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https://www.readbyqxmd.com/read/27903159/recognition-and-treatment-of-central-sensitization-in-chronic-pain-patients-not-limited-to-specialized-care
#1
Jo Nijs, Dorien Goubert, Kelly Ickmans
Modern pain neuroscience has substantially improved our understanding of the (development of) chronic musculoskeletal pain. The time has come for orthopaedic and sports physical therapists to implement modern pain neuroscience in specialized, but definitely also in primary, care settings, including the role of central sensitization (CS) in amplifying and explaining the presence of the pain experience. Central sensitization dominates the clinical picture in a subgroup of the musculoskeletal pain population, ranging from tennis elbow over shoulder pain to osteoarthritis and whiplash...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27886833/upper-extremity-injuries-in-tennis-players-diagnosis-treatment-and-management
#2
REVIEW
Kevin C Chung, Meghan E Lark
Upper extremity tennis injuries are most commonly characterized as overuse injuries to the wrist, elbow, and shoulder. The complex anatomy of these structures and their interaction with biomechanical properties of tennis strokes contributes to the diagnostic challenges. A thorough understanding of tennis kinetics, in combination with the current literature surrounding diagnostic and treatment methods, will improve clinical decision-making.
February 2017: Hand Clinics
https://www.readbyqxmd.com/read/27847851/surgical-treatment-of-tennis-elbow-minimal-incision-technique
#3
Morteza Nakhaei Amroodi, Ali Mahmuudi, Mostafa Salariyeh, Arash Amiri
BACKGROUND: When non-operative treatment of tennis elbow fails; a surgical procedure can be performed to improve the associated symptoms. Different surgical techniques for treatment of lateral epicondylitis are prescribed. The purpose of this study was to evaluate the clinical outcomes of surgical treatment for tennis elbow based on small incision techniques. METHODS: This technique was performed on 24 consecutive patients between June 2011 and July 2013. Outcomes were assessed using the Patient-Rated Tennis Elbow Evaluation (PRTEE), Nirschl's staging system and visual analog scale (VAS) for pain and satisfaction criteria...
October 2016: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/27833925/lateral-elbow-tendinopathy-development-of-a-pathophysiology-based-treatment-algorithm
#4
Gev Bhabra, Allan Wang, Jay R Ebert, Peter Edwards, Monica Zheng, Ming H Zheng
Lateral elbow tendinopathy, commonly known as tennis elbow, is a condition that can cause significant functional impairment in working-age patients. The term tendinopathy is used to describe chronic overuse tendon disorders encompassing a group of pathologies, a spectrum of disease. This review details the pathophysiology of tendinopathy and tendon healing as an introduction for a system grading the severity of tendinopathy, with each of the 4 grades displaying distinct histopathological features. Currently, there are a large number of nonoperative treatments available for lateral elbow tendinopathy, with little guidance as to when and how to use them...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27777854/multimodal-approach-to-rehabilitation-of-the-patients-with-lateral-epicondylosis-a-case-series
#5
Alexandre Marcio Marcolino, Lais Mara Siqueira das Neves, Bruna Gabriela Oliveira, Aline Aguiar Alexandre, Guilherme Corsatto, Rafael Inacio Barbosa, Marisa de Cássia Registro Fonseca
PURPOSE: The objective of this study was to evaluate the effectiveness of mobilization with movement and kinesiotherapy in the treatment of patients with lateral epicondylosis. METHODS: This cases series included eight volunteers who had chronic lateral epicondylosis. The patients were treated with stretching, massage deep transverse at the lateral epicondyle and mobilization with movement associated with eccentric exercise. The mobilization with movement that consisted of a force of lateral glide of the proximal forearm...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27769841/cross-cultural-adaptation-and-validation-of-the-patient-rated-tennis-elbow-evaluation-questionnaire-on-lateral-elbow-tendinopathy-for-french-speaking-patients
#6
Jean-François Kaux, François Delvaux, Jean Schaus, Christophe Demoulin, Médéa Locquet, Fanny Buckinx, Charlotte Beaudart, Nadia Dardenne, Julien Van Beveren, Jean-Louis Croisier, Bénédicte Forthomme, Olivier Bruyère
STUDY DESIGN: Translation and validation of algo-functional questionnaire. INTRODUCTION: The lateral elbow tendinopathy is a common injury in tennis players and physical workers. The Patient-Rated Tennis Elbow Evaluation (PRTEE) Questionnaire was specifically designed to measure pain and functional limitations in patients with lateral epicondylitis (tennis elbow). First developed in English, this questionnaire has since been translated into several languages. PURPOSE OF THE STUDY: The aims of the study were to translate and cross-culturally adapt the PRTEE questionnaire into French and to evaluate the reliability and validity of this translated version of the questionnaire (PRTEE-F)...
October 18, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27699697/wrist-injuries-in-tennis-players-a-narrative-review
#7
Max Stuelcken, Daniel Mellifont, Adam Gorman, Mark Sayers
The wrist/hand complex forms the crucial final link in the kinetic chain between the body and the racquet and therefore has a number of important roles in the production of all tennis strokes. However, the internal and external loads that are created at the wrist during these strokes have the potential to contribute to pain and injury. Therefore, the purposes of this narrative review are to (1) determine the extent of the problem of wrist pain/injury in tennis players, (2) identify bony and soft tissue structures of the wrist that are susceptible to damage as a result of tennis play and (3) explore factors that may influence the development of wrist pain/injury in tennis players...
October 3, 2016: Sports Medicine
https://www.readbyqxmd.com/read/27676721/rehabilitation-and-auto-exercises-protocol-in-patients-with-chronic-lateral-epicondylitis-6%C3%A2-months-follow-up
#8
François Segretin, Guillaume Paris, Sarah Cheriet, Yohann Delarue
OBJECTIVE: The chronic lateral epicondylitis is a common pathology with an economic impact. Actually, many costly therapies are prescribed without evidence of their effectiveness. Physical therapies seem to be neglected. However, they can correct actions at risk and involve the patient in his rehabilitation. MATERIAL/PATIENTS AND METHODS: This study evaluated the effectiveness of a standardized 2 month rehabilitation program composed of: an outpatient group education session, 18 liberal physical therapy sessions with correction of the posture of the trunk and shoulder, eccentric strengthening of the supinator muscles and the wrist extensor muscles, stretching, and some self daily exercises (transverse friction massage and stretching) according to Pernot-Comtet protocol...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27672692/do-autologous-blood-and-prp-injections-effectively-treat-tennis-elbow
#9
Luke Widstrom, Andrew Slattengren
Both approaches reduce pain, but the improvement with platelet-rich plasma (PRP) is not clinically meaningful. Autologous blood injections (ABIs) are more effective than corticosteroid injections for reducing pain and disability in patients with tennis elbow in both the short and long term.
September 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/27666156/comparison-between-steroid-and-2-different-sites-of-botulinum-toxin-injection-in-the-treatment-of-lateral-epicondylalgia-a-randomized-double-blind-active-drug-controlled-pilot-study
#10
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...
September 22, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27617828/heel-spur-and-acupuncture-does-it-work
#11
A E Sahin, Y Cayir, A Imerci, H Uzkeser, F Akcay
Heel spur is also known as a result of plantar calcaneal bone spur which is a common complaint associated with pain at heel. Heel spur is more common in females. Anti-inflammatory drugs, local steroid injections, physical therapy, low-dose radiotherapy and shock wave therapy are the commonly used treatment choices. There is no evidence that acupuncture is an effective method for heel spur in the literature. However, we know that acupuncture can be used for many orthopaedic diseases like frozen shoulder, tennis elbow, sciatic pain, joint sprains, several forms of bursitis and arthritis...
November 11, 2015: West Indian Medical Journal
https://www.readbyqxmd.com/read/27599110/active-tuning-of-stroke-induced-vibrations-by-tennis-players
#12
Delphine Chadefaux, Guillaume Rao, Philippe Androuet, Eric Berton, Laurent Vigouroux
This paper investigates how tennis players control stroke-induced vibration. Its aim is to characterise how a tennis player deals with entering vibration waves or how he/she has the ability to finely adjust them. A specific experimental procedure was designed, based on simultaneously collecting sets of kinematic, vibration and electromyographic data during forehand strokes using various commercial rackets and stroke intensities. Using 14 expert players, a wide range of excitations at spectral and temporal levels were investigated...
September 6, 2016: Journal of Sports Sciences
https://www.readbyqxmd.com/read/27595163/glenohumeral-contact-force-during-flat-and-topspin-tennis-forehand-drives
#13
Yoann Blache, Thomas Creveaux, Raphaël Dumas, Laurence Chèze, Isabelle Rogowski
The primary role of the shoulder joint in tennis forehand drive is at the expense of the loadings undergone by this joint. Nevertheless, few studies investigated glenohumeral (GH) contact forces during forehand drives. The aim of this study was to investigate GH compressive and shearing forces during the flat and topspin forehand drives in advanced tennis players. 3D kinematics of flat and topspin forehand drives of 11 advanced tennis players were recorded. The Delft Shoulder and Elbow musculoskeletal model was implemented to assess the magnitude and orientation of GH contact forces during the forehand drives...
September 5, 2016: Sports Biomechanics
https://www.readbyqxmd.com/read/27583017/racquet-string-tension-directly-affects-force-experienced-at-the-elbow-implications-for-the-development-of-lateral-epicondylitis-in-tennis-players
#14
Badri R Mohandhas, Navnit Makaram, Tim S Drew, Weijie Wang, Graham P Arnold, Rami J Abboud
BACKGROUND: Lateral epicondylitis (LE) occurs in almost half of all tennis players. Racket-string tension is considered to be an important factor influencing the development of LE. No literature yet exists that substantiates how string-tension affects force transmission to the elbow, as implicated in LE development. We establish a quantitative relationship between string-tension and elbow loading, analyzing tennis strokes using rackets with varying string-tensions. METHODS: Twenty recreational tennis players simulated backhand tennis strokes using three rackets strung at tensions of 200 N, 222 N and 245 N...
July 2016: Shoulder & Elbow
https://www.readbyqxmd.com/read/27559286/the-application-of-mechanical-diagnosis-and-therapy-in-lateral-epicondylalgia
#15
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
https://www.readbyqxmd.com/read/27501360/high-speed-cycling-intervention-improves-rate-dependent-mobility-in-older-adults
#16
Maria Bellumori, Mehmet Uygur, Christopher A Knight
PURPOSE: The aim was to determine the feasibility of a six-week speed-based exercise program that could be used to initiate new exercise behaviors and improve rapid movement in older adults approaching frailty. METHODS: The intervention group included 14 older adults (3 males, 11 females, mean (SD) age: 70 (7.6) years, height: 1.6 (.11) m, mass: 76.8 (12.0) kg, BMI: 27.7(4.7)). The control group included 12 older adults (6 males, 6 females, mean (SD) age: 69.2 (6...
August 6, 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27491631/controversies-in-surgical-management-of-recalcitrant-enthesopathy-of-the-extensor-carpi-radialis-brevis
#17
REVIEW
Bonnie P Gregory, Robert W Wysocki, Mark S Cohen
Enthesopathy of the extensor carpi radialis brevis, often referred to as "tennis elbow," is common and responds to nonsurgical treatment in 80% to 90% of patients within 1 year. For those who proceed with surgery, much remains unclear regarding the ideal treatment. This paper discusses controversies in surgical management of extensor carpi radialis brevis enthesopathy including clinical outcomes of open versus arthroscopic techniques, the relevance of concomitant pathology addressed arthroscopically, and avenues for assessing comparative cost data...
August 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27460020/the-effect-of-ball-impact-location-on-racket-and-forearm-joint-angle-changes-for-one-handed-tennis-backhand-groundstrokes
#18
Mark King, Agnes Hau, Glen Blenkinsop
Recreational tennis players tend to have higher incidence of tennis elbow, and this has been hypothesised to be related to one-handed backhand technique and off-centre ball impacts on the racket face. This study aimed to investigate for a range of participants the effect of off-longitudinal axis and off-lateral axis ball-racket impact locations on racket and forearm joint angle changes immediately following impact in one-handed tennis backhand groundstrokes. Three-dimensional racket and wrist angular kinematic data were recorded for 14 university tennis players each performing 30 "flat" one-handed backhand groundstrokes...
July 27, 2016: Journal of Sports Sciences
https://www.readbyqxmd.com/read/27406460/permanent-hypopigmentation-after-triamcinolone-injection-for-tennis-elbow
#19
Ana R Abaroa Salvatierra, Richard Alweis
No abstract text is available yet for this article.
2016: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/27372804/injection-of-tennis-elbow-hit-and-miss-a-cadaveric-study-of-injection-accuracy
#20
Renée Keijsers, Michel P J van den Bekerom, Koen L M Koenraadt, Ronald L A W Bleys, C Niek van Dijk, Denise Eygendaal
PURPOSE: Different injection therapies are used in the treatment of lateral epicondylitis (LE). Usually, the extensor carpi radialis brevis (ECRB) tendon is affected. Therefore, an injection should be aimed at the origin of this tendon. This study demonstrates the accuracy of manual injections in the treatment of LE. METHODS: Ten surgeons have injected a cadaver elbow with acrylic paint, using the same injection technique (i.e. number of perforations, amount of injected fluid) that they in daily practice would use in the treatment of LE...
July 2, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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