Normalized Forces and Active Range of Motion in Unilateral Radial Epicondylalgia (Tennis Elbow)

Benjamin, Scott; Williams, Duane A.; Kalbfleisch, John H.; Gorman, Paul W.; Panus, Peter C.

doi:10.2519/jospt.1999.29.11.668

Cited by 16 publications

(6 citation statements)

References 20 publications

(1 reference statement)

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“…Greater muscle strength after treatment was observed by other researchers as well ( Benjamin et al, 1999 ; Gunduz et al, 2012 ; Spacca et al, 2005 ), excluding one experiment where after focused shock wave therapy it decreased ( Rompe et al, 1996 ).…”

Section: Discussionmentioning

confidence: 47%

Focused and Radial Shock Wave Therapy in the Treatment of Tennis Elbow: A Pilot Randomised Controlled Study

Król

Franek

Durmała

et al. 2015

Journal of Human Kinetics

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The purpose of this article was to evaluate and compare the efficacy of radial and focused shock wave therapies applied to treat tennis elbow. Patients with tennis elbow were randomized into two comparative groups: focused shock wave therapy (FSWT; n=25) and radial shock wave therapy (RSWT; n=25). Subjects in the FSWT and RSWT groups were applied with a focused shock wave (3 sessions, 2000 shocks, 4 Hz, 0.2 mJ/mm2) and a radial shock wave (3 sessions, 2000 + 2000 shocks, 8 Hz, 2.5 bar), respectively. The primary study endpoints were pain relief and functional improvement (muscle strength) one week after therapy. The secondary endpoint consisted of the results of the follow-up observation (3, 6 and 12 weeks after the study). Successive measurements showed that the amount of pain patients felt decreased in both groups. At the same time grip strength as well as strength of wrist extensors and flexors of the affected extremity improved significantly. Both focused and radial shock wave therapies can comparably and gradually reduce pain in subjects with tennis elbow. This process is accompanied by steadily improved strength of the affected extremity.

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Section: Discussionmentioning

confidence: 47%

Focused and Radial Shock Wave Therapy in the Treatment of Tennis Elbow: A Pilot Randomised Controlled Study

Król

Franek

Durmała

et al. 2015

Journal of Human Kinetics

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“…We calculated the mean of three efforts with intervening 30 second rest intervals and expressed it as a ratio of affected side to unaffected side. 7 15 16 The blinded assessor rated severity of the elbow complaints on a continuous visual analogue scale (0 = no severity, 100 = maximum severity).…”

Section: Methodsmentioning

confidence: 99%

Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial

Bisset

Beller

Jull

et al. 2006

BMJ

472

432

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Objective To investigate the efficacy of physiotherapy compared with a wait and see approach or corticosteroid injections over 52 weeks in tennis elbow. Design Single blind randomised controlled trial. Setting Community setting, Brisbane, Australia. Participants 198 participants aged 18 to 65 years with a clinical diagnosis of tennis elbow of a minimum six weeks' duration, who had not received any other active treatment by a health practitioner in the previous six months. Interventions Eight sessions of physiotherapy; corticosteroid injections; or wait and see. Main outcome measures Global improvement, grip force, and assessor's rating of severity measured at baseline, six weeks, and 52 weeks. Results Corticosteroid injection showed significantly better effects at six weeks but with high recurrence rates thereafter (47/65 of successes subsequently regressed) and significantly poorer outcomes in the long term compared with physiotherapy. Physiotherapy was superior to wait and see in the short term; no difference was seen at 52 weeks, when most participants in both groups reported a successful outcome. Participants who had physiotherapy sought less additional treatment, such as non-steroidal anti-inflammatory drugs, than did participants who had wait and see or injections. Conclusion Physiotherapy combining elbow manipulation and exercise has a superior benefit to wait and see in the first six weeks and to corticosteroid injections after six weeks, providing a reasonable alternative to injections in the mid to long term. The significant short term benefits of corticosteroid injection are paradoxically reversed after six weeks, with high recurrence rates, implying that this treatment should be used with caution in the management of tennis elbow.

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“…There are very few direct wrist strength studies in the literature, in these few the focus has been mainly on wrist extension (Benjamin et al, 1999;Rheault et al, 1989;Richards et al, 1993). Probably due to lack of proper instrument for directly measuring wrist strength, grip strength measurement has been generally used for assessing outcomes of tennis elbow, and hand and wrist function (Mathiowetz et al, 1984;Smidt et al, 2002).…”

Section: Assessing Muscle Imbalance: the Aims Of The Present Studymentioning

confidence: 98%

Strength and fatigability of selected muscles in upper limb: Assessing muscle imbalance relevant to tennis elbow

Alizadehkhaiyat

Fisher

Kemp

et al. 2007

Journal of Electromyography and Kinesiology

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Normalized Forces and Active Range of Motion in Unilateral Radial Epicondylalgia (Tennis Elbow)

Cited by 16 publications

References 20 publications

Focused and Radial Shock Wave Therapy in the Treatment of Tennis Elbow: A Pilot Randomised Controlled Study

Focused and Radial Shock Wave Therapy in the Treatment of Tennis Elbow: A Pilot Randomised Controlled Study

Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial

Strength and fatigability of selected muscles in upper limb: Assessing muscle imbalance relevant to tennis elbow

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