The Immediate Effect of Orthotic Management on Grip Strength of Patients With Lateral Epicondylosis

Jafarian, Fahimeh Sadat; Sadeghi-Demneh, Ebrahim; Tyson, Sarah

doi:10.2519/jospt.2009.2988

Cited by 66 publications

(47 citation statements)

References 25 publications

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“…Overall, despite variations in study designs, timing of outcomes, type of brace, and comparator groups, 5 most studies have shown that elbow or forearm braces improve pain and function in people with lateral epicondylalgia. 2,13,18,32 Although the results of our study found an improvement between prebracing and postbracing measures, overall, the brace conditions were no more effective than the control at improving immediate outcomes. As such, it appears that the additional strap on the forearm-elbow brace does not improve the efficacy of the existing forearm brace to immediately relieve pain or improve function.…”

Section: Discussioncontrasting

confidence: 45%

Immediate Effects of 2 Types of Braces on Pain and Grip Strength in People With Lateral Epicondylalgia: A Randomized Controlled Trial

Bisset¹,

Collins²,

Offord³

2014

J Orthop Sports Phys Ther

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Section: Discussioncontrasting

confidence: 45%

Immediate Effects of 2 Types of Braces on Pain and Grip Strength in People With Lateral Epicondylalgia: A Randomized Controlled Trial

Bisset¹,

Collins²,

Offord³

2014

J Orthop Sports Phys Ther

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“…18,[167][168][169][170][172][173][174][175][176][177][178][179][180][181][182][183][184][185][188][189][190][191][192][193][194][195][196][197][198] The majority of studies had small sample sizes (≤ 50 participants, n = 18; 51-100 participants, n = 15; > 100 participants, n = 3).…”

Section: Randomised Controlled Trials Not Included In An Existing Sysmentioning

confidence: 99%

What is the clinical effectiveness and cost-effectiveness of conservative interventions for tendinopathy? An overview of systematic reviews of clinical effectiveness and systematic review of economic evaluations

Long

Briscoe

Cooper

et al. 2015

Health Technology Assessment

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BackgroundLateral elbow tendinopathy (LET) is a common complaint causing characteristic pain in the lateral elbow and upper forearm, and tenderness of the forearm extensor muscles. It is thought to be an overuse injury and can have a major impact on the patient’s social and professional life. The condition is challenging to treat and prone to recurrent episodes. The average duration of a typical episode ranges from 6 to 24 months, with most (89%) reporting recovery by 1 year.ObjectivesThis systematic review aims to summarise the evidence concerning the clinical effectiveness and cost-effectiveness of conservative interventions for LET.Data sourcesA comprehensive search was conducted from database inception to 2012 in a range of databases including MEDLINE, EMBASE and Cochrane Databases.Methods and outcomesWe conducted an overview of systematic reviews to summarise the current evidence concerning the clinical effectiveness and a systematic review for the cost-effectiveness of conservative interventions for LET. We identified additional randomised controlled trials (RCTs) that could contribute further evidence to existing systematic reviews. We searched MEDLINE, EMBASE, Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature, Web of Science, The Cochrane Library and other important databases from inception to January 2013.ResultsA total of 29 systematic reviews published since 2003 matched our inclusion criteria. These were quality appraised using the Assessment of Multiple Systematic Reviews (AMSTAR) checklist; five were considered high quality and evaluated using a Grading of Recommendations, Assessment, Development and Evaluation approach. A total of 36 RCTs were identified that were not included in a systematic review and 29 RCTs were identified that had only been evaluated in an included systematic review of intermediate/low quality. These were then mapped to existing systematic reviews where further evidence could provide updates. Two economic evaluations were identified.LimitationsThe summary of findings from the review was based only on high-quality evidence (scoring of > 5 AMSTAR). Other limitations were that identified RCTs were not quality appraised and dichotomous outcomes were also not considered. Economic evaluations took effectiveness estimates from trials that had small sample sizes leading to uncertainty surrounding the effect sizes reported. This, in turn, led to uncertainty of the reported cost-effectiveness and, as such, no robust recommendations could be made in this respect.ConclusionsClinical effectiveness evidence from the high-quality systematic reviews identified in this overview continues to suggest uncertainty as to the effectiveness of many conservative interventions for the treatment of LET. Although new RCT evidence has been identified with either placebo or active controls, there is uncertainty as to the size of effects reported within them because of the small sample size. Conclusions regarding cost-effectiveness are also unclear. We consider that, although updated or new systematic reviews may also be of value, the primary focus of future work should be on conducting large-scale, good-quality clinical trials using a core set of outcome measures (for defined time points) and appropriate follow-up. Subgroup analysis of existing RCT data may be beneficial to ascertain whether or not certain patient groups are more likely to respond to treatments.Study registrationThis study is registered as PROSPERO CRD42013003593.FundingThe National Institute for Health Research Health Technology Assessment programme.

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“…Most typically, the primary pathology in tendinosis of the extensor carpi radialis brevis (ECRB) tendon 1-2 cm dista to its attachment on the lateral epicondyle [Altan, 2008;Jafarian, 2009]. In general, microscopic evaluation of the tendons does not show signs of inflammation, but rather angiofibroblastic degeneration and collagen disarray.…”

Section: Introductionmentioning

confidence: 99%

Effects of Therapeutic Eccentric Exercise on Pain and Grip Strength in Persons with Lateral Epicondylitis: A Randomized Controlled Trial

Majeedkutty¹,

Majida²

2016

IOSR

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The Immediate Effect of Orthotic Management on Grip Strength of Patients With Lateral Epicondylosis

Abstract: The (A) placebo, (B) counterforce elbow strap, (C) counterforce elbow sleeve, and (D) wrist splint.

Cited by 66 publications

References 25 publications

Immediate Effects of 2 Types of Braces on Pain and Grip Strength in People With Lateral Epicondylalgia: A Randomized Controlled Trial

Immediate Effects of 2 Types of Braces on Pain and Grip Strength in People With Lateral Epicondylalgia: A Randomized Controlled Trial

What is the clinical effectiveness and cost-effectiveness of conservative interventions for tendinopathy? An overview of systematic reviews of clinical effectiveness and systematic review of economic evaluations

Effects of Therapeutic Eccentric Exercise on Pain and Grip Strength in Persons with Lateral Epicondylitis: A Randomized Controlled Trial

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