Introduction Lateral epicondylitis also known as “Tennis Elbow”, is a chronic condition that presents pain in the lateral portion of the the elbow. Frequently seen in sports that require a repetitive motion of forearm flexion and extension, such as tennis, pitching, golf, javelin throwing, and fencing, the muscles that are typically involved, but are not limited to, include the extensor muscles.(1) This muscle group encompasses the extensor carpi radialis brevis and the extensor digitorum communis laterally. In addition,but not as prevalent with athletic injuries regarding the forearm complex, the pronator teres, flexor carpi radialis medially, and the posterior triceps are also involved in this tendinopathy.(5) Approximately 1 to 3 percent
…show more content…
The elbow can be split into three major joints including the humeroulnar, humeroradial, and the proximal radioulnar joint. Consisting of a uniaxial hinge joint that helps with forearm rotation. With 2 degrees of freedom allowing flexion to 135 degree, pronation, and supination. These joints mainly rely on ligaments for most of their stability, by the medial and lateral collateral ligaments.(2) Additional stability is presumed by the muscle tendons. The forearm tendons also known as extensors attaching the muscle to bones predominantly involved in this condition include the extensor carpi radialis brevis where it originates at the lateral epicondyle.(7) The extensor carpi radialis brevis s is the primary wrist extensor and stabilizer. The focus of this literature review is to observe the condition lateral epicondylitis and review the different treatments. Specifically taking a look at the outcomes of the solo use of physical therapy exercises opposed to the use of electrophysical modalities other …show more content…
The main focus is to keep the wrist to remain in wrist extension and take the stress off the origin of the ECRB. Theories suggest that the strap reduces the amount of force inflicted on the extensor origin, others have said the strap provides a secondary origin for the ECRB muscle, decrease the force normally forced proximally. Both braces succeed in decreasing the amount of pressure usually placed upon the tendons. In a randomized of 3 groups consisting of either brace-only treatment, physical therapy, and the combination of these. Mainly measured overall by success rate, severity of complaints, pain, disability, and satisfaction. Data were analyzed using both intention-to-treat and per-protocol analyses. Follow-up was 1 year. Results: A total of 180 patients were randomized. Physical therapy was superior to brace only at 6 weeks for pain, disability, and satisfaction. Contrarily, brace-only treatment was superior on ability of daily activities. Combination treatment was superior to brace on severity of complaints, disability, and satisfaction. This suggest that yes physiotherapy was effective on the long term and the brace provided significant stability alone. Paired together they both served well with the use of the physiotherapy strengthening and the brace acting in daily activities providing support. Scientific research has
The elbow can be split into three major joints including the humeroulnar, humeroradial, and the proximal radioulnar joint. Consisting of a uniaxial hinge joint that helps with forearm rotation. With 2 degrees of freedom allowing flexion to 135 degree, pronation, and supination. These joints mainly rely on ligaments for most of their stability, by the medial and lateral collateral ligaments.(2) Additional stability is presumed by the muscle tendons. The forearm tendons also known as extensors attaching the muscle to bones predominantly involved in this condition include the extensor carpi radialis brevis where it originates at the lateral epicondyle.(7) The extensor carpi radialis brevis s is the primary wrist extensor and stabilizer. The focus of this literature review is to observe the condition lateral epicondylitis and review the different treatments. Specifically taking a look at the outcomes of the solo use of physical therapy exercises opposed to the use of electrophysical modalities other …show more content…
The main focus is to keep the wrist to remain in wrist extension and take the stress off the origin of the ECRB. Theories suggest that the strap reduces the amount of force inflicted on the extensor origin, others have said the strap provides a secondary origin for the ECRB muscle, decrease the force normally forced proximally. Both braces succeed in decreasing the amount of pressure usually placed upon the tendons. In a randomized of 3 groups consisting of either brace-only treatment, physical therapy, and the combination of these. Mainly measured overall by success rate, severity of complaints, pain, disability, and satisfaction. Data were analyzed using both intention-to-treat and per-protocol analyses. Follow-up was 1 year. Results: A total of 180 patients were randomized. Physical therapy was superior to brace only at 6 weeks for pain, disability, and satisfaction. Contrarily, brace-only treatment was superior on ability of daily activities. Combination treatment was superior to brace on severity of complaints, disability, and satisfaction. This suggest that yes physiotherapy was effective on the long term and the brace provided significant stability alone. Paired together they both served well with the use of the physiotherapy strengthening and the brace acting in daily activities providing support. Scientific research has