Provocation of epicondylalgia lateralis (tennis elbow) by power grip or pinching

Snijders, Chris J.; Volkers, Aloysius C. W.; Mechelse, K.; Vleeming, Andry

doi:10.1249/00005768-198710000-00016

Cited by 93 publications

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“…2 However, the reduction of grip strength in our study could not be explained only by the degree of pain experienced by the patient. We observed a high rate of extensor paralysis, which can result in decreased stabilization of the wrist during gripping 12 and transient reduced grip strength in turn. 13 Electrodiagnostically guided injection of botulinum toxin for the management of lateral epicondylitis has been reported to show high rates of success in producing paralysis and favourable clinical outcomes.…”

Section: Discussionmentioning

confidence: 79%

Use of anatomic measurement to guide injection of botulinum toxin for the management of chronic lateral epicondylitis: a randomized controlled trial

Espandar¹,

Heidari²,

Rasouli³

et al. 2010

Canadian Medical Association Journal

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Section: Discussionmentioning

confidence: 79%

Use of anatomic measurement to guide injection of botulinum toxin for the management of chronic lateral epicondylitis: a randomized controlled trial

Espandar¹,

Heidari²,

Rasouli³

et al. 2010

Canadian Medical Association Journal

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“…This point is of great importance from a pathological point of view, since it is well known in the literature that the co-activation of antagonist muscles and the associated mechanical actions are crucial for articulations in order to protect them from excessive shear forces and excessive involuntary torques by increasing joint rigidity (for review, see Remaud et al 2007). Moreover, the role of antagonist muscles is particularly important for the hand and finger musculoskeletal system where the co-contraction is necessary to the equilibrium of the entire chain of segments from the forearm to the tip of fingers (Snijders et al 1987;Goislard de Monsabert et al 2012). Given that climbers present a stronger imbalance, it is probable that they have more difficulties in controlling and protecting their joints and are, therefore, more exposed to joint instability, joint surface over-use and/or ligament tears (Centomo et al 2008;Stokes and Gardner-Morse 2003).…”

Section: Discussionmentioning

confidence: 99%

Estimation of hand and wrist muscle capacities in rock climbers

2014

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imbalance between flexor and extensor capacities which suggests a potential risk of pathologies. Conclusions The practice of climbing not only increased the strength of climbers but also resulted in specific adaptations among hand muscles. The proposed method and the obtained data could be re-used to optimize the training programs as well as the rehabilitation processes following hand pathologies. Muscle imbalance ratio of the j joint (j = MCP or wrist) Keywords AbstractPurpose This study investigated the hand and wrist muscle capacities among expert rock climbers and compared them with those of non-climbers. The objective was to identify the adaptations resulting from several years of climbing practice. Methods Twelve climbers (nine males and three females) and 13 non-climber males participated in this study. Each subject performed a set of maximal voluntary contractions about the wrist and the metacarpo-phalengeal joints during which net joint moments and electromyographic activities were recorded. From this data set, the muscle capacities of the five main muscle groups of the hand (wrist flexors, wrist extensors, finger flexors, finger extensors and intrinsic muscles) were estimated using a biomechanical model. This process consisted in adjusting the physiological crosssectional area (PCSA) and the maximal muscle stress value from an initial generic model. Results Results obtained from the model provided several new pieces of information compared to the analysis of only the net joint moments. Particularly, the capacities of the climbers were 37.1 % higher for finger flexors compared to non-climbers and were similar for finger extensor and for the other muscle groups. Climbers thus presented a greaterCommunicated by Nicolas Place.

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“…A powerful grip requires activation of wrist extensors to stabilize the wrist joint and allow extrinsic finger flexors to function efficiently 19) . In patients with lateral epicondylitis, or more correctly lateral epicondylagia, grip strength is often reduced because of pathological involvement of the common tendon of the wrist extensor muscles 20) .…”

Section: Discussionmentioning

confidence: 99%

Effects of the Application Direction of Kinesio Taping on Isometric Muscle Strength of the Wrist and Fingers of Healthy Adults — A Pilot Study

Kuo

Huang²

2013

J Phys Ther Sci

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Abstract.[Purpose] The purposes of this study were to investigate the immediate and delayed effects of two directions of Kinesio taping (KT) on maximal isometric strength of the wrist and finger muscles of healthy adults and compare their differences.[Subjects] Nineteen healthy junior college students participated in this study. [Methods] The inhibition and facilitation KT techniques were separately used to tape on the dominant and non-dominant forearms of the participants, respectively. Maximal isometric strength of wrist extension, middle finger extension, and grip of both hands were measured before taping, immediately after taping, and after 24 h of taping (with the tape in situ).[Results] Compared with the baseline, the average maximal isometric strength of middle finger extensors increased considerably after application of the facilitation technique. No significant time effect was observed for measurement of middle finger extension strength on the dominant side or for wrist extension and grip strength on both sides. Significant differences between both taping techniques were observed for wrist and middle finger extension strength immediately after taping, and for middle finger extension after 24 h of taping.[Conclusion] The results suggest that the application direction of KT may have different effects on isometric muscle strength. Future studies involving a larger sample of subjects and a sham condition are warranted to confirm our findings.

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Provocation of epicondylalgia lateralis (tennis elbow) by power grip or pinching

Cited by 93 publications

References 0 publications

Use of anatomic measurement to guide injection of botulinum toxin for the management of chronic lateral epicondylitis: a randomized controlled trial

Use of anatomic measurement to guide injection of botulinum toxin for the management of chronic lateral epicondylitis: a randomized controlled trial

Estimation of hand and wrist muscle capacities in rock climbers

Effects of the Application Direction of Kinesio Taping on Isometric Muscle Strength of the Wrist and Fingers of Healthy Adults — A Pilot Study

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