A randomized controlled trial of eccentric vs. concentric graded exercise in chronic tennis elbow (lateral elbow tendinopathy)

Peterson, Magnus; Butler, Stephen; Eriksson, Margaretha; Svärdsudd, Kurt

doi:10.1177/0269215514527595

Cited by 90 publications

(95 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…“Figure 2. Photograph showing exercise set-up with the patient seated in an armchair with forearm support, holding the dumbbell (a plastic container with a specified amount of water) in the affected arm, and performing exercise by lifting and lowering the container by extension or flexion of the wrist”24…”

Section: Resultsmentioning

confidence: 99%

Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement

et al. 2016

View full text Add to dashboard Cite

Exercise is effective for prevention and management of acute and chronic health conditions. However, trial descriptions of exercise interventions are often suboptimal, leaving readers unclear about the content of effective programmes. To address this, the 16-item internationally endorsed Consensus on Exercise Reporting Template (CERT) was developed. The aim is to present the final template and provide an Explanation and Elaboration Statement to operationalise the CERT. Development of the CERT was based on the EQUATOR Network methodological framework for developing reporting guidelines. We used a modified Delphi technique to gain consensus of international exercise experts and conducted 3 sequential rounds of anonymous online questionnaires and a Delphi workshop. The 16-item CERT is the minimum data set considered necessary to report exercise interventions. The contents may be included in online supplementary material, published as a protocol or located on websites and other electronic repositories. The Explanation and Elaboration Statement is intended to enhance the use, understanding and dissemination of the CERT and presents the meaning and rationale for each item, together with examples of good reporting. The CERT is designed specifically for the reporting of exercise programmes across all evaluative study designs for exercise research. The CERT can be used by authors to structure intervention reports, by reviewers and editors to assess completeness of exercise descriptions and by readers to facilitate the use of the published information. The CERT has the potential to increase clinical uptake of effective exercise programmes, enable research replication, reduce research waste and improve patient outcomes.

show abstract

Section: Resultsmentioning

confidence: 99%

Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Systematic review [15] and RCT [28] favor eccentric over other types of contractions in the management of LET, but Martinez -Silvestrini et al, [29] stated that, unlike Achilles tendinopathy, LET is often related to forceful grip activities requiring isometric contraction, which would be more beneficial than eccentric contraction in LET. LET is often related to forceful grip activities requiring isometric contraction of the wrist flexors and extensors [30].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Effectiveness of Eccentric - Concentric Training of Wrist Extensors and Eccentric - Concentric Training Combined With Supinator Strengthening in Healthy Population

Stasinopoulos¹

2017

ORP

View full text Add to dashboard Cite

IntroductionLateral Elbow Tendinopathy (LET) seems to be the most appropriate term to use in clinical practice because all the other terms such as lateral epicondylitis, lateral epicondylalgia, lateral epicondylosis and tennis elbow make reference to inappropriate aetiological, anatomical and Pathophysiological terms [1]. LET is one of the most common lesions of the arm work-related or sport-related pain disorder. The condition is usually defined as a syndrome of pain in the area of the lateral epicondyle [2] that may be degenerative or failed healing tendon response rather than inflammatory [3]. Hence, the increased presence of fibroblasts, vascular hyperplasia, Proteoglycans and Glycosaminoglycans together with disorganized and immature collagen may all take place in the absence of inflammatory cells [4]. The most commonly affected structure is the origin of the Extensor Carpi Radialis Brevis (ECRB) [4]. The dominant arm is commonly affected, the peak prevalence.The main complaint of patients with LET are pain and decreased function [2,3] both of which may affect daily activities. Diagnosis is simple, and a therapist should be able to reproduce this pain in at least one of three ways: (1) Digital palpation on the facet of the lateral epicondyle, (2) Resisted wrist extension and resisted middle-finger extension with the elbow in extension and (3) by getting the patient to grip an object [2,3,5].Although the signs and symptoms of LET are clear and its diagnosis is easy, to date, no ideal treatment has emerged. Many clinicians advocate a conservative approach as the treatment of choice for LET [2,3,[6][7][8]. Physiotherapy is a conservative treatment that is usually recommended for LET patients [2][3][4][5][6][7][8][9]. A wide array of physiotherapy treatments have been recommended for the management of LET [10][11][12][13][14]. These treatments have different theoretical mechanisms of action, but all have the same aim, to reduce pain and improve function. Such a variety of treatment options suggests that the optimal treatment strategy is not known and more research is needed to discover the most effective treatment in patients with LET.One of the most common physiotherapy treatments for LET is an exercise programme [2][3][4][5][6][7][8][9][10][11][12][13][14]. One consisting of eccentric exercises has shown good clinical results in LET [15] as well as in conditions similar to LET in clinical behavior and histopathological appearance, such as Patellar and Achilles tendinopathy [16]. Such an exercise programme is used as the first treatment option for our patients with LET [9,17]. Malliaras and his colleagues concluded that clinicians should Demosthenous M, et al., J Orthop Res Physiother 2017, 3: 036 DOI: 10.24966/ORP-2052 HSOA Journal of Orthopedic Research and Physiotherapy Review Article Abstract ObjectivesTo compare the effectiveness of eccentric-concentric training of wrist extensors and eccentric-concentric training combined with supinator strengthening in healthy subjects. MethodsA randomized clinical t...

show abstract

“…38 -42 Two studies reported differences in baseline characteristics; however, these differences were controlled for in the analyses. 40,41 Two of the 5 studies did not adequately describe whether there were cointerventions 39,41 The study with a high risk of bias had important methodological limitations. Specifically, there were important differences in baseline characteristics between treatment groups that were not adjusted for in the analysis.…”

Section: Risk Of Bias Within Studiesmentioning

confidence: 99%

“…Two trials reported that no adverse events were associated with performing the investigated strengthening or stretching exercises. 41,42 The other 3 studies did not report on adverse events. 38 -40 …”

Section: Summary Of Evidencementioning

confidence: 99%

The Effectiveness of Exercise for the Management of Musculoskeletal Disorders and Injuries of the Elbow, Forearm, Wrist, and Hand: A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

Menta

Randhawa

Côté

et al. 2015

Journal of Manipulative and Physiological Therapeutics

View full text Add to dashboard Cite

show abstract

A randomized controlled trial of eccentric vs. concentric graded exercise in chronic tennis elbow (lateral elbow tendinopathy)

Abstract: Eccentric graded exercise reduced pain and increased muscle strength in chronic tennis elbow more effectively than concentric graded exercise.

Cited by 90 publications

References 33 publications

Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement

Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement

Comparison of the Effectiveness of Eccentric - Concentric Training of Wrist Extensors and Eccentric - Concentric Training Combined With Supinator Strengthening in Healthy Population

The Effectiveness of Exercise for the Management of Musculoskeletal Disorders and Injuries of the Elbow, Forearm, Wrist, and Hand: A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

Contact Info

Product

Resources

About