Journal of Shoulder and Elbow Surgery
Volume 19, Issue 6 , Pages 917-922 , September 2010

Addition of isolated wrist extensor eccentric exercise to standard treatment for chronic lateral epicondylosis: A prospective randomized trial

  • Timothy F. Tyler, MSPT, ATC

      Affiliations

    • PRO Sports Physical Therapy, Scarsdale, NY
    • Nicholas Institute for Sports Medicine and Athletic Trauma (NISMAT), New York, NY
    • Corresponding Author InformationReprint requests: Timothy F. Tyler, MSPT, ATC, PRO Sports Physical Therapy, 2 Overhill Road Suite 315, Scarsdale, NY 10583.
    • ,
  • Gregory C. Thomas, DPT, CSCS

      Affiliations

    • PRO Sports Physical Therapy, Scarsdale, NY
    • ,
  • Stephen J. Nicholas, MD

      Affiliations

    • PRO Sports Physical Therapy, Scarsdale, NY
    • ,
  • Malachy P. McHugh, PhD

      Affiliations

    • PRO Sports Physical Therapy, Scarsdale, NY

References 

  1. Alfredson H, Pietila T, Jonsson P, Lorentzon R. Heavy-load eccentric calf muscle training for the treatment of chronic achilles tendinosis. Am J Sports Med. 1998;26:360–366PMid:9617396
  2. Allman FL. Tennis elbow. Etiology, prevention and treatment. Clin Orthop. 1975;3:308–316
  3. Altan L, Kanat E. Conservative treatment of lateral epicondylosis: comparison of two different orthotic devices. Clin Rheumatol. 2008;27:1015–1019
  4. Baskurt F, Ozcan A, Algun C. Comparison of effects of phonophoresis and Iontophoresis of naproxen in the treatment of lateral epicondylosis. Clin Rehabil. 2003;17:96–100
  5. Bisset L, Beller E, Jull G, Brooks P, Darnell R, Vicenzino B. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: Randomised trial. BMJ. 11-4-2006;333:939;doi:10.1136
  6. Chung B, Wiley JP. Effectiveness of extracorporeal shock wave therapy in the treatment of previously untreated lateral epicondylosis: a randomized controlled trial. Am J Sports Med. 2004;32:1660–1667
  7. Connolly DA, McHugh MP, Padilla-Zakour O, Carlson L, Sayers SP. Efficacy of a tart cherry juice blend in preventing the symptoms of muscle damage. Br J Sports Med. 2006;40:679–683
  8. Croisier JL, Foidart-Dessalle M, Tinant F, Crielaard JM, Forthomme B. An isokinetic eccentric programme for the management of chronic lateral epicondylar tendinopathy. Br J Sports Med. 2007;41:269–275
  9. Gruchow HW, Pelletier D. An epidemiologic study of tennis elbow. incidence, recurrence, and effectiveness of prevention strategies. Am J Sports Med. 1979;7:234–238
  10. Jafarian FS, Demneh ES, Tyson SF. The immediate effect of orthotic management on grip strength of patients with lateral epicondylosis. J Ortho Sports Phys Ther. 2009;39:484–489
  11. Jonsson P, Alfredson H, Sunding K, Fahlstrom M, Cook J. New regimen for eccentric calf-muscle training in patients with chronic insertional achilles tendinopathy: Results of a pilot study. Br J Sports Med. 2008;42:746–749
  12. Jonsson P, Wahlstrom P, Ohberg L, Alfredson H. Eccentric training in chronic painful impingement syndrome of the shoulder: Results of a pilot study. Knee Surg Sports Traumatol Arthrosc. 2006;14:76–81
  13. Martinez-Silvestrini JA, Newcomer KL, Gay RE, Schaefer MP, Kortebein P, Arendt KW. Chronic lateral epicondylitis: comparative effectiveness of a home exercise program including stretching alone versus stretching supplemented with eccentric or concentric strengthening. J Hand Ther. 2005;18:411–419
  14. Nirschl RP. Lateral extensor release for tennis elbow. J Bone Joint Surg Am. 1994;76:951;PMid:8200903
  15. Paoloni JA, Appleyard RC, Nelson J, Murrell GA. Topical nitric oxide application in the treatment of chronic extensor tendinosis at the elbow: a randomized, double-blinded, placebo-controlled clinical trial. Am J Sports Med. 2003;31:915–920PMid:14623657
  16. Pettrone FA, McCall BR. Extracorporeal shock wave therapy without local anesthesia for chronic lateral epicondylosis. J Bone Joint Surg Am. 2005;87:1297–1304
  17. Purdam CR, Jonsson P, Alfredson H, Lorentzon R, Cook JL, Khan KM. A pilot study of the eccentric decline squat in the management of painful chronic patellar tendinopathy. Br J Sports Med. 2004;38:395–397
  18. Rompe JD, Decking J, Schoellner C, Theis C. Repetitive low-energy shock wave treatment for chronic lateral epicondylosis in tennis players. Am J Sports Med. 2004;32:734–743
  19. Struijs PA, Kerkhoffs GM, Assendelft WJ, van Dijk CN. Conservative treatment of lateral epicondylosis: Brace versus physical therapy or a combination of both: a randomized clinical trial. Am J Sports Med. 2004;32:462–469
  20. Waugh EJ, Jaglal SB, Davis AM, Tomlinson G, Verrier MC. Factors associated with prognosis of lateral epicondylosis after 8 weeks of physical therapy. Arch Phys Med Rehabil. 2004;85:308–318
  21. Woodley BL, Newsham-West RJ, Baxter GD. Chronic tendinopathy: Effectiveness of eccentric exercise. Br J Sports Med. 2007;41:188–198

PII: S1058-2746(10)00187-4

doi: 10.1016/j.jse.2010.04.041

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 6 , Pages 917-922 , September 2010

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