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Efficacy of Current Physiotherapy Approaches Used in Lateral Epicondylitis Rehabilitation on Pain and Function

Year 2022, Volume: 7 Issue: 2, 373 - 381, 31.05.2022

Abstract

Lateral epicondylitis, also known as the tennis elbow, develops at the attachment of the wrist extensor tendons to the lateral epicondyle of the humerus and is characterized by reduced muscle strength and limited range of motion associated with localized inflammation. Lateral epicondylitis leads significant pain and loss of function. Approximately 10% of the individuals working with arm strength experience lateral elbow pain and 2.4% of them had confirmed diagnosis of lateral epicondylitis. Thus, this disease is also recognized as an important public health problem. Although the signs of lateral epicondylitis are clear and its diagnosis is easy, there is no definitive rehabilitation method that is accepted and is applied by all clinicians. Therefore, it is an important necessity to identify current physiotherapy approaches especially with high effectiveness on pain and function in the rehabilitation process of lateral epicondylitis. Hence, the present review aims to examine the effectiveness of current physiotherapy approaches used in the rehabilitation of lateral epicondylitis on pain and function and to contribute to the available literature.

References

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  • Bisset LM, Vicenzino B. Physiotherapy management of lateral epicondylalgia. J Physiother. 2015;61(4):174-181.
  • Mi B, Liu G, Zhou W, Lv H, Liu Y, Wu Q, et al. Platelet rich plasma versus steroid on lateral epicondylitis: meta-analysis of randomized clinical trials. Phys Sportsmed. 2017;45(2):97-104.
  • Brumitt J, Jobst EE. Physical Therapy Case Files: Orthopaedics: Orthopedics. McGraw Hill Professional. 2013.
  • da Luz DC, de Borba Y, Ravanello EM, Daitx RB, Döhnert MB. Iontophoresis in lateral epicondylitis: a randomized, double-blind clinical trial. J Shoulder Elbow Surg. 2019;28(9):1743-9.
  • Sayegh ET, Strauch RJ. Does nonsurgical treatment improve longitudinal outcomes of lateral epicondylitis over no treatment? A meta-analysis. Clin Orthop Relat Res. 2015;473(3):1093-1107.
  • Ma KL, Wang HQ. Management of Lateral Epicondylitis: A Narrative Literature Review. Management PRA. 2020:32454922.
  • Haahr JP, Andersen JH. Prognostic factors in lateral epicondylitis: a randomized trial with one-year follow-up in 266 new cases treated with minimal occupational intervention or the usual approach in general practice. Rheumatol. 2003;42(10):1216-1225.
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  • Jones VAL. Physiotherapy in the management of tennis elbow: a review. Shoulder Elbow. 2009;1(2):108-113.
  • Waseem M, Nuhmani S, Ram C.S, Sachin Y. Lateral epicondylitis: a review of the literature. J Back Musculoskelet Rehabil, 2012;25(2):131- 142.
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  • Bostrøm K, Mæhlum S, Småstuen MC, Storheim K. Clinical comparative effectiveness of acupuncture versus manual therapy treatment of lateral epicondylitis: feasibility randomized clinical trial. Pilot Feasibility Stud. 2019;5(1):1-10.
  • Barnett J, Bernacki MN, Kainer JL, Smith HN, Zaharoff AM, Subramanian SK. The effects of regenerative injection therapy compared to corticosteroids for the treatment of lateral Epicondylitis: a systematic review and meta-analysis. Arch Physiother. 2019;9(1):1- 12.
  • Turgay T, Karadeniz PG, Sever GB. Comparison of low level laser therapy and extracorporeal shock wave in treatment of chronic lateral epicondylitis. Acta Orthop Traumatol Turc. 2020;54(6):591-5.
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  • Giray E, Karali‐Bingül D, Akyüz G. The effectiveness of Kinesiotaping, sham taping or exercises only in lateral epicondylitis treatment: a randomized controlled study. J Am Acad Phys Med Rehabil. 2019;11(7):681-693.
  • Babaei-Ghazani A, Shahrami B, Fallah E, Ahadi T, Forough B, Ebadi, S. Continuous shortwave diathermy with exercise reduces pain and improves function in Lateral Epicondylitis more than sham diathermy: A randomized controlled trial. J Bodyw Mov Ther. 2020;24(1): 69-76.
  • Kanagaraj, R. The role of progressive strengthening, stretching exercises and ultrasound in chronic lateral epicondylitis. Int J Innovative Sci Res Technol. 2021;6(6):44-64.
  • Cook J, Purdam C. Tendon overuse injury (tendinopathy). In Brukner P, Khan KM, editors. Brukner & Khan’s clinical sports medicine. Volume 1: injuries. 5th ed. New South Wales: McGraw-Hill Education Australia; 2017. p. 46-51.
  • Clifford C, Challoumas D, Paul L, Syme G, Millar NL. Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials. BMJ Open Sport Exerc Med. 2020;6(1):e000760.
  • Stasinopoulos D, Stasinopoulos I. Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. J Hand Ther. 2017;30(1):13-9.
  • Vuvan V, Vicenzino B, Mellor R, Heales LJ, Coombes BK. Unsupervised isometric exercise versus Wait-and-See for lateral elbow tendinopathy. Med Sci Sports Exerc. 2020;52:287-295.
  • Coombes BK, Bisset L, Brooks P, Khan A, Vicenzino B. Isometric exercise above but not below an individual’s pain threshold influences pain perception in people with lateral epicondylalgia. Clin J Pain. 2016;32(12):1069-1075.
  • Weber C, Thai V, Neuheuser K, Groover K, Christ O. Efficacy of physical therapy for the treatment of lateral epicondylitis: a meta-analysis. BMC Musculoskelet Disord. 2015;16(1):1-13.
  • Parmar BA, Shukla YU. Effect of Eccentric versus Concentric Exercise on Pain, Grip Strength and Function in Lateral Epicondylitis-A Comparative Study. Int J Sci Healthcare Res. 2020;5(2):98-109.
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Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği

Year 2022, Volume: 7 Issue: 2, 373 - 381, 31.05.2022

Abstract

Tenisçi dirseği olarak da bilinen lateral epikondilit, el bileği ekstansör tendonlarının humerusun lateral epikondiline yapışma yerinde gelişir ve lokalize inflamasyon ile ilişkili azalmış kas gücü ve sınırlanmış eklem hareket açıklığı ile karakterizedir. Lateral epikondilit önemli derecede ağrı ve fonksiyon kaybına yol açmaktadır. Kol gücüyle çalışan bireylerin yaklaşık %10’u lateral dirsek ağrısı deneyimlemektedir ve %2,4’ü doğrulanmış lateral epikondilit teşhisine sahiptir. Bu nedenle, bu hastalık aynı zamanda önemli bir halk sağlığı problemi olarak kabul edilmektedir. Lateral epikondilitin bulgularının net ve teşhisinin kolay olmasına rağmen, tüm klinisyenler tarafından kabul edilen ve uygulanan kesin bir rehabilitasyon yöntemi bulunmamaktadır. Dolayısıyla, lateral epikondilit rehabilitasyonu sürecinde özellikle ağrı ve fonksiyon üzerine etkinliği yüksek olan güncel fizyoterapi yaklaşımlarının belirlenmesi önemli bir gerekliliktir. Bu doğrultuda, bu derleme; lateral epikondilit rehabilitasyonunda kullanılan güncel fizyoterapi yaklaşımlarının ağrı ve fonksiyon üzerine olan etkinliğini incelemeyi ve mevcut literatüre katkı sağlamayı amaçlamaktadır.

References

  • Lenoir H, Mares O, Carlier Y. Management of lateral epicondylitis. Orthop Traumatol Surg Res. 2019;105(8):241-46.
  • Herquelot E, Bodin J, Roquelaure Y, Ha C, Leclerc A, Goldberg M, et al. Work‐related risk factors for lateral epicondylitis and other cause of elbow pain in the working population. Am J Ind Med. 2013;56(4):400-9.
  • Ahmad Z, Siddiqui N, Malik SS, Abdus-Samee M, TytherleighStrong G, Rushton N. Lateral epicondylitis: a review of pathology and management. Bone Joint J. 2013;95(9):1158-1164.
  • Vaquero-Picado A, Barco R, Antuña SA. Lateral epicondylitis of the elbow. EFORT Open Rev. 2016;1(11):391-7.
  • Castillo-Lozano R, Casuso-Holgado MJ. Incidence of musculoskeletal sport injuries in a sample of male and female recreational paddle-tennis players. J Sports Med Phys Fitness. 2016;57(6):816-821.
  • Xu Q, Chen J, Cheng L. Comparison of platelet rich plasma and corticosteroids in the management of lateral epicondylitis: A metaanalysis of randomized controlled trials. Int J Surg. 2019;67:37-46.
  • Bisset LM, Vicenzino B. Physiotherapy management of lateral epicondylalgia. J Physiother. 2015;61(4):174-181.
  • Mi B, Liu G, Zhou W, Lv H, Liu Y, Wu Q, et al. Platelet rich plasma versus steroid on lateral epicondylitis: meta-analysis of randomized clinical trials. Phys Sportsmed. 2017;45(2):97-104.
  • Brumitt J, Jobst EE. Physical Therapy Case Files: Orthopaedics: Orthopedics. McGraw Hill Professional. 2013.
  • da Luz DC, de Borba Y, Ravanello EM, Daitx RB, Döhnert MB. Iontophoresis in lateral epicondylitis: a randomized, double-blind clinical trial. J Shoulder Elbow Surg. 2019;28(9):1743-9.
  • Sayegh ET, Strauch RJ. Does nonsurgical treatment improve longitudinal outcomes of lateral epicondylitis over no treatment? A meta-analysis. Clin Orthop Relat Res. 2015;473(3):1093-1107.
  • Ma KL, Wang HQ. Management of Lateral Epicondylitis: A Narrative Literature Review. Management PRA. 2020:32454922.
  • Haahr JP, Andersen JH. Prognostic factors in lateral epicondylitis: a randomized trial with one-year follow-up in 266 new cases treated with minimal occupational intervention or the usual approach in general practice. Rheumatol. 2003;42(10):1216-1225.
  • Eraslan L, Yüce D, Erbilici A, Baltacı, G. Does Kinesiotaping improve pain and functionality in patients with newly diagnosed lateral epicondylitis? Knee Surg Sports Traumatol Arthrosc. 2018;26(3):938- 945.
  • Jones VAL. Physiotherapy in the management of tennis elbow: a review. Shoulder Elbow. 2009;1(2):108-113.
  • Waseem M, Nuhmani S, Ram C.S, Sachin Y. Lateral epicondylitis: a review of the literature. J Back Musculoskelet Rehabil, 2012;25(2):131- 142.
  • Altan L, Ercan İ, Konur S. Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatol Int, 2010;30(8):1049-1054.
  • Bostrøm K, Mæhlum S, Småstuen MC, Storheim K. Clinical comparative effectiveness of acupuncture versus manual therapy treatment of lateral epicondylitis: feasibility randomized clinical trial. Pilot Feasibility Stud. 2019;5(1):1-10.
  • Barnett J, Bernacki MN, Kainer JL, Smith HN, Zaharoff AM, Subramanian SK. The effects of regenerative injection therapy compared to corticosteroids for the treatment of lateral Epicondylitis: a systematic review and meta-analysis. Arch Physiother. 2019;9(1):1- 12.
  • Turgay T, Karadeniz PG, Sever GB. Comparison of low level laser therapy and extracorporeal shock wave in treatment of chronic lateral epicondylitis. Acta Orthop Traumatol Turc. 2020;54(6):591-5.
  • Johns N, Shridhar V. Lateral epicondylitis: Current concepts. Aust J Gen Pract. 2020;49(11):707-9.
  • Abbas S, Riaz R, Khan A, Javed A, Raza S. Effects of mulligan and cyriax approach in patients with subacute lateral epicondylitis. Rehabil J. 2019;3(2):107-115.
  • Kaydok E, Ordahan B, Solum S, Karahan AY. Short-term efficacy comparison of high-intensity and low-intensity laser therapy in the treatment of lateral epicondylitis: a randomized double-blind clinical study. Arch Rheumatol. 2020;35(1):60-7.
  • Giray E, Karali‐Bingül D, Akyüz G. The effectiveness of Kinesiotaping, sham taping or exercises only in lateral epicondylitis treatment: a randomized controlled study. J Am Acad Phys Med Rehabil. 2019;11(7):681-693.
  • Babaei-Ghazani A, Shahrami B, Fallah E, Ahadi T, Forough B, Ebadi, S. Continuous shortwave diathermy with exercise reduces pain and improves function in Lateral Epicondylitis more than sham diathermy: A randomized controlled trial. J Bodyw Mov Ther. 2020;24(1): 69-76.
  • Kanagaraj, R. The role of progressive strengthening, stretching exercises and ultrasound in chronic lateral epicondylitis. Int J Innovative Sci Res Technol. 2021;6(6):44-64.
  • Cook J, Purdam C. Tendon overuse injury (tendinopathy). In Brukner P, Khan KM, editors. Brukner & Khan’s clinical sports medicine. Volume 1: injuries. 5th ed. New South Wales: McGraw-Hill Education Australia; 2017. p. 46-51.
  • Clifford C, Challoumas D, Paul L, Syme G, Millar NL. Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials. BMJ Open Sport Exerc Med. 2020;6(1):e000760.
  • Stasinopoulos D, Stasinopoulos I. Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. J Hand Ther. 2017;30(1):13-9.
  • Vuvan V, Vicenzino B, Mellor R, Heales LJ, Coombes BK. Unsupervised isometric exercise versus Wait-and-See for lateral elbow tendinopathy. Med Sci Sports Exerc. 2020;52:287-295.
  • Coombes BK, Bisset L, Brooks P, Khan A, Vicenzino B. Isometric exercise above but not below an individual’s pain threshold influences pain perception in people with lateral epicondylalgia. Clin J Pain. 2016;32(12):1069-1075.
  • Weber C, Thai V, Neuheuser K, Groover K, Christ O. Efficacy of physical therapy for the treatment of lateral epicondylitis: a meta-analysis. BMC Musculoskelet Disord. 2015;16(1):1-13.
  • Parmar BA, Shukla YU. Effect of Eccentric versus Concentric Exercise on Pain, Grip Strength and Function in Lateral Epicondylitis-A Comparative Study. Int J Sci Healthcare Res. 2020;5(2):98-109.
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There are 87 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Derlemeler
Authors

Erhan Seçer 0000-0002-4476-3785

Sevtap Günay Uçurum 0000-0002-4933-076X

Early Pub Date May 30, 2022
Publication Date May 31, 2022
Submission Date November 18, 2021
Published in Issue Year 2022 Volume: 7 Issue: 2

Cite

APA Seçer, E., & Günay Uçurum, S. (2022). Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 7(2), 373-381.
AMA Seçer E, Günay Uçurum S. Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği. İKÇÜSBFD. May 2022;7(2):373-381.
Chicago Seçer, Erhan, and Sevtap Günay Uçurum. “Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı Ve Fonksiyon Üzerine Etkinliği”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7, no. 2 (May 2022): 373-81.
EndNote Seçer E, Günay Uçurum S (May 1, 2022) Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7 2 373–381.
IEEE E. Seçer and S. Günay Uçurum, “Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği”, İKÇÜSBFD, vol. 7, no. 2, pp. 373–381, 2022.
ISNAD Seçer, Erhan - Günay Uçurum, Sevtap. “Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı Ve Fonksiyon Üzerine Etkinliği”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7/2 (May 2022), 373-381.
JAMA Seçer E, Günay Uçurum S. Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği. İKÇÜSBFD. 2022;7:373–381.
MLA Seçer, Erhan and Sevtap Günay Uçurum. “Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı Ve Fonksiyon Üzerine Etkinliği”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 7, no. 2, 2022, pp. 373-81.
Vancouver Seçer E, Günay Uçurum S. Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği. İKÇÜSBFD. 2022;7(2):373-81.



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