Effects of Eccentric Training of Wrist Extensors Versus Digital Latching & Lateral Rotation of Forearm in Lateral Epicondylitis – A Randomized Controlled Trial
DOI:
https://doi.org/10.37506/bbft6159Keywords:
Lateral Epicondylitis, Digital latching & lateral rotation of forearm, Patient Rated Tennis Elbow Evaluation, pain-free grip strength.Abstract
Abstract
Background: Lateral Epicondylitis (LE) is a degenerative tendon condition marked by pain due to repetitive wrist extension and gripping. It is now understood to involve tendon degeneration rather than inflammation. Eccentric training improves tendon healing, while newer approaches like Digital latching & lateral rotation of forearm (DLaLR) target both muscle imbalance and joint mechanics. This combined strategy may offer more effective relief and functional recovery.
OBJECTIVES: To compare the effects of therapeutic ultrasound and wrist extensors eccentric training versus therapeutic ultrasound and DLaLR in LE.
METHODS: In a randomized controlled trial, 42 participants were equally divided into two groups using concealed envelope method. Group A (n=21) received therapeutic ultrasound with eccentric wrist extensor training, while Group B (n=21) received therapeutic ultrasound with DLaLR. Visual Analogue Scale (VAS), Patient Rated Tennis Elbow Evaluation (PRTEE), and pain-free grip strength (PFGS) were assessed at 0th day and after 4th weeks.
RESULTS: There were no significant difference on VAS, PRTEE and PFGS on 0th day between the groups. Both treatment methods were found to be significantly effective for VAS, PRTEE and PFGS on 4th week. Group B showed more significant improvement (p<0.05) on 4th week as compared to group A.
CONCLUSION: DLaLR of forearm is found to be more effective than eccentric training of wrist extensor in LE.
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References
Runge F. Zur genese und behandlung des
schreibekrampfes. Berl Klin Wochenschr. 1873
May;10(1):245-8.
Morris H. The Rider’s Sprain the Lancet II.
Cutts S, Gangoo S, Modi N, Pasapula C. Tennis elbow:
A clinical review article. Journal of orthopaedics. 2020
Jan 1;17:203-7.
Tajika T, Kobayashi T, Yamamoto A, Kaneko T,
Takagishi K. Prevalence and risk factors of lateral
epicondylitis in a mountain village in Japan. Journal
of Orthopaedic Surgery. 2014 Aug;22(2):240-3
Afzal M, Zakaullah S, Memon SI, Nisar A, Touqeer
H, Shabir H. Prevalence and risk factors of lateral
epicondylitis among restaurant cooks at district
Gujranwala: A cross-sectional study. Rawal Medical
Journal,2021:46(2):338-338.
Stasinopoulou K, Johnson MI, et al. An exercise
programme for the management of lateral elbow
tendinopathy. Br J Sports Med,2005:39:944– 947. doi:
1136/bjsm.2005.019836
Kapandji, I. A. The physiology of the joints.- 2 nd ed.
Vol. 1: Upper limbs.
Padasala M, Sharmila B, Bhatt HJ, D’Onofrio
R. Comparison of efficacy of the eccentric concentric
training of wrist extensors with static stretching
versus eccentric concentric training with supinator
strengthening in patients with tennis elbow: A
randomized clinical trial. Ital. J. Sports Rehabil.
Posturology. 2020;7:1597-623.
Calfee RP, Patel A, DaSilva MF, Akelman E (2008).
Management of lateral epicondylitis: Current
concepts. Journal of American Academy of
Orthopaedic Surgery, 16(1):19-29.
Stasinopoulos D (2017) Strengthening of supinator
in Lateral Elbow Tendinopathy Management.
Australasian Medical Journal.
Levin D, Nazarian LN, Miller TT, O’Kane PL, Feld
RI, Parker L, McShane JM. Lateral epicondylitis of the
elbow: US findings. Radiology,2005:237(1):230-4.
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