Do joint mobilizations assist in the recovery of lateral elbow tendinopathy? A systematic review and meta-analysis

Lucado, Ann M.; Dale, R. Barry; Vincent, Joshua I.; Day, Joseph M.

doi:10.1016/j.jht.2018.01.010

Cited by 50 publications

(44 citation statements)

References 62 publications

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“…Our study utilized manual therapy interventions as part of both treatment approaches, as there is ample evidence that techniques like elbow mobilization with movement should be included within the plan of care. 58 Finally, no follow-up data were collected in the Sethi and Noohu study.…”

Section: Discussionmentioning

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: Discussionmentioning

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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“…Die progressive Trainingstherapie/Krankengymnastik kann durch eine manuelle Therapie ergänzt werden, für die der kurzfristige Benefit als additive Unterstützung zur Trainingstherapie nachgewiesen wurde [10]. Gleiches gilt für die Friktionsmassage, die einen lokalen inflammatorischen Prozess initiieren soll [11].…”

Section: Merkeunclassified

Diagnostik und Therapie der Epikondylopathie am Ellenbogen

Leschinger¹,

Hackl²,

Uschok³

et al. 2021

Handchirurgie Scan

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“…In general, the review also found that mobilizations were effective at reducing pain and improving grip strength as compared to controls. 43 Based on the best evidence, the therapist is given the option to choose between three different techniques. 44 The first two techniques are MWMs and involve a manual lateral glide of the ulna/radius by the therapist while stabilizing the humerus in a exercise with no symptom reproduction and proper technique for three sets of 10.…”

Section: Joint Mobilizationsmentioning

confidence: 99%

A Comprehensive Rehabilitation Program for Treating Lateral Elbow Tendinopathy

Day

Lucado

Uhl

2019

Intl J Sports Phys Ther

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Scapular muscle weakness in patients with lateral elbow tendinopathy is an identified impairment and is part of a multimodal rehabilitation approach. The published literature provides little information regarding specific rehabilitation guidelines that address both the proximal scapular muscle weakness and local elbow/ wrist dysfunctions common in patients with lateral elbow tendinopathy. The purpose of this clinical commentary is to describe a comprehensive rehabilitation strategy for individuals with lateral elbow tendinopathy. This program emphasizes a phased therapeutic strategy that addresses proximal and local dysfunction along the kinetic chain. This clinical protocol is currently being tested for efficacy as part of a randomized controlled trial. The information in this commentary is intended to provide clinicians with sufficient detail to comprehensively guide the rehabilitation of a patient with lateral elbow tendinopathy.

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Do joint mobilizations assist in the recovery of lateral elbow tendinopathy? A systematic review and meta-analysis

Cited by 50 publications

References 62 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

Diagnostik und Therapie der Epikondylopathie am Ellenbogen

A Comprehensive Rehabilitation Program for Treating Lateral Elbow Tendinopathy

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