| Addition of isolated wrist extensor eccentric exercise to standard treatment for chronic lateral epicondylosis: a prospective randomized trial. | |
| | |
MedLine Citation:
|
PMID: 20579907 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Isokinetic eccentric training of the wrist extensors has recently been shown to be effective in treating chronic lateral epicondylosis. However, isokinetic dynamometry is not widely available or practical for daily exercise prescription. Therefore, the objective of this study was to assess the efficacy of a novel eccentric wrist extensor exercise added to standard treatment for chronic lateral epicondylosis. MATERIALS AND METHODS: Twenty-one patients with chronic unilateral lateral epicondylosis were randomized into an eccentric training group (n = 11, 6 men, 5 women; age 47 +/- 2 yr) and a Standard Treatment Group (n = 10, 4 men, 6 women; age 51 +/- 4 yr). DASH questionnaire, VAS, tenderness measurement, and wrist and middle finger extension were recorded at baseline and after the treatment period. RESULTS: Groups did not differ in terms of duration of symptoms (Eccentric 6 +/- 2 mo vs Standard 8 +/- 3 mos., P = .7), number of physical therapy visits (9 +/- 2 vs 10 +/- 2, P = .81) or duration of treatment (7.2 +/- 0.8 wk vs 7.0 +/- 0.6 wk, P = .69). Improvements in all dependent variables were greater for the Eccentric Group versus the Standard Treatment Group (percent improvement reported): DASH 76% vs 13%, P = .01; VAS 81% vs 22%, P = .002, tenderness 71% vs 5%, P = .003; strength (wrist and middle finger extension combined) 79% vs 15%, P = .011. DISCUSSION: All outcome measures for chronic lateral epicondylosis were markedly improved with the addition of an eccentric wrist extensor exercise to standard physical therapy. This novel exercise, using an inexpensive rubber bar, provides a practical means of adding isolated eccentric training to the treatment of chronic lateral epicondylosis. |
| | |
Authors:
|
Timothy F Tyler; Gregory C Thomas; Stephen J Nicholas; Malachy P McHugh |
Related Documents
:
|
10737267 - Electromyographic analysis of exercise resulting in symptoms of muscle damage. 9688737 - Bed rest decreases mechanically induced myofiber wounding and consequent wound-mediated... 20436237 - Effects of low-level laser therapy (lllt) in the development of exercise-induced skelet... 19387367 - Effect of resistive exercise on muscle damage in water and on land. 17557987 - Exercise effect on weight and body fat in men and women. 6707367 - R wave amplitude: a new determinant of failure of patients with coronary heart disease ... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Randomized Controlled Trial Date: 2010-06-26 |
Journal Detail:
|
Title: Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] Volume: 19 ISSN: 1532-6500 ISO Abbreviation: J Shoulder Elbow Surg Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-08-17 Completed Date: 2011-01-04 Revised Date: 2011-01-11 |
Medline Journal Info:
|
Nlm Unique ID: 9206499 Medline TA: J Shoulder Elbow Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 917-22 Citation Subset: IM |
Copyright Information:
|
(c) 2010 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved. |
Affiliation:
|
PRO Sports Physical Therapy, Scarsdale, NY 10583, USA. shoulderpt@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Chronic Disease Exercise Therapy / methods* Female Follow-Up Studies Humans Male Middle Aged Muscle Contraction / physiology* Muscle, Skeletal / physiopathology* Prospective Studies Range of Motion, Articular Tennis Elbow / physiopathology, therapy* Treatment Outcome Wrist / physiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: sEMG wavelet-based indices predicts muscle power loss during dynamic contractions.
Next Document: Treatment of traumatic posterior sternoclavicular dislocations.