FOREARM BAND VERSUS ELBOW TAPING: AS A MANAGEMENT OF LATERAL EPICONDYLITIS

2013 ◽  
Vol 16 (01) ◽  
pp. 1350003 ◽  
Author(s):  
Shaji John Kachanathu ◽  
Smriti Miglani ◽  
Deepak Grover ◽  
Abdul R Zakaria
Keyword(s):  
Grip Strength ◽  
Total Duration ◽  
Lateral Epicondylitis ◽  
Functional Independence ◽  
Functional Improvement ◽  
Control Group ◽  
Group A ◽  
Conventional Physiotherapy ◽  
Group B ◽  
Taping Technique

Purpose: There are several treatments available for the management of lateral epicondylitis, but there is a dearth of clinical trials compared to the efficacy of a forearm band over supportive elbow taping technique as an adjunct measure in the management of lateral epicondylitis. Materials and Methods: Totally 45 subjects with the mean age of 30±5 years diagnosed with lateral epicondylitis participated in the study based upon inclusion and exclusion criteria. Subjects were randomly allocated to three groups (n = 15 in each); Group-A (forearm band), Group-B (elbow taping) and Group-C (control), provided with a forearm band, supportive elbow taping technique and as a control group, respectively, although all groups received the conventional physiotherapy in addition to these adjunct measures. The outcome measurements included pain-free grip strength and functional improvement, assessed by using hand-held dynamometer and patient-rated forearm evaluation questionnaire (PRFEQ), respectively. Total duration of study was four weeks. Results: Although all the groups showed improvement with respect to increase in the pain-free grip strength and enhancement of functional independence, however, Group-A has shown the maximum improvement followed by Group-B which in turn proved to be more effective than conventional physiotherapy alone. Conclusion: The application of the forearm band produced a significant increase in the grip strength and function as compared to the elbow taping and control groups. The study implies the potential use of a forearm band in the future in addition to the conventional therapy in the management of patients with lateral epicondylitis.

scholarly journals A Study to Compare Effect of Hold-Relax v/s Static Stretching on Elbow Flexors Muscle Spasticity in Stroke - A Comparative Study

2021 ◽  
Vol 11 (7) ◽  
pp. 309-313
Author(s):  
Dafda Renuka H ◽  
Shah Shreya R
Keyword(s):  
Functional Independence ◽  
The Body ◽  
Control Group ◽  
Elbow Flexors ◽  
Static Stretching ◽  
Muscle Spasticity ◽  
Modified Ashworth Scale ◽  
Before And After ◽  
Group A ◽  
Group B

Background: Stroke is a condition in which Spasticity in the body musculature greatly affect the functional independence of the patients. Hold- Relax and Static Stretching is one of the useful treatment to reduce Spasticity. Aim: To find out the effect of Hold – Relax V/S Static Stretching on Elbow flexors muscle Spasticity in Stroke Patient Materials and Methods: 20 subjects were randomly allocated into two groups (Group A and Group B). For 10 subjects in Group A Control group was given Static Stretching with conventional rehab and Group B Experimental group was given Hold- Relax with conventional rehab. Treatment were given to 3 weeks 3 sets per sessions. The outcome measure used to assess the Spasticity before and after the intervention was Modified Ashworth Scale (MAS). Results and Discussion: The Hold-Relax group showed a significant reduction in Spasticity of Elbow flexors muscle, compared to the control group (p<0.05). Conclusions: Hold- Relax is more effective than Static Stretching. Key words: Stroke, Spasticity, Hold- Relax, Static Stretching, MAS.

scholarly journals EFFECTS OF DEEP FRICTION MASSAGE ON TENDINITIS (LATERAL EPICONDYLITIS) IN COMPARISON TO ULTRASOUND THERAPY

2014 ◽  
Vol 3 (2) ◽  
pp. 36-40
Author(s):  
Jetindar Puri ◽  
Dr Nabiha Ahmed
Keyword(s):  
Grip Strength ◽  
Pain Score ◽  
Tennis Elbow ◽  
Tertiary Care ◽  
Lateral Epicondylitis ◽  
P Value ◽  
Ultrasound Therapy ◽  
Group A ◽  
The Mean ◽  
Group B

OBJECTIVE To compare the effects of deep friction massage and ultrasound therapy in subjects with tennis elbow in terms of pain, grip strength and functional activities. STUDY DESIGN Randomized Control Trial. STUDY SETTINGS AND PARTICIPANTS Study was conducted in Physiotherapy OPD of a tertiary care hospital. A sample of 50 patients were inducted in the study. Sample size calculated through open Epi calculator. OUTCOME MEASURES Patients with the diagnosed lateral epicondylitis (Tennis elbow) presenting to out Patient department of two tertiary care hospitals has been enrolled for study after written informed consent. Subjects were randomly allocated into two groups i.e. group A and group B. Group A = DFM + exercise, Group B = U/S + exercise. RESULTS Total 50 patients were randomized and divided into two groups. Group A: the mean pain score on VAS before treatment was 5.88±1.130 and after treatment 1.80±1.041 p-value=0.006. Group B: the mean pain score on VAS before treatment was 6.56±1.446 and after treatment was 2.72±1.208 p-value=0.006. Group A: the mean grip strength score was 13.92±2.691 and in after treatment was 19.60±5.454 p-value=0.342. Group B: the mean grip strength was 15.12±2.505 and after treatment was 20.92±4.183p-value=0.342. CONCLUSION The present study showed no statistical difference in using deep frictional massage therapy in relieving pain, improving grip strength and functional performance in subject with tennis elbow. KEY WORDS Tennis Elbow, Lateral Epicondylitis, Deep Friction Massage, Hand Held Dynamometer, Ultrasound Therapy, Grip Strength.

scholarly journals Evaluation of the influence of Active Rehabilitation camps on the functional abilities in persons with tetraplegia

2012 ◽  
Vol 26 (2) ◽  
pp. 51-56
Author(s):  
Lech Furmaniuk ◽  
Grażyna Cywińska-Wasilewska
Keyword(s):  
Preliminary Investigation ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Mean Value ◽  
Control Group ◽  
Functional Abilities ◽  
Motor Score ◽  
Group A ◽  
Active Rehabilitation ◽  
Group B

Abstract Introduction: Every year, about 400 new patients with tetraplegia arise in Poland. The solution ensuring the continuation of the rehabilitation process of such patients is the activity of non-governmental organizations associating disabled people. Among them Foundation of Active Rehabilitation (FAR) has greatest experience in rehabilitation of people after SCI. Annually, about 70 persons with tetraplegia participate in Active Rehabilitation (AR) camps. Aim of this study was to estimate the influence of AR camps on the functional abilities in persons with tetraplegia. Material and methods: 40 men with tetraplegia were examined. Subjects were divided into two groups: participants of AR camps (group A, n=20) and control (group B, n=20). TheASIA motor score was used to estimate the degree of upper limb impairment. Functional Independence Measure (FIM)was used to assess functional abilities. All subjects were assessed in the beginning of the study and reassessed after 8 days. Results: Both groups during preliminary investigation were homogeneous under regard the ASIA motor score as well as the results of FIM. During final investigations significant improvement of FIM was noted only in group A. The mean value of FIM significantly increased about 10.8 points. In group A significant correlation between FIM scores and ASIA motor score were found (p<0.001). Conclusion: Improvement of functional skills among patients with tetraplegia which participated in AR camps was observed. The highest improvement in FIM was observed among persons with a C6 tetraplegia. Obtained results (ceiling effect) through of examined persons from C7 tetraplegia were suggested the need of applying more sensitive tests.

Efficacy of Cyriax Physiotherapy versus Cyriax and low level Laser Therapy on pain and grip strength in Lateral Epicondylitis

2021 ◽  
Vol 20 (2) ◽  
pp. 356-360
Author(s):  
Sunita Sharma ◽  
Nitin Gupta ◽  
Sandeep Joshi ◽  
Rosy Bala ◽  
Ruby Sharma
Keyword(s):  
Grip Strength ◽  
Laser Therapy ◽  
Medical Science ◽  
Lateral Epicondylitis ◽  
Low Level Laser Therapy ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser ◽  
Group A ◽  
Group B

Objective: The study was designed to evaluate the efficacy of Cyriax physiotherapy versus Cyriaxand Low Level Laser Therapy to compare these techniques in reducing pain and improving gripstrength in patients with lateral epicondylitis. Methodology: The study population included 30patients of lateral epicondylitis (signs and symptoms present for more than 6 weeks) diagnosedin outpatient and indoor facilities of MM Hospital, Mullana. The subjects were selected bymeans of simple random sampling. After fulfilling the inclusion and exclusion criteria, thepatients were randomly allocated in two groups: Group A and Group B. Group A received cyriaxphysiotherapy alone whereas Group B patients were subjected to combined Cyriax and low levelLaser therapy. Baseline measurements of pain and grip strength were taken before treatmentand then at 3 weeks respectively. Results: Our findings showed that there was significantlyhigher improvement in pain and grip strength in Group B (patients receiving combination ofcyriax therapy with low dose laser therapy) as compared to Group A (p<0.05). Conclusion:Cyriax physiotherapy and low level laser therapy were effective in reducing pain and improvinggrip strength after the treatment sessions. But benefits of cyriax physiotherapy with low levellaser therapy in lateral epicondylitis patients are significantly higher as compared to cyriaxphysiotherapy alone over a three week period. Hence, cyriax with low level laser therapy isproved to be a better treatment. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.356-360

scholarly journals Proprioceptive elbow training reduces pain and improves function in painful lateral epicondylitis—a prospective trial

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
B. Schiffke-Juhász ◽  
K. Knobloch ◽  
P. M. Vogt ◽  
L. Hoy
Keyword(s):  
Grip Strength ◽  
Prospective Trial ◽  
Lateral Epicondylitis ◽  
Dash Score ◽  
Level Of Evidence ◽  
Link Type ◽  
Significant Difference ◽  
Proprioceptive Training ◽  
Group A ◽  
Group B

Abstract Background In painful epicondylitis, previous studies reported deficiencies in elbow proprioception. In line, proprioceptive training of the lower limb has been reported substantial beneficial in a number of indications. Therefore, we have asked if a specified proprioceptive training using training devices that are capable of activating the deep musculature in the upper limb is able to reduce the symptoms of epicondylitis. Materials and methods We included 71 patients with painful lateral epicondylitis > 3 months. Interventions: Group A: Proprioceptive training intervention with a Flexibar® (9 min daily for 12 weeks). Group B: at least 40 min running or walking/week with the XCO® in addition to the proprioceptive training with the Flexibar® (9 min daily for 12 weeks), follow-up for 12 weeks. Primary end point: Pain on visual analogue scale (VAS, 0-10); secondary end points: DASH-Score (0 = very good, 100 = very poor), grip strength according to Jamar dynamometer (kg), vibration sensation measured with a 128 Hz tuning fork. Results The pain on VAS in group A was reduced significantly. 3.6 ± 2.0 to 2.4 ± 2.1 (−33%, p = 0.013), and from 3.7 ± 2.4 to 2.2 ± 1.9 (−41%, p = 0.004) in group B after 12 weeks. There was no significant difference between A and B (p = 0.899). In both groups, there was a significant improvement of the DASH-Score (A: 32 ± 15 to 14 ± 12, −56%, p < 0.001; B: 27 ± 12 to 12 ± 11, −55%, p = 0.001) without any difference between groups A and B (p = 0.339). Grip strength improvement in group A from 24 ± 12 to 33 ± 11 kg (+38%, p < 0.001), and from 29 ± 14 to 34 ± 11 kg (+15%, p < 0.001) in group B. In line, vibration sensation improved in both groups (A: 6.3 ± 0.6 to 6.5 ± 0.5, p = 0.0001; B: 6.3 ± 0.7 to 6.6 ± 0.5, p = 0.003). Conclusion A 12-week proprioceptive training with the Flexibar® improves pain, quality of life, grip strength and vibration sensation in patients with painful lateral epicondylitis. Level of evidence Ib, randomised clinical trial Trial registration German Clinical Trials Register, DRKS00024857, registered on 25 March 2021—retrospectively registered, http://apps.who.int/trialsearch/

scholarly journals Diamond McConnells' Taping Technique versus Counterforce Elbow Orthosis in the Treatment of Lateral Epicondylitis: a Randomized Controlled Trial

2021 ◽  
Vol 24 (4) ◽  
Author(s):  
Ibrahim Dewir
Keyword(s):  
Physical Therapy ◽  
Pain Intensity ◽  
Tennis Elbow ◽  
Handgrip Strength ◽  
Lateral Epicondylitis ◽  
Strong Impact ◽  
Group A ◽  
Group B ◽  
The Impact ◽  
Taping Technique

Introduction: Lateral epicondylitis, commonly referred to as tennis elbow, is one of the most common lesions of the arm. There are many treatment options available for tennis elbow; taping techniques and splints are commonly used. Purpose: The objective of this research is to compare the impact of the diamond taping technique and counterforce elbow bands on pain and handgrip strength in patients with lateral epicondylitis. Materials and methods: Forty male patients with lateral epicondylitis (tennis elbow), aged between 30 and 40 years, took part in this study. They were randomly assigned to one of two equivalent groups. Group A received the diamond taping intervention in addition to physical therapy, while group B was treated using an elbow band orthosis along with physical therapy. The JAMAR dynamometer and Visual Analog Scale (VAS) were used to assess handgrip strength and pain intensity respectively, before and following 4 weeks (12 sessions) of treatment. Results: Group A demonstrated significant improvement of both handgrip strength and pain intensity, while group B showed significant improvement of pain only. Conclusion: Diamond taping demonstrated a strong impact upon pain and handgrip strength in individuals with lateral epicondylitis. It is suggested that the diamond taping technique can be valuable in the treatment of lateral epicondylitis.

scholarly journals COMPARATIVE ANALYSIS BETWEEN MOBILIZATION WITH MOVEMENT (MWM) AND MANIPULATION IN THE MANAGEMENT OF LATERAL EPICONDYLITIS

2016 ◽  
Vol 5 (1) ◽  
pp. 45-51
Author(s):  
Fareeda Shaheen ◽  
Nazish Rafique ◽  
Aqsa Izhar Ahmed ◽  
Perkash Lal
Keyword(s):  
Grip Strength ◽  
Pain Score ◽  
Tennis Elbow ◽  
Lateral Epicondylitis ◽  
P Value ◽  
Functional Activities ◽  
Before And After ◽  
Group A ◽  
The Mean ◽  
Group B

OBJECTIVES To compare the effect of Mobilization with Movement (MWM) and Manipulation in the management of lateral epicondylitis with regard to ache, grip power and functional activities. METHODOLOGY 20 patients presented with lateral epicondylitis (Tennis elbow) to OPD in Ziauddin Hospital (Clifton, North and Kemari campuses). They were enrolled for the purpose of research study after written informed consent. Subjects were erratically assigned into 2 groups, i.e. group A for MWM and group B for manipulation. All patients were examined before and after the treatment and then findings were evaluated. Pain was sedated by Visual analogue scale (VAS), grip strength was measured by hand–held dynamometer and functional activities’ outcomes were measured by forearm analysis questionnaire survey for lateral epicondylitis, by H B Leung et al 2004. RESULT A total of 20 patients were randomly selected and divided into two groups i.e. Group–A & Group–B. The result shows for Group A: The mean of pain score on VAS before treatment was 4.70±1.418 while after treatment was 0.10±0.316 with P value (0.05) and the mean of grip strength score before treatment was 13.40±7.442 while after treatment was 22.60±8.501. For Group B: The mean of pain score on VAS before treatment was 5.20±0.632 while after treatment was 0.5±0.527 with P value (0.05) and the mean of grip strength before treatment was 26.20±21.028 and after treatment was 32.00±24.33. CONCLUSION This study shows evidence to support the effectiveness of both approaches (MWM + Manipulation) for relieving ache, strengthening and functionality along with tennis elbow. KEYWORDS Lateral epicondylitis, Manipulation, Mobilization with movement (MWM), dynamometer, visual analog scale, and analysis.

Effect of Cryotherapy in Plantar Fasciitis

2021 ◽  
Vol 11 (10) ◽  
pp. 5-9
Author(s):  
Disha A. Rupareliya ◽  
Yagna U. Shukla
Keyword(s):  
Plantar Fasciitis ◽  
The Body ◽  
Medical Attention ◽  
Rank Test ◽  
Control Group ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Group A ◽  
Conventional Physiotherapy ◽  
Group B

Background: Plantar fasciitis is one of the most common causes of heel pain in adults. It is very painful and disabling condition and most patients seek medical attention. Cryotherapy is the application of cold to the part of the body for reducing local temperature. Methodology: 30 subjects diagnosed as plantar fasciitis and fulfilling inclusion and exclusion criteria were included in the study. Written informed consent was taken and study was undertaken. Subjects were randomly divided into two groups, Group A received cryotherapy along with conventional physiotherapy and Group B received only conventional physiotherapy. All the patients were treated once daily and for 6 days. Results: Wilcoxon signed rank test applied for NPRS and FFI showed significant improvement within both the groups (p<0.05). Mann Whitney U test applied for NPRS and FFI showed significant improvement in Group A (Study group) as compared to Group B (Control group) (p<0.05). Conclusion: Cryotherapy along with conventional physiotherapy is found to be effective in reducing pain and improving function and hence helps early rehabilitation in plantar fasciitis. Key words: Plantar fasciitis, Cryoflow IR, Foot function index.

Comparative study of the Effectiveness of the use of the universal tennis elbow splint compared to elbow brace in treatment of Lateral Epicondylitis

2020 ◽  
Vol 7 (4) ◽  
pp. 118-124
Author(s):  
Dr. Uday B. Pote ◽  
Aishwarya Solge ◽  
Vaishnavi Karpe ◽  
Mihir A Ghare ◽  
Antara A Thatte
Keyword(s):  
Functional Outcome ◽  
Grip Strength ◽  
Tennis Elbow ◽  
Statistical Significance ◽  
Lateral Epicondylitis ◽  
P Value ◽  
Vas Score ◽  
Group A ◽  
Group B ◽  
Wrist Splint

Background: Lateral epicondylitis is a serious condition affecting 1 to 3% of adult population between the age group of 30 to 50 year old. This group represents the working force and tennis elbow causes debilitating pain and patients are unable to perform the affected limb functions of lifting or holding anything. The main cause for tennis elbow is the tendinopathy of the extensor carpi radialis brevis muscle (ECRB). There are multiple treatment measures to relieve the pain and bring back the function of the limb to normalcy as early as possible. The elbow brace is used to reduce the expansion of the ECRB and thereby reducing the symptoms of tennis elbow. It was hypothesized that wrist splints would reduce the activation of the ECRB muscle and thereby will reduce the symptoms of the tennis elbow. Streek et al performed a study using the wrist splint with 20-30 degrees extension and mentioned in limitations the changing the degree of extension may improve outcomes as compared to elbow braces. On that hypothesis we used a brace with only 5-10 degrees of extension. Aims: 1) To study the symptomatic and functional outcome of the elbow brace. 2) To study the symptomatic and functional outcome of the wrist splint. 3) To compare the symptomatic and functional outcomes between the wrist splint and the elbow brace. Material & Methods: The patients included in the study were divided into Group A receiving the wrist splint and group B elbow brace. The patient rated tennis elbow evaluation score (PRTEE), grip strength and pain visual assisted (VAS) score on the day of enrolment and 6 weeks after using either the elbow brace or wrist splint was noted. We used Mann-Whitney U test to calculate P-value intergroup and for P-value intra-group we used Wilcoxon’s signed rank test. Result: Group A distribution of median 6 weeks PRTEE score improved significantly compared to median baseline PRTEE score (P-value<0.001). The VAS score, grip strength and improvement in PRTEE score at 6 weeks is relatively better in Group A compared to Group B, however the difference did not reach statistical significance (P-value>0.05).Conclusion: The use of wrist splint significantly improved the symptoms of the tennis elbow. The outcome is comparable to use of tennis elbow brace. The outcome is not statistically significant if compared between the two groups.

Clinical effect of Suvarna Bindu Prashan

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Patil Aniket ◽  
Dindore Pallavi ◽  
Arbar Aziz ◽  
Kadam Avinash ◽  
Saroch Vikas
Keyword(s):  
Physical Health ◽  
Eating Habits ◽  
Control Group ◽  
Inform Consent ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Immune Booster ◽  
Mental And Physical Health ◽  
Apparently Healthy

The quest for excellence in mental and physical health is not new. We find various references and formulations in Ayurvedic classics meant for promoting mental and physical health of a child. Suvarna Prashan is one of the formulations explained in age old Ayurvedic classic Kashyap Samhita. This formulation is very widely used now days as a memory and immune booster for children. But there is very little systematic documented study which can be used to evaluate the efficacy of the formulation. Suvarna Bhasma was prepared in Ayurved Rasayani Pharmacy, Pune. Madhu and Ghrita were collected from KLE Ayurveda Pharmacy, Belgaum. Suvarna Bindu Prashan was prepared in KLE Ayurved pharmacy, Belgaum. It contains Suvarna Bhasma, Ghrita and Madhu. Twenty apparently healthy male and female children with age group of three to four years were ready to sign inform consent form were selected into two groups each. Subjects in Group A received Suvarna Bindu Prashan where as Group B (Control group) did not receive any treatment. Both the groups were observed for six months. Children in Suvarna Bindu Prashan group showed significant reduction in the scores of eating habits, behavior, mood, temperament and scores of event of illness. However there was no significant difference in the score of sleeping habit. There was significant increase in IQ percentage.

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