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Francisco Vicente Martínez-Cervera, Theodor Emanuel Olteanu, Alfonso Gil-Martínez, Belén Díaz-Pulido, Raúl Ferrer-Peña
The aim of this study was to determine the influence of expectations plus mobilization with movement (MWM) in kinesiophobia, perceived disability and sensorimotor variables in patients with lateral epicondylalgia. A pilot randomized controlled trial in 24 patients with lateral epicondylalgia was conducted. Perceived pain, pain-free grip strength, pressure pain detection threshold, kinesiophobia measured with the short version of Tampa Scale of Kinesiophobia, perceived disability of the upper limb measured with disability of the arm, hand and shoulder questionnaire, and perceived disability specifically for the elbow joint measured with patient-rating tennis elbow evaluation, and also satisfaction were assessed...
February 2017: Journal of Exercise Rehabilitation
Edwin Choon Wyn Lim, Michele Sterling, Bill Vicenzino
The impaired attenuation of pain by the application of a noxious conditioning stimulus at a segmentally distinct site, known as conditioned pain modulation, has been implicated in clinical pain states. Chronic lateral epicondylalgia (LE), which is characterized by lower pressure pain thresholds at sites remote to the affected elbow and spinal cord hyperexcitability, is a clinical pain state that might plausibly involve less efficacious conditioned pain modulation. This study aimed to determine if LE exhibits a less efficacious conditioned pain modulation compared to healthy controls...
January 3, 2017: Clinical Journal of Pain
Adrian Mallows, James Debenham, Tom Walker, Chris Littlewood
OBJECTIVE: Fear, anxiety, depression, distress and catastrophisation are all factors known to affect pain and disability levels. To date, the association of such psychological factors has yet to be established in tendinopathy. Therefore, the purpose of this paper was to determine if psychological variables are associated with tendinopathy and whether any such variables may be associated with pain and disability outcomes in conservative management of tendinopathy. DESIGN: A systematic review was undertaken and included studies were appraised for risk of bias using the Newcastle-Ottawa Scale...
November 16, 2016: British Journal of Sports Medicine
Yao-Hong Guo, Ta-Shen Kuan, Kuan-Lin Chen, Wei-Chih Lien, Pei-Chun Hsieh, I-Chieh Hsieh, Szu-Hao Chiu, Yu-Ching Lin
OBJECTIVE: To compare the effects of 2 different injection sites of low doses of botulinum toxin type A with steroid in treating lateral epicondylalgia. DESIGN: Double-blind, randomized, active drug-controlled trial. SETTING: Tertiary medical center. PARTICIPANTS: Patients with lateral epicondylalgia for >6 months were recruited from a hospital-based outpatient population (N=26). A total of 66 patients were approached, and 40 were excluded...
January 2017: Archives of Physical Medicine and Rehabilitation
Laurent Vigouroux, Benjamin Goislard de Monsabert, Chris Hayot, Philippe Androuet, Éric Berton
Previous studies suggested that a pronounced weakness of the extensor muscles relative to the flexor muscles could increase the risk of occurrence of lateral epicondylalgia. This study investigates this hypothesis by estimating the ratio of extensor to flexor muscle capacities among healthy non-players (n = 10), healthy tennis players (n = 20), symptomatic players (n = 6), and players who have recovered from lateral epicondylalgia (n = 6). Maximum net joint moments in flexion or extension were measured during seven tasks involving the voluntary contraction of wrist and fingers...
September 5, 2016: Sports Biomechanics
Joseph R Maccio, Sarah Fink, Richard Yarznbowicz, Stephen May
BACKGROUND: lateral epicondylalgia (LE) is a musculoskeletal diagnosis that causes pain and dysfunction in the lateral aspect of the elbow. Mechanical diagnosis and therapy (MDT) is an orthopaedic classification and treatment system based on mechanical and symptomatic response to repeated and sustained end-range movement. There has been no investigation of the association between MDT and patients diagnosed with LE. CASE DESCRIPTION: this report presents three patients matching the currently accepted diagnostic criteria for LE, two with a diagnosis of lateral epicondylitis (tennis elbow) from a medical doctor...
July 2016: Journal of Manual & Manipulative Therapy
Luke James Heales, François Hug, David Alan MacDonald, Bill Vicenzino, Paul William Hodges
BACKGROUND: Lateral epicondylalgia is a common musculoskeletal disorder and is associated with deficits in the motor system including painful grip. This study compared coordination of forearm muscles (muscle synergies) during repeated gripping between individuals with and without lateral epicondylalgia. METHODS: Twelve participants with lateral epicondylalgia and 14 controls performed 15 cyclical repetitions of sub-maximal (20% maximum grip force of asymptomatic arm), pain free dynamic gripping in four arm positions: shoulder neutral with elbow flexed to 90° and shoulder flexed to 90° with elbow extended both with forearm pronated and neutral...
2016: Clinical Biomechanics
Chung-Yuan Hsu, Ko-Hung Lee, Hsin-Chia Huang, Zi-Yu Chang, Hsing-Yu Chen, Tsung-Hsien Yang
Radial bone adjustment manipulation treatment may be effective to reduce pain rapidly in lateral epicondylalgia patients and the pathological tension in the biceps brachii muscle is highly concerned. To prove this hypothesis, we conducted a randomized controlled trial and included 35 patients with lateral epicondylalgia for more than 2 months. Either manipulation treatment (n = 16) or acupuncture (n = 19) was given to these patients for 2 weeks and all patients' symptoms were followed up for 8 weeks after treatment...
2016: Evidence-based Complementary and Alternative Medicine: ECAM
Luke J Heales, Michael J G Bergin, Bill Vicenzino, Paul W Hodges
BACKGROUND: Lateral epicondylalgia (LE) refers to pain at the lateral elbow and is associated with sensory and motor impairments that may impact on neuromuscular control and coordination. OBJECTIVE: This review aimed to systematically identify and analyse the literature related to the comparison of neuromuscular control of forearm muscles between individuals with and without LE. METHODS: A comprehensive search of electronic databases and reference lists using keywords relating to neuromuscular control and LE was undertaken...
December 2016: Sports Medicine
Brooke Kaye Coombes, Matheus Wiebusch, Luke Heales, Aoife Stephenson, Bill Vicenzino
OBJECTIVE: To examine the acute effects of isometric exercise of different intensities on pain perception in individuals with chronic lateral epicondylalgia. METHODS: Participants performed three experimental tasks completed in a randomised order on separate days: control (no exercise) and isometric wrist extension (10×15 s) at load 20% below (infra-threshold) and 20% above (supra-threshold) an individual's pain threshold. Self-reported pain intensity (11-point numeric rating scales (NRS)), pressure pain threshold and pain free grip were assessed by a blinded examiner before, immediately after and 30 minutes after task performance...
February 17, 2016: Clinical Journal of Pain
Raquel Mora-Relucio, Susana Núñez-Nagy, Tomás Gallego-Izquierdo, Alma Rus, Gustavo Plaza-Manzano, Natalia Romero-Franco, Alejandro Ferragut-Garcías, Daniel Pecos-Martín
The purpose was to evaluate the interexaminer reliability of experienced and inexperienced examiners on location and classification of myofascial trigger points (MTrPs) in two epicondylar muscles and the association between the MTrP found and the diagnosis of lateral epicondylalgia (LE). Fifty-two pianists (some suffered LE) voluntarily participated in the study. Three physiotherapists (one inexperienced in myofascial pain) examined, located, and marked MTrPs in the extensor carpi radialis brevis (ECRB) and extensor digitorum communis (EDC) muscles...
2016: Evidence-based Complementary and Alternative Medicine: ECAM
E Burns, L S Chipchase, S M Schabrun
BACKGROUND: Lateral epicondylalgia (LE) is a musculotendinous condition characterized by persistent pain, sensorimotor dysfunction and motor cortex reorganization. Although there is evidence linking cortical reorganization with clinical symptoms in LE, the mechanisms underpinning these changes are unknown. Here we investigated activity in motor cortical (M1) intracortical inhibitory and facilitatory networks in individuals with chronic LE and healthy controls. METHODS: Surface electromyography was recorded bilaterally from the extensor carpi radialis brevis (ECRB) muscle of 14 LE (4 men, 41...
August 2016: European Journal of Pain: EJP
José Alvarez-Nemegyei, Ingris Peláez-Ballestas, Mario Goñi, Flor Julián-Santiago, Conrado García-García, Rosana Quintana, Adriana M R Silvestre, Imelda García-Olivera, Nora A Mathern, Adalberto Loyola-Sanchez, Silvana Conti, Alvaro J Sanabria, Bernardo A Pons-Estel
This study assessed the overall and specific prevalence of the main rheumatic regional pain syndromes (RRPS) in four Latin-American indigenous groups. A Community Oriented Program for Control of Rheumatic Diseases (COPCORD) methodology-based census study was performed in 4240 adults (participation rate: 78.88 %) in four indigenous groups: Chontal (Oaxaca, Mexico, n = 124), Mixteco (Oaxaca, Mexico; n = 937), Maya-Yucateco (Yucatán, Mexico; n = 1523), and Qom (Rosario, Argentina; n = 1656). Subjects with musculoskeletal pain were identified using a cross-cultural, validated COPCORD questionnaire administered by bilingual personnel, and reviewed by general practitioners or rheumatologists using standardized case definitions for the 12 most frequent RRPS...
July 2016: Clinical Rheumatology
L J Heales, B Vicenzino, D A MacDonald, P W Hodges
Lateral epicondylalgia (LE) is associated with a reduced wrist extensor muscle activity and altered biomechanics. This study compared the coordination between forearm muscles during gripping in individuals with LE and pain-free controls. Intramuscular electrodes recorded myoelectric activity from extensor carpi radialis brevis/longus (ECRB/ECRL), extensor digitorum communis (EDC), flexor digitorum superficialis/profundus (FDS/FDP), and flexor carpi radialis (FCR), bilaterally, in 15 participants with unilateral LE and 15 pain-free controls...
December 2016: Scandinavian Journal of Medicine & Science in Sports
Nagarajan Manickaraj, Leanne M Bisset, Michael Ryan, Justin J Kavanagh
BACKGROUND: Individuals with lateral epicondylalgia (LE) have delayed upper limb reaction time (RT); however, it is unknown if the mechanisms of this dysfunction are related to neural processing or the affected forearm muscles. The aim of this study was to examine the timing of processes that occur before and after forearm muscles are activated during the RT task. METHODS: Eleven LE (42 ± 11 yr) and 11 healthy controls (42 ± 11 yr) performed rapid wrist extension in response to an audio cue...
April 2016: Medicine and Science in Sports and Exercise
Jason Outrequin, Farshid Moshiri, Rahim Khorassani Zadeh
INTRODUCTION: Chronic Lateral Epicondylalgia (CLE) is potentially associated with a significant reduction of the patient's quality of life; its treatment by manual Deep Transverse Friction (DTF), although widely accepted, lacks standardization. The purpose of our study was to evaluate the efficacy of the MyoDK device, which allows deep transverse pressure (DTP) monitoring, for treatment of CLE. MATERIALS AND METHODS: This is a single centre observational study for treatment of CLE by the MyoDK device...
October 2015: Journal of Clinical and Diagnostic Research: JCDR
Wei Dong, Hans Goost, Xiang-Bo Lin, Christof Burger, Christian Paul, Zeng-Li Wang, Fan-Lin Kong, Kristian Welle, Zhi-Chao Jiang, Koroush Kabir
BACKGROUND: There are many injection therapies for lateral epicondylalgia but there has been no previous comprehensive comparison, based on the Bayesian method. METHODS: The MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL) databases were searched for appropriate literature. The outcome measurement was the pain score. Direct comparisons were performed using the pairwise meta-analysis, and network meta-analysis, based on a Bayesian model, was used to calculate the results of all of the potentially possible comparisons and rank probabilities...
August 2016: British Journal of Sports Medicine
Leanne M Bisset, Bill Vicenzino
No abstract text is available yet for this article.
October 2015: Journal of Physiotherapy
Michael Joseph Gerard Bergin, Rogerio Hirata, Christian Mista, Steffan Wittrup Christensen, Kylie Tucker, Bill Vicenzino, Paul Hodges, Thomas Graven-Nielsen
OBJECTIVE: Lateral epicondylalgia presents as lateral elbow pain provoked by upper limb tasks. An experimental model of elbow pain provoked by movement/muscle contraction and maintained over several days is required to better understand the mechanisms underlying sustained elbow pain. This study investigated the time course and pain location induced by nerve growth factor (NGF) injection into a wrist extensor muscle, and whether movement and muscle contraction/stretch provoked pain. METHODS: On Day 0 twenty-six painfree volunteers were injected with NGF (N = 13) or isotonic saline (randomized) into the extensor carpi radialis brevis (ECRB) muscle of the dominant arm...
November 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Brooke K Coombes, Luke Connelly, Leanne Bisset, Bill Vicenzino
AIM: To determine the cost-effectiveness of corticosteroid injection, physiotherapy and a combination of these interventions, compared to a reference group receiving a blinded placebo injection. METHODS: 165 adults with unilateral lateral epicondylalgia of longer than 6 weeks duration from Brisbane, Australia, were randomised for concealed allocation to saline injection (placebo), corticosteroid injection, saline injection plus physiotherapy (eight sessions of elbow manipulation and exercise) or corticosteroid injection plus physiotherapy...
November 2016: British Journal of Sports Medicine
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