Modern programs of physical therapy for patients diagnosed with lateral epicondylitis at the post-hospital stage

Authors

DOI:

https://doi.org/10.15391/prrht.2020-5(2).06

Abstract

Goal. To analyze and compare modern evidence-based methods of rehabilitation and their combination for people with ulnar epicondylitis at the post-hospital stage. Research methods. Analysis of literary sources from the scientometric databases of Physiopedia, Cochrane Central Register of Controlled Trials, PEDro, MEDLINE / PubMed, Scopus and Web of Science, systematic analysis, synthesis and generalization of scientific and methodological literature. The results. Among the interventions that were used most often and with high effectiveness in current studies were: patient education, therapeutic exercises to strengthen the muscles of the scapula, wrist, elbow, mobilization of joints, soft tissues, kinesiotaping, and dynamic orthoses. As a rule, they combined therapeutic exercises and joint mobilization, kinesio taping with a home exercise program. However, many studies show limited efficacy of physical therapy and prioritize biological therapy or surgical treatment of LE. Conclusions. In the literature, many approaches to physical therapy of LE are presented, assumptions are made about its ineffectiveness in about 10% of patients who require surgical intervention. However, the problem of the "gold" standard of treatment has not yet been resolved. The most well-established physical therapy program is the dual rehabilitation program, but randomized controlled trials of its effectiveness are still ongoing.

References

Макарчик, А.В. (2019). Локтевой эпикондилит. Лечение медицинскими физическими факторами. Гомель: ГУ «РНПЦ РМиЭЧ».

Полковник-Маркова, В. С., Без’язична, О. В. (2017). Засоби реабілітації при епікондилітах ліктьового суглоба. Фізична культура, спорт та здоров’я. XVII Міжнародна науково-практична конференція. Харків: ХДАФК.

Akkurt, H. E., Kocabaş, H., Yılmaz, H., Eser, C., Şen, Z., Erol, K., Göksu, H., Karaca, G., & Baktık, S. (2018). Comparison of an epicondylitis bandage with a wrist orthosis in patients with lateral epicondylitis. Prosthetics and orthotics international, 42(6), 599–605. https://doi.org/10.1177/0309364618774193

Cutts, S., Gangoo Shafat, Modi Nitin, Pasapula Chandra (2020). Tennis elbow: A clinical review article. Journal of Orthopaedics, 17, 203-207.

Da Luz, D. C., de Borba, Y., Ravanello, E. M., Daitx, R. B., & Döhnert, M. B. (2019). Iontophoresis in lateral epicondylitis: a randomized, double-blind clinical trial. Journal of shoulder and elbow surgery, 28(9), 1743–1749. https://doi.org/10.1016/j.jse.2019.05.020

Day, J. M., Lucado, A. M., & Uhl, T. L. (2019). A comprehensive rehabilitation program for treating lateral elbow tendinopathy. International journal of sports physical therapy, 14(5), 818–829.

Dingemanse, R., Randsdorp, M., Koes, B. W., & Huisstede, B. M. (2014). Evidence for the effectiveness of electrophysical modalities for treatment of medial and lateral epicondylitis: a systematic review. British journal of sports medicine, 48(12), 957–965. https://doi.org/10.1136/bjsports-2012-091513

Giray, E., Karali-Bingul, D., & Akyuz, G. (2019). The Effectiveness of Kinesiotaping, Sham Taping or Exercises Only in Lateral Epicondylitis Treatment: A Randomized Controlled Study. PM & R : the journal of injury, function, and rehabilitation, 11(7), 681–693. https://doi.org/10.1002/pmrj.12067

Girgis B, Duarte JA (2020). Efficacy of physical therapy interventions for chronic lateral elbow tendinopathy: a systematic review. Physical Therapy Reviews, 25(1), 42-59.

Croisier, J. L., Foidart-Dessalle, M., Tinant, F., Crielaard, J. M., & Forthomme, B. (2007). An isokinetic eccentric programme for the management of chronic lateral epicondylar tendinopathy. British journal of sports medicine, 41(4), 269–275. https://doi.org/10.1136/bjsm.2006.033324

Hoogvliet, P., Randsdorp, M. S., Dingemanse, R., Koes, B. W., & Huisstede, B. M. (2013). Does effectiveness of exercise therapy and mobilisation techniques offer guidance for the treatment of lateral and medial epicondylitis? A systematic review. British journal of sports medicine, 47(17), 1112–1119. https://doi.org/10.1136/bjsports-2012-091990

Kohia, M., Brackle, J., Byrd, K., Jennings, A., Murray, W., & Wilfong, E. (2008). Effectiveness of physical therapy treatments on lateral epicondylitis. Journal of sport rehabilitation,17(2), 119–136. https://doi.org/10.1123/jsr.17.2.119

Lai, W. C., Erickson, B. J., Mlynarek, R. A., & Wang, D. (2018). Chronic lateral epicondylitis: challenges and solutions. Open access journal of sports medicine, 9, 243–251. https://doi.org/10.2147/OAJSM.S160974

Lucado AM, Dale RB, Vincent J, et al. Do joint mobilizations assist in the recovery of lateral elbow tendinopathy? A systematic review and metaanalysis. J Hand Ther. 2018.

Ma, K. L., & Wang, H. Q. (2020). Management of Lateral Epicondylitis: A Narrative Literature Review. Pain Research & Management, 2020, 6965381. https://doi.org/10.1155/2020/6965381

Nishizuka, T., Iwatsuki, K., Kurimoto, S., Yamamoto, M., & Hirata, H. (2017). Efficacy of a forearm band in addition to exercises compared with exercises alone for lateral epicondylitis: A multicenter, randomized, controlled trial. Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 22(2), 289–294. https://doi.org/10.1016/j.jos.2016.11.011

Nowotny, J., El-Zayat, B., Goronzy, J., Biewener, A., Bausenhart, F., Greiner, S., & Kasten, P. (2018). Prospective randomized controlled trial in the treatment of lateral epicondylitis with a new dynamic wrist orthosis. European journal of medical research, 23(1), 43. https://doi.org/10.1186/s40001-018-0342-9

Ortega-Castillo, M., & Medina-Porqueres, I. (2016). Effectiveness of the eccentric exercise therapy in physically active adults with symptomatic shoulder impingement or lateral epicondylar tendinopathy: A systematic review. Journal of science and medicine in sport, 19(6), 438–453. https://doi.org/10.1016/j.jsams.2015.06.007

Sethi, K., & Noohu, M. M. (2018). Scapular muscles strengthening on pain, functional outcome and muscle activity in chronic lateral epicondylalgia. Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 23(5), 777–782. https://doi.org/10.1016/j.jos.2018.05.003

Shakeri, H., Soleimanifar, M., Arab, A. M., & Hamneshin Behbahani, S. (2018). The effects of KinesioTape on the treatment of lateral epicondylitis. Journal of hand therapy : official journal of the American Society of Hand Therapists, 31(1), 35–41. https://doi.org/10.1016/j.jht.2017.01.001

Vuvan, V., Vicenzino, B., Mellor, R., Heales, L. J., & Coombes, B. K. (2020). Unsupervised Isometric Exercise versus Wait-and-See for Lateral Elbow Tendinopathy. Medicine and science in sports and exercise, 52(2), 287–295. https://doi.org/10.1249/MSS.0000000000002128

Yan, C., Xiong, Y., Chen, L., Endo, Y., Hu, L., Liu, M., Liu, J., Xue, H., Abududilibaier, A., Mi, B., & Liu, G. (2019). A comparative study of the efficacy of ultrasonics and extracorporeal shock wave in the treatment of tennis elbow: a meta-analysis of randomized controlled trials.Journal of orthopaedic surgery and research,14(1), 248. https://doi.org/10.1186/s13018-019-1290-y

Published

2023-10-15 — Updated on 2023-10-15

Versions

Issue

Section

Статті