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Research Title: An exercise programme for the management of lateral elbow tendinopathy.
Type of Research: Media Kit
Category: Rehabilitation
Keywords: Lateral elbow tendinopathy, Tennis elbow, Physiotherapy, Exercise program, tennis
Author(s): D Stasinopoulos, K Stasinopoulou, M I Johnson
Author(s) Bio Box:
Release Date: 03 April 2007
Research Summary/Text: Lateral elbow tendinopathy (LET), commonly referred to as tennis elbow, is one of the most common lesions of the arm. It is a pain disorder related to work or sport where there is excessive quick, monotonous, repetitive eccentric contractions and gripping activities of the wrist. While no ideal treatment has emerged, physiotherapy involving an exercise program is commonly recommended. Because of lack of compliance with home based exercise programs, those performed under the supervision of the physiotherapist are more effective. The literature about suitable exercise programs suggests that strengthening and stretching exercises should be the main components because tendons must not only be strong but also flexible.
Research Objectives: The aim of this study is to describe the use and the effects of strengthening and stretching exercise programs in the treatment of LET.
Research Outcomes: Strengthening exercises for the treatment of LET should be slow progressive eccentric exercises performed with the elbow in extension, forearm in pronation, and wrist in extended position.

The stretching exercises recommended are static (that is, passively stretching a given muscle-tendon unit by slowly placing and maintaining it in a maximal position of stretch) with the position held for 30 to 45 seconds, three times before and three times after eccentric exercises during each treatment session with a 30 second rest interval between each procedure.

The ideal treatment regimen of an exercise program for the treatment of LET is not known.
Research Implications: Supervised physiotherapy exercise programs involving both eccentric and static stretching exercises are recommended for LET, however their relative and absolute effectiveness are not known.

  
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