Functional Task Performance and Patient Satisfaction in Lateral Epicondylitis: Unraveling the Effects of Physical Therapy Interventions

Physical Therapy Interventions in Lateral Epicondylitis

Authors

  • Dr. Shamma Tabassum Taqwa Institute of Physiotherapy and Health Sciences https://orcid.org/0009-0007-0789-6291
  • Dr. Aqsa Faiz South City Institute of Physical Therapy & Rehabilitation
  • Dr. Syed Saif ul Haq Taqwa Institute of Physiotherapy and Health Sciences
  • Dr. Sumaira Abdul Ghani Iqra University
  • Dr. Salma Azeem Taqwa Institute of Physiotherapy and Health Sciences

Keywords:

Inflammation, Lateral Epicondylitis, Physical Therapy, Strength Training

Abstract

Background: Physiotherapy is a viable treatment option for lateral epicondylitis, with the wide range of available choices. The effects of strengthening exercises can be enhanced with the use of ultrasound therapy.

Methods: An experimental design study was conducted to determine the combine effects of strengthening exercises, ultrasound and icing on functional and modified functional task parameters of patients with lateral epicondylitis.

Results: A total of n=50 participants were included, comprised of 36 males and 14 females. The mean age of the participants was found to be 49.58±2.56 years. Analyses of the findings were performed at two different intervals for functional tasks and modified functional tasks at baseline and after 12 weeks of intervention. The findings revealed a significant improvement p<0.05 in the performance of functional tasks and modified functional tasks. The baseline values of the functional task were 2.5±0.37 for reaching, 1.9±0.25 lifting, and 1.63 ± 0.75 carrying had improved to 3.34±0.56, 2.8±0.45 and 3.45±0.4.

Conclusion: This study reveals the effectiveness of a combination treatment strategy for lateral epicondylitis, including cryotherapy, ultrasound therapy, and eccentric strengthening exercises. The considerable gains in both functional and modified functional tasks highlight the potential benefits of including these modalities within a complete treatment approach.

DOI: https://doi.org/10.59564/amrj/02.01/15

References

Ma KL, Wang HQ. Management of lateral epicondylitis: a narrative literature review. Pain Research and Management. 2020 May 5;2020.

Sayampanathan AA, Basha M, Mitra AK. Risk factors of lateral epicondylitis: A meta-analysis. The Surgeon. 2020 Apr 1;18(2):122-8.

Landesa-Piñeiro L, Leiros-Rodriguez R. Physiotherapy treatment of lateral epicondylitis: A systematic review. Journal of back and musculoskeletal rehabilitation. 2022 Jan 1;35(3):463-77.

Meunier M. Lateral epicondylitis/extensor tendon injury. Clinics in Sports Medicine. 2020 Jul 1;39(3):657-60.

Park HB, Gwark JY, Im JH, Na JB. Factors associated with lateral epicondylitis of the elbow. Orthopaedic Journal of Sports Medicine. 2021 May 12;9(5):23259671211007734.

Kim GM, Yoo SJ, Choi S, Park YG. Current trends for treating lateral epicondylitis. Clinics in Shoulder and Elbow. 2019 Dec;22(4):227.

Kim YJ, Wood SM, Yoon AP, Howard JC, Yang LY, Chung KC. Efficacy of nonoperative treatments for lateral epicondylitis: a systematic review and meta-analysis. Plastic and Reconstructive Surgery. 2021 Jan 1;147(1):112-25.

Bretschneider SF, Los FS, Eygendaal D, Kuijer PP, van der Molen HF. Work‐relatedness of lateral epicondylitis: Systematic review including meta‐analysis and GRADE work‐relatedness of lateral epicondylitis. American Journal of Industrial Medicine. 2022 Jan;65(1):41-50.

Yao G, Chen J, Duan Y, Chen X. Efficacy of extracorporeal shock wave therapy for lateral epicondylitis: a systematic review and meta-analysis. BioMed research international. 2020 Mar 18;2020.

Radecka A, Lubkowska A. Direct effect of local cryotherapy on muscle stimulation, pain and strength in male office workers with lateral epicondylitis, non-randomized clinical trial study. InHealthcare 2022 May 10 (Vol. 10, No. 5, p. 879). MDPI.

Özmen T, Koparal SS, Karataş Ö, Eser F, Özkurt B, Gafuroğlu TÜ. Comparison of the clinical and sonographic effects of ultrasound therapy, extracorporealshock wave therapy, and Kinesio taping in lateral epicondylitis. Turkish journal of medical sciences. 2021;51(1):76-83.

Yoon SY, Kim YW, Shin IS, Kang S, Moon HI, Lee SC. The beneficial effects of eccentric exercise in the management of lateral elbow tendinopathy: A systematic review and meta-analysis. Journal of clinical medicine. 2021 Sep 1;10(17):3968.

Bretschneider SF, Los FS, Eygendaal D, Kuijer PP, van der Molen HF. Work‐relatedness of lateral epicondylitis: Systematic review including meta‐analysis and GRADE work‐relatedness of lateral epicondylitis. American Journal of Industrial Medicine. 2022 Jan;65(1):41-50.

Parmar BA, Shukla YU. Effect of eccentric versus concentric exercise on pain, grip strength and function in lateral epicondylitis-a comparative study. Int J Sci Healthcare Res. 2020 Jun;5(2):98-109.

Deshak S, Yeole U, Moralwar S. Effect of Functional Task Exercises on Hand Function and Grip Strength in Patients with Lateral epicondylitis. Indian Journal of Public Health Research & Development. 2020 Jun 25;11(6):927-32.

Rasel AH. Functional Outcome of Lateral Epicondylitis Patients After Physiotherapy Interventions-A Pretest & Posttest Study From Bangladesh. J Adv Sport Phys Edu. 2021;4(8):193-7.

Erpala F, Ozturk T, Zengin EC, Bakir U. Early results of kinesio taping and steroid injections in elbow lateral epicondylitis: a randomized, controlled study. Medicina. 2021 Mar 24;57(4):306.

Giray E, Karali‐Bingul D, Akyuz G. The effectiveness of Kinesiotaping, sham taping or exercises only in lateral epicondylitis treatment: a randomized controlled study. Pm&r. 2019 Jul;11(7):681-93.

Bateman M, Titchener AG, Clark DI, Tambe AA. Management of tennis elbow: a survey of UK clinical practice. Shoulder & Elbow. 2019 Jun;11(3):233-8.

Downloads

Published

01/30/2024