Lateral epicondylalgia (LE) refers to a painful condition at or around the lateral epicondyle of the humerus that is aggravated by extension and/or supination of the wrist against resistance. LE is one of the most common injuries of the elbow, 1 , 2 with considerable costs and impact on workers
Blanca de la Cruz Torres
Tom A. Ranger, Wendy M. Braybon, Craig R. Purdam and Jill L. Cook
Lateral epicondylalgia, pain at the lateral elbow, is commonly associated with extensor carpi radialis brevis tendinopathy. The radial head, which abuts the extensor tendons and is elliptical in shape, may affect the extensor tendons during pronation of the forearm. Cadaverous studies have shown that the radial head may act as a cam in pronation, to offer a mechanical advantage to the common extensor tendon and to mitigate load on the origin of the extensor carpi radialis brevis tendon.
To determine the effect of radial-head position on the wrist-extensor tendons in vivo.
22 participants (12 male, 2 left-handed).
Main Outcome Measures:
Distance (mm) from subcutaneous fascia to radial head measured by ultrasound.
The radial head in supination was significantly deeper than either pronation or midprone, indicating a smaller cam effect in supination.
The authors recommend that the effect of radial-head position and its relationship to the area of tendon pathology be considered clinically in the rehabilitation of patients suffering from lateral epicondylalgia.
Joseph M. Day, Robert Barry Dale and Elizabeth Kennedy
to Guide Search Strategy • P atient/Client group: lateral elbow tendinopathy, tennis elbow, lateral epicondylitis, lateral epicondylalgia • I ntervention: therapy, physical rehabilitation • C omparison: home exercise program • O utcome(s): pain, disability Sources of Evidence Searched • SPORTDiscus
James May, Ryan Krzyzanowicz, Alan Nasypany, Russell Baker and Jeffrey Seegmiller
Although randomized controlled trials indicate that the Mulligan Concept (MC) of mobilization with movement can improve pain-free grip strength and pressure pain threshold in patients with lateral epicondylalgia of the elbow, improve ankle dorsiflexion in patients with subacute ankle sprains, and decrease the signs and symptoms of patients with cervicogenic headache, little is known about the clinical application, use, and profile of certified Mulligan practitioners (CMPs) in America.
To better understand the use and value of applying the MC philosophy in clinical-care environments from the perspective of American CMPs while establishing a clinical profile of a CMP.
Quantitative descriptive design. Setting: Online survey instrument.
Data Collection and Analysis:
Online survey instrument.
CMPs use the MC to treat a broad spectrum of spinal and peripheral clinical pathologies in primarily outpatient clinics with an active and athletic population. American CMPs also find value in the MC.
American CMPs continue to use and find value in the MC intervention strategy to treat a broad spectrum of spinal and peripheral conditions in their clinical practices.
Bassam A. Nabil, Mariam A. Ameer, Azza M. Abdelmohsen, Abeer F. Hanafy, Ahmed S. Yamani, Naglaa M. Elhafez and Salam M. Elhafez
: horizontal adduction and abduction isokinetic evaluation . Br J Sports Med . 2006 ; 40 ( 6 ): 513 – 517 . PubMed ID: 16488900 doi: 10.1136/bjsm.2005.023408 16488900 15. Lucado AM , Kolber MJ , Cheng MS , Echternach JL . Subacromial impingement syndrome and lateral epicondylalgia in tennis
Guilherme S. Nunes, Débora Faria Wolf, Daniel Augusto dos Santos, Marcos de Noronha and Fábio Viadanna Serrão
doi: 10.1016/S1356-689X(03)00101-2 15040966 24. Paungmali A , O’Leary S , Souvlis T , Vicenzino B . Hypoalgesic and sympathoexcitatory effects of mobilization with movement for lateral epicondylalgia . Phys Ther . 2003 ; 83 : 374 – 383 . PubMed ID: 12665408 12665408 25. Hjermstad MJ