usually seen in people who perform repeated extension and supination movement of elbow against resistance. Tissue Extensibility Dysfunction (TED) is a term which suggests apparent tightness of the muscle which has occurred due to spasm, lactic acid accumulation, inflammation or over use. Need of The Study: Many Studies involving manual therapy with different techniques have already demonstrated manual therapy is effective in reducing pain in subjects with lateral epicondylitis. Very few studies have focused on Mulligan’s Pain Release Phenomenon (PRP) which is established to reduce pain and improving range of motion. Also, there is dirth in literature related to tissue extensibility dysfunction occurring in subacute variant of tennis elbow and the effect of PRP on TED. Hence this study is been undertaken. Methodology: A total of 50 sample size was randomized into 25 per group. Group A consisted of Conventional therapy and Group B consisted of Conventional therapy with Mulligan’s PRP. Outcome measures were noted pre therapy and on the 7th day that is post therapy and results were tabulated. Results: The results declare that pain (0.05 and 0.001), grip strength (0.001, 0.001) and disability (0.001, 0.001) showed significant improvement in the scores in both the group whereas muscle stiffness (0.341 and 0.001) significantly improved only in Group B. Conclusion: Mulligan’s Pain Release Phenomenon technique can be used to treat Subacute tennis elbow effectively and is known to reduce the muscle stiffness along with pain and disability and improving strength.

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“…Lateral epicondylitis, also known as Tennis Elbow or Lateral Elbow Tendinopathy, which causes limitation in daily living activities, is one of the most common overuse syndromes in the elbow (Day et al, 2019). As a result of recurrent mechanical overuse or overload, the tendon's ability to repair itself becomes impaired and eventually fails.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Supervised and Home-Based Physiotherapy Program in Patients with Lateral Epicondylitis

Şavkın

Şimşek

2021

International Journal of Disabilities Sports and Health Sciences

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This study aimed to compare the effectiveness of a supervised and home-based physiotherapy program in the reduction of pain and in improving functional status and quality of life in patients with lateral epicondylitis. Method: Patients diagnosed with lateral epicondylitis and referred to the physiotherapy clinic were evaluated retrospectively. A total of 32 patients were separated into two groups as supervised and home-based physiotherapy groups. All the patients received standard physiotherapy program consisting of static stretching exercises of the ECRB tendon, eccentric exercises of the wrist extensors and cold application, for 3 weeks. The groups were compared in terms of pain severity, range of motion, functional status (Quick-DASH) and quality of life (SF-36) after treatment. Results: Fifteen patients (12 females, 3 males) with a mean age of 44.20±7.35 years were included in the supervised physiotherapy group, and 17 patients (15 females, 2 males) with a mean age of 48.65±12.33 years in the home-based physiotherapy group. There was no statistically significant difference in activity (p=0.980) and rest pain (p=0.483), wrist flexion (p=0.775) and extension (p=0.838) range of motion, functionality (p=0.346) and quality of life (p=0.923) between groups. Conclusion: Patients participating in a home-based physiotherapy program had similar clinical outcomes in terms of pain intensity, range of motion, functionality, and quality of life as patients participating in a supervised physiotherapy. Further prospective randomized studies can be conducted by increasing the sample size and comparing with cost analyzes to determine the rehabilitation regimen that will provide the best outcomes in lateral epicondylitis rehabilitation.

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A Comprehensive Rehabilitation Program for Treating Lateral Elbow Tendinopathy

Cited by 31 publications

References 53 publications

The Effect of Scapular Muscle Strengthening on Functional Recovery in Patients With Lateral Elbow Tendinopathy: A Pilot Randomized Controlled Trial

The Effect of Scapular Muscle Strengthening on Functional Recovery in Patients With Lateral Elbow Tendinopathy: A Pilot Randomized Controlled Trial

Effect of Mulligan’s Pain Release Phenomenon on Ted in Subjects with Subacute Lateral Epicondylitis

Comparison of the Supervised and Home-Based Physiotherapy Program in Patients with Lateral Epicondylitis

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