Effectiveness of scapular muscle strengthening in management of lateral epicondylalgia (original) (raw)
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International Journal of Medical Science and Current Research, 2018
Background and objective: Lateral epicondylalgia (tennis elbow) is a pathological state of the wrist extensor muscles at their origin on the lateral humeral epicondyle. It is a musculoskeletal pain dysfunction typically due to excessive quick, monotonous, repetitive eccentric contractions and gripping activities of the wrist. The study aims in comparing the effectiveness of Mc Connell's diamond Taping Technique along with concentric and eccentric strength training for wrist extensors and sham taping along with concentric and eccentric strength training for wrist extensors in reducing pain and to improving grip strength in patients with lateral epicondylalgia. Design: Double blinded comparative study Materials and methods: 30 patients with sub-acute lateral epicondylalgia are included in the study. They are randomly divided into two different groups. Group A: 15 (Subjects receiving Mc Connell's diamond taping technique along with concentric and eccentric strength training of wrist extensors) and Group B:15(Subjects receiving sham taping and along With concentric and eccentric strength training of wrist extensors) Results: There was a significant decrease in pain and improvement in hand function and grip strength (p < 0.001) in patients with lateral epicondylalgia who received McConnell's taping with Concentric and Eccentric Strength Training of wrist extensors when comparing with patients who received sham tapping Concentric and Eccentric Strength Training of wrist extensors..
https://www.ijhsr.org/IJHSR\_Vol.10\_Issue.2\_Feb2020/IJHSR\_Abstract.08.html, 2020
Introduction: Lateral epicondylitis (LE) is characterized by pain in the region of the lateral epicondyle of the humerus. The effectiveness of conservative treatment approaches remains less than optimal, secondary to high recurrence, so there is a need to assess proximal kinetic chain. Objective of the study was to assess scapular muscles strength and endurance in subjects with unilateral lateral epicondylitis and compare it with the uninvolved limb and the corresponding limb of matched healthy individuals. Methodology: An observational study was conducted on 66 subjects with unilateral LE (group A) and 66 matched healthy individuals (group B), selected by convenience sampling. The strength of scapular muscles-Upper trapezius (UT), Middle trapezius (MT), Lower trapezius (LT) and Serratus anterior(SA) was assessed with the use of hand held dynamometer. Scapular Muscle endurance was assessed in both groups with isometric hold test. Statistical analysis was done using SPSS 21. Significance level was kept at p≤ 0.05. Results: Mean difference between strength (kg) of affected and non-affected sides in group A was analysed using Wilcoxon test, showed UT(0.5±0.3,W=1.9,p=0.05), MT(0.4±0.3,W=2,p=0.04), LT(0.8±01.2,W=1.8,p=0.06) and SA(0.2±0.1,W=2.1,p=0.02). Analysis of difference in means between the groups for affected side with corresponding limb of matched healthy individuals done using Mann Whitney test, showed UT(2.9±1.9,U=3.6,p=0.0001), MT(3.4±2.4,U=4.2,p=0.0001), LT(1.7±1.6,U=2.9,p=0.003) and SA(2.8±1.8,U=4.5,p=0.0001). Conclusion: Subjects with LE demonstrated significant weakness of the MT, LT and SA and reduced endurance of scapular muscles when compared to a matched healthy control group. Assessment of scapular muscle strength and endurance is recommended in subjects with LE.
Journal of Sport Rehabilitation, 2021
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 periscapul...
Elbow flexor and extensor muscle weakness in lateral epicondylalgia
British Journal of Sports Medicine, 2011
Objective To evaluate whether deficits of elbow flexor and extensor muscle strength exist in lateral epicondylalgia in comparison to a healthy control population. Design Cross-sectional study Participants 150 participants with unilateral lateral epicondylalgia were compared with 54 healthy control participants. Main Outcome Measures Maximal isometric elbow flexion and extension strength were measured bilaterally using a purpose built standing frame such that gripping was avoided. Results We found significant side differences in elbow extensor (-6.54N, 95% CI-11.43,-1.65, p=0.008, SMD-0.45) and flexor muscle strength (-11.26N, 95% CI-19.59 to-2.94, p=0.009, SMD-0.46) between lateral epicondylalgia and control groups. Within the lateral epicondylalgia group, only elbow extensor muscle strength deficits between sides was significant (affected-unaffected:-2.94N, 95% CI-5.44,-0.44). Conclusion Small significant deficits of elbow extensor and flexor muscle strength exist in the affected arm of unilateral lateral epicondylalgia in comparison to healthy controls. Notably, comparing elbow strength between the affected and unaffected sides in unilateral epicondylalgia is likely to underestimate these deficits. Trial Registration Australian New Zealand Clinical Trials Register ACTRN12609000051246
https://www.ijhsr.org/IJHSR\_Vol.7\_Issue.2\_Feb2017/IJHSR\_Abstract.032.html, 2017
Background: Lateral epicondylitis is musculoskeletal condition involves the origin of extensor carpi radials brevis, leading to pain on resisted wrist extension. The regional interdependence model focuses on impairments present in proximal or distal segments and hence effect of scaphoid mobilisation was studied in management of lateral epicondylitis. Aim And Objectives: To find out the effect of scaphoid mobilization in lateral epicondylitis on A) pain & physical function using patient rated tennis elbow evaluation questionnaire B) Kinesiophobia using Tampa scale. Methodology: A pre-post experimental design with 30 subjects aged 18-35 years (24.4 + 4.687), unilateral lateral epicondylitis were selected. PRTEE & Tampa scale was noted before intervention. Total 9 Treatment sessions were given in 3 weeks. Maitland mobilization Grade 1-2 for scaphoid was given. PRTEE and Tampa scale was noted after 3 weeks of intervention. Results: Repeated measure ANOVA was done by comparing mean values of pre-pain (27.4 + 3.874) with post-pain (23.2667 + 4.185) on PRTEE scale is statistically significant (p value <0.0001). Comparing mean values of function pre (25.7666 + 4.974) with post (22.5333 + 5.257) on PRTEE scale is statistically significant (p value <0.0001). Comparing mean values of pre-total score (53.1666 + 6.909) with post-total score (45.4666 + 8.191) on PRTEE scale is statistically significant (p value <0.0001). Comparison of mean values pre (39.4 + 11.316) and post (39.4 + 11.316) for Tampa Scale is considered extremely significant (p value <0.0001) Conclusion: Scaphoid mobilisation is effective in improving pain and physical function in patients with lateral epicondylitis.
Efficacy of wrist manipulation in the management of lateral epicondylitis
International Journal of Physiotherapy and Research
Background: Lateral epicondylitis is the most common clinical condition characterized by pain generally localized around the lateral epicondyle but sometimes radiating distally to the forearm. Objectives: The study's primary objective was to find out the efficacy of multiple therapeutic interventions consisting of wrist manipulation, ultrasound therapy, and stretching exercise on lateral epicondylitis patients. Subjects and methods: A pre-test, post-test experimental study design was used. A criterion-based simple random sampling was used to recruit patients (N=30) diagnosed with lateral epicondylitis, and they were randomized into two treatment groups. The experimental group-1 was exposed to ultrasound therapy and stretching exercises, whereas those assigned to experimental group-II were given ultrasound therapy, stretching exercise, and wrist manipulation for the period of 2 weeks. The efficacy of treatment was measured through visual analogue scale (VAS), manual hand dynamome...
https://ijshr.com/IJSHR\_Vol.4\_Issue.1\_Jan2019/IJSHR\_Abstract.0048.html, 2019
Background and objectives: Lateral epicondylitis (LE) or tennis elbow is one of the most common lesions of the arm. Current physical therapy management for lateral epicondylitis is aiming to reduce pain and improve grip strength. Aims and objectives: The purpose of the study was to find out effectiveness of Mulligan ability in subjects with lateral epicondylitis Methods: 20 subjects of lateral epicondylitis were selected for the study and randomly divided into two groups of 10 subjects each. Group A received mulligan mobilization with movement and Group B received myofascial release therapy. Both the groups were followed by ultrasound therapy. Pain was measured by visual analogue scale and grip strength was measured by simple hand dynamometer. The present study concludes that the patients those who received mulligan mobilization with movement and myofascial release therapy, their pain was reduced and grip strength was improved and was measured by visual analogue scale and simple hand dynamometer.