#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Rehabilitation treatment of lateral epicondylitis


Authors: Líška D. 1;  Repová K. 2
Authors‘ workplace: Katedra telesnej výchovy a športu, Filozofická fakulta, Univerzita Mateja Bela v Banskej Bystrici, Slovenská republika 1;  Katedra fyzioterapie, Fakulta zdravotníctva, Katolická Univerzita v Ružomberoku, Slovenská republika 2
Published in: Rehabil. fyz. Lék., 29, 2022, No. 2, pp. 95-101.
Category: Review Article
doi: https://doi.org/10.48095/ccrhfl202295

Overview

Lateral epicondylitis (LE) is a painful condition that affects mainly older patients, but also athletes. Also known as tennis elbow, it belongs to most common causes of elbow pain in adults and is among the most frequent disorders caused by overuse. Typical symptoms include pain located in the lateral part of the elbow likely to radiate to the forearm. The process of lateral epicondylitis can be both acute and chronic. The aetiology of LE has not been exactly determined yet. Within clinical examination, it is possible to use several diagnostic tests such as Mill test, Cozen test, Maudsley test and Polk test. The treatment methods include various therapeutic modalities. The most common method of LE treatment is exercise. The basic types of exercise include isometric and concentric exercises; however, the most commonly used are eccentric exercises. Other therapeutic approaches consist of kinesio taping, manual therapy, and various types of physical therapy.

Keywords:

Pain – exercise – lateral epicondylitis – clinical examination


Sources

1. Zverbíková J, Šimurdová N, Malay M. Fyzioterapia pri úrazoch v tenise. Zdravotnicke Listy 2019; 7(3): 11–17.

2. Brummel J, Baker CL 3rd, Hopkins R et al. Epicondylitis: lateral. Sports Med Arthrosc Rev 2014; 22(3): e1–6. doi: 10.1097/JSA.0000000000000024.

3. Fenclová Z, Urban P, Pelclová D et al. Occupational diseases reported in the Czech Republic in 2018. Prakt Lék 2020; 100(3): 118–125.

4. Ma K-L, Wang H-Q. Management of lateral epicondylitis: a narrative literature review. Pain Res Manag 2020. [online]. Available from: https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC7222600/.

5. Meunier M. Lateral epicondylitis/extensor tendon injury. Clin Sports Med 2020; 39(3): 657– 660. doi: 10.1016/j.csm.2020.03.001.

6. Zwerus EL, Somford MP, Maissan F et al. Physical examination of the elbow, what is the evidence? A systematic literature review. Br J Sports Med 2018; 52(19): 1253–1260. doi: 10.1136/ bjsports-2016-096712.

7. Arrigoni P, Cucchi D, Menon A et al. It’s time to change perspective! New diagnostic tools for lateral elbow pain. Musculoskelet Surg 2017; 101 (Suppl 2): 175–179. doi: 10.1007/ s12306-017-0486-8.

8. Descatha A, Albo F, Leclerc A et al. Lateral epicondylitis and physical exposure at work? A review of prospective studies and meta-analysis. Arthritis Care Res (Hoboken) 2016; 68(11): 1681– 1687. doi: 10.1002/acr.22874.

9. Čelko J, Gúth A, Malay M et al. Chronic pain and its influence via exercise. Rehabilitacia 2020; 57(1): 3–20.

10. Betlachová M, Uhlíř P. Potlačení chronické nociceptorové bolesti prolongovanou rehabilitací II. Rehabil Fyz Lek 2019; 26(2): 95–100.

11. Novák J. Chirurgie a tělocvik. Prak Lék 2019; 99(1): 39–41.

12. Cullinane FL, Boocock MG, Trevelyan FC. Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review. Clin Rehabil 2014; 28(1): 3–19. doi: 10.1177/0269215513491974.

13. 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): 13–19. doi: 10.1016/j. jht.2016.09.001.

14. Martinez-Silvestrini JA, Newcomer KL, Gay RE et al. Chronic lateral epicondylitis: comparative effectiveness of a home exercise program including stretching alone versus stretching supplemented with eccentric or concentric strengthening. J Hand Ther 2005; 18(4): 411–419. doi: 10.1197/j.jht.2005.07.007.

15. Karanasios S, Korakakis V, Whiteley R et al. Exercise interventions in lateral elbow tendinopathy have better outcomes than passive interventions, but the effects are small: a systematic review and meta-analysis of 2123 subjects in 30 trials. Br J Sports Med 2021; 55(9): 477–485. doi: 10.1136/bjsports-2020-102525.

16. Peterson M, Butler S, Eriksson M et al. A randomized controlled trial of eccentric vs. concentric graded exercise in chronic tennis elbow (lateral elbow tendinopathy). Clin Rehabil 2014; 28(9): 862–872. doi: 10.1177/0269215514527595.

17. Viswas R, Ramachandran R, Korde Anantkumar P. Comparison of effectiveness of supervised exercise program and Cyriax physiotherapy in patients with tennis elbow (lateral epicondylitis): a randomized clinical trial. ScientificWorldJournal 2012; 2012: 939645. doi: 10.1100/2012/939645.

18. Kohia M, Brackle J, Byrd K et al. Effectiveness of physical therapy treatments on lateral epicondylitis. J Sport Rehabil 2008; 17(2): 119–136. doi: 10.1123/jsr.17.2.119.

19. Trudel D, Duley J, Zastrow I et al. Rehabilitation for patients with lateral epicondylitis: a systematic review. J Hand Ther 2004; 17(2): 243–266. doi: 10.1197/j.jht.2004.02.011.

20. Šorfová M, Tlapáková E, Neklanová A et al. Využití kineziotapu při zatížení palce ruky fyzioterapeutů. Rehabil Fyz Lek 2017; 24(4): 226–233.

21. Dilek B, Batmaz I, Sarıyıldız MA et al. Kinesio taping in patients with lateral epicondylitis. J Back Musculoskelet Rehabil 2016; 29(4): 853–858. doi: 10.3233/BMR-160701.

22. Cho Y-T, Hsu W-Y, Lin L-F et al. Kinesio taping reduces elbow pain during resisted wrist extension in patients with chronic lateral epicondylitis: a randomized, double-blinded, cross-over study. BMC Musculoskelet Disord 2018; 19(1): 193. doi: 10.1186/s12891-018-2118-3.

23. Shakeri H, Soleimanifar M, Arab AM et al. The effects of KinesioTape on the treatment of lateral epicondylitis. J Hand Ther 2018; 31(1): 35–41. doi: 10.1016/j.jht.2017.01.001.

24. Eraslan L, Yuce D, Erbilici A et al. Does Kinesiotaping improve pain and functionality in patients with newly diagnosed lateral epicondylitis? Knee Surg Sports Traumatol Arthrosc 2018; 26(3): 938–945. doi: 10.1007/s00167-017- 4691-7.

25. Giray E, Karali-Bingul D, Akyuz G. The effectiveness of kinesiotaping, sham taping or exercises only in lateral epicondylitis treatment: a randomized controlled study. PM R 2019; 11(7): 681–693. doi: 10.1002/pmrj.12067.

26. Struijs PAA, Damen P-J, Bakker EWP, et al. Manipulation of the wrist for management of lateral epicondylitis: a randomized pilot study. Phys Ther 2003; 83(7): 608–616.

27. Uygur E, Aktaş B, Özkut A et al. Dry needling in lateral epicondylitis: a prospective controlled study. Int Orthop 2017; 41(11): 2321–2315. doi: 10.1007/s00264-017-3604-1.

28. Reyhan AC, Sindel D, Dereli EE. The effects of Mulligan’s mobilization with movement technique in patients with lateral epicondylitis. J Back Musculoskelet Rehabil 2020; 33(1): 99–107. doi: 10.3233/BMR-181135.

29. Ajimsha MS, Chithra S, Thulasyammal RP. Effectiveness of myofascial release in the management of lateral epicondylitis in computer professionals. Arch Phys Med Rehabil 2012; 93(4): 604–609. doi: 10.1016/j.apmr.2011. 10.012.

30. Küçükşen S, Yilmaz H, Sallı A et al. Muscle energy technique versus corticosteroid injection for management of chronic lateral epicondylitis: randomized controlled trial with 1-year follow-up. Arch Phys Med Rehabil 2013; 94(11): 2068–2074. doi: 10.1016/j.apmr.2013.05. 022.

31. Nourbakhsh MR, Fearon FJ. The effect of oscillating- energy manual therapy on lateral epicondylitis: a randomized, placebo-control, double- blinded study. J Hand Ther 2008; 21(1): 4–13. doi: 10.1197/j.jht.2007.09.005.

32. Ökmen BM, Eröksüz R, Altan L et al. Efficacy of peloid therapy in patients with chronic lateral epicondylitis: a randomized, controlled, single blind study. Int J Biometeorol 2017; 61(11): 1965–1972. doi: 10.1007/s00484-017-1386-1.

33. Akkurt HE, Kocabaş H, Yılmaz H et al. Comparison of an epicondylitis bandage with a wrist orthosis in patients with lateral epicondylitis. Prosthet Orthot Int 2018; 42(6): 599–605. doi: 10.1177/0309364618774193.

Labels
Physiotherapist, university degree Rehabilitation Sports medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#