The Elbow-EpiTrainer: a method of delivering graded resistance to the extensor carpi radialis brevis. Effectiveness of a prototype device in a healthy population

Navsaria, Rishi; Ryder, Dionne; Lewis, Jeremy; Alexander, CM

doi:10.1136/bjsports-2013-092563

Cited by 3 publications

(4 citation statements)

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“…This is consistent with clinical recommendations for lateral epicondylalgia. 25 This study was limited by a small number of asymptomatic participants (only 3 had a past history of lateral epicondylalgia), and as such results are not necessarily generalizable to pathological populations. Indeed, a cross-sectional comparison between symptomatic and asymptomatic groups may be of interest, as morphological variation may predispose to lateral epicondylalgia.…”

Section: Discussionmentioning

confidence: 98%

Forearm Position’s Alteration of Radial-Head Impingement on Wrist-Extensor Tendons

Ranger

Braybon²,

Purdam

et al. 2015

Journal of Sport Rehabilitation

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Section: Discussionmentioning

confidence: 98%

Forearm Position’s Alteration of Radial-Head Impingement on Wrist-Extensor Tendons

Ranger

Braybon²,

Purdam

et al. 2015

Journal of Sport Rehabilitation

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“…They found that the above combination produced a graded increase in surface electromyography activity in the healthy ECRB [24]. However, clinical studies are currently being conducted to determine if this approach is effective in the treatment of LET.…”

Section: Discussionmentioning

confidence: 99%

“…A recently published trial assessed the effectiveness of eccentric training of wrist extensors and supinator strengthening in healthy subjects [24]. They found that the above combination produced a graded increase in surface electromyography activity in the healthy ECRB [24].…”

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

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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...

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“…Much of this is likely due to the realization of benefits of resistance training that is now recommended for the prevention and rehabilitation of disease and musculoskeletal injury [1,2,3,4,5]. Resistance exercise is known to have positive health effects on numerous tissues including heart [6], bone [7], skeletal muscle [8] and corticospinal [9] as well as hippocampal [10] nervous tissue.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Endocrine alterations from concentric vs. eccentric muscle actions: A brief review

Castracane

2015

Metabolism

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The Elbow-EpiTrainer: a method of delivering graded resistance to the extensor carpi radialis brevis. Effectiveness of a prototype device in a healthy population

Abstract: 'The Elbow-EpiTrainer: a method of delivering graded resistance to the extensor carpi radialis brevis. Effectiveness of a prototype device in a healthy population',

Cited by 3 publications

References 33 publications

Forearm Position’s Alteration of Radial-Head Impingement on Wrist-Extensor Tendons

Forearm Position’s Alteration of Radial-Head Impingement on Wrist-Extensor Tendons

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

Endocrine alterations from concentric vs. eccentric muscle actions: A brief review

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