scholarly journals Hand-Arm Vibration Assessment and Changes in the Thermal Map of the Skin in Tennis Athletes during the Service

2019 ◽  
Vol 16 (24) ◽  
pp. 5117 ◽  
Author(s):  
Ana M. Amaro ◽  
Maria F. Paulino ◽  
Maria A. Neto ◽  
Luis Roseiro
Keyword(s):  
Infrared Thermography ◽  
Tennis Elbow ◽  
Health And Safety ◽  
Lateral Epicondylitis ◽  
Biomechanical Analysis ◽  
Tennis Players ◽  
Safety Requirements ◽  
European Directive ◽  
Risk Of Injury ◽  
Different Types

During recent years the number of tennis athletes has increased significantly. When playing tennis, the human body is exposed to many situations which can lead to human injuries, such as the so-called tennis elbow (lateral epicondylitis). In this work a biomechanical analysis of tennis athletes, particularly during the service, was performed, considering three different types of over-grip and the presence of one anti-vibrator device. One part of the study evaluates the exposure to hand-arm vibration of the athlete, based on the European Directive 2002/44/EC concerning the minimum health and safety requirements, regarding the exposure of workers to risks from physical agents. The second part of the study considers an infrared thermography analysis in order to identify signs of risk of injury, particularly tennis elbow, one of the most common injuries in this sport. The results show that the presence of the anti-vibrator influences the vibration values greatly in the case of athletes with more experience and also for athletes with less performance. The presence of the Cork and/or Tourna on the racket grip does not have any significant effect on the hand-arm vibration (HAV), similarly in the case of athletes with the best performance and athletes with less technique. The results indicated that the infrared thermography technique may be used to identify the risk of injuries in tennis players.

scholarly journals THE EFFECTIVENESS OF SELECTED PHYSIOTHERAPEUTIC METHODS IN THE TREATMENT OF PAIN IN THE COURSE OF LATERAL EPICONDYLITIS OF THE HUMERUS

2021 ◽  
Vol 35 (35) ◽  
pp. 41-50
Author(s):  
Alicja Mińko ◽  
Zuzanna Hilicka ◽  
Iwona Rotter
Keyword(s):  
Shock Wave ◽  
Tennis Elbow ◽  
Lateral Epicondylitis ◽  
Shock Wave Therapy ◽  
Limb Pain ◽  
Tennis Players ◽  
Treatment Techniques ◽  
Common Causes ◽  
Upper Limb Pain ◽  
Research Analysis

Introduction Lateral epicondylitis, otherwise known as the tennis elbow syndrome, occurs in 1–3% of the general population, of which tennis players account for only 10%. It is one of the most common causes of upper limb pain. Currently, due to the lack of uniform and consistent therapeutic methods, various treatment techniques are used. These include techniques such as shock wave therapy, ultrasound and cryotherapy. Aim The aim of the study is to assess the effectiveness of three physiotherapeutic methods – shock wave therapy, ultrasound and cryotherapy – in reducing pain in the course of treating tennis elbow syndrome. The secondary goal is to assess the grip strength of the hand. Material and methods As a result of the review of search engines and databases, such as Polish Medical Bibliography, Google Scholar, PubMed and ScienceDirect, 10 research works from 2010–2019 were used, assessing the effectiveness of shock wave therapy, ultrasound and cryotherapy to treat lateral epicondylitis of the humerus. Results 310 people diagnosed with tennis elbow syndrome participated in the analysis. According to the results, most of the patients were female. The average age of the respondents was 45.2 years. Conclusions The research analysis proves that shock wave therapy, cryotherapy and ultrasound are effective physiotherapeutic methods in the treatment of lateral epicondylitis of the humerus. The shockwave is superior to other forms of treatment due to its shorter sessions and application time. Keywords: tennis elbow, rehabilitation, cryotherapy

Standardized Tendon Fenestration with Injection of Autologous Blood for Treatment of Lateral Epicondylitis

2020 ◽  
Author(s):  
Chul Ki Goorens ◽  
Pascal Wernaers ◽  
Joost Dewaele
Keyword(s):  
Tennis Elbow ◽  
Autologous Blood ◽  
Lateral Epicondylitis ◽  
Pain Scale ◽  
Short Term ◽  
Shockwave Therapy ◽  
Other Substances ◽  
Injured Tendon ◽  
Satisfaction Rates

AbstractLateral epicondylitis (LE) of the elbow is often treated with conservative methods. Several techniques including injections with different substances are widely performed. No standardization exists. This prospective study describes the results of the short-term follow-up of 56 patients with mean age 48 years (range: 30–68 years) treated with the Instant Tennis Elbow Cure Medical device, which fenestrates the injured tendon in a standardized way through a holder of 12 small needles. Depth and position of the needles are determined beforehand by ultrasonography. Unprepared autologous blood was injected through the holder in the tendon. Visual analog pain scale (VAS) decreased significantly in rest by 61% and during activity by 47% after 6 weeks. VAS decreased significantly in rest by 79% and during activity by 66% after 3 months. VAS did not remain significantly different after 6 months. Satisfaction rates were 71% after 6 weeks and 82% after 6 months. This suggests that the therapeutical effect sustains and in some cases increases over time. Patient Related Tennis Elbow Evaluation score ameliorated after 3 months by 71%. Comparative studies are needed to confirm this effect versus other techniques as physiotherapy, shockwave therapy, and injections with other substances.

scholarly journals Case Study on Fire Resistance of Sandwiches for Means of Transport

Coatings ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 207
Author(s):  
Pavel Koštial ◽  
Zora Koštialová Jančíková ◽  
Robert Frischer
Keyword(s):  
Fire Resistance ◽  
Fire Protection ◽  
Public Transport ◽  
Hybrid Vehicles ◽  
Safety Requirements ◽  
Different Types ◽  
Aluminum Honeycomb ◽  
Heat Loads

These days there are undeniably unique materials that, however, must also meet demanding safety requirements. In the case of vehicles, these are undoubtedly excellent fire protection characteristics. The aim of the work is to experimentally verify the proposed material compositions for long-term heat loads and the effect of thickness, the number of laminating layers (prepregs) as well as structures with different types of cores (primarily honeycomb made of Nomex paper type T722 of different densities, aluminum honeycomb and PET foam) and composite coating based on a glass-reinforced phenolic matrix. The selected materials are suitable candidates for intelligent sandwich structures, usable especially for interior cladding applications in the industry for the production of means of public transport (e.g., train units, trams, buses, hybrid vehicles).

scholarly journals Identifying and Evaluating Vocation-Related Neuro-Musculoskeletal Deficiencies in Professional Musicians: A Review

2021 ◽  
Vol 11 (5) ◽  
pp. 2035
Author(s):  
Joseph Mizrahi
Keyword(s):  
Myofascial Pain ◽  
Tennis Elbow ◽  
Traumatic Injury ◽  
Lateral Epicondylitis ◽  
Upper Extremities ◽  
Upper Body ◽  
Professional Musicians ◽  
Shoulder Muscles ◽  
Repetitive Movements ◽  
Tunnel Syndrome

A combination of factors exposes musicians to neuro-musculoskeletal disorders, which lead to pain and damage. These involve overuse due to long playing hours, containing repetitive movements under stressful conditions, usually performed in an unnatural posture. Although the evoked disorders are usually non-traumatic, they may often lead to prolonged or even permanent damage. For instance, in upper string players, these include bursitis and tendinopathies of the shoulder muscles, tendonitis of the rotator cuff, injury at the tendon sheaths, medial or lateral epicondylitis (also known as tennis elbow), myofascial pain, and wrist tendonitis (also known as carpal tunnel syndrome, or De Quervein’s syndrome). In cases of intensive performance, a traumatic injury may result, requiring drastic means of intervention such as surgery. It should be pointed out that the upper body and upper extremities are the most commonly affected sites of playing musicians. This review provides a description of the playing-related motor disorders in performing musicians, and of the methodologies used to identify and evaluate these disorders, particularly for violinists and other upper string players.

Pressure Gauge Safety

1980 ◽  
Vol 13 (8) ◽  
pp. 283-283 ◽  
Keyword(s):  
Pressure Gauge ◽  
Health And Safety ◽  
Product Liability ◽  
British Standard ◽  
Safety Requirements ◽  
Safety Regulations

The British Pressure Gauge Manufacturers Association has always emphasised the need for strict observance of recognised safety requirements when using pressure gauges. Unfortunately, gauges are both available and used that do not meet the rigid safety regulations laid down in British Standard 1780 and this could lead to serious accidents. The provisions of the Health and Safety at Work Act coupled with the strengthened proposals for Product Liability will place a greater statutory responsibility upon the manufacturer and user alike. The Association has therefore prepared the following statement:

scholarly journals How one treats lateral epicondylitis – a survey among Brazilian orthopedists

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Rafael Fuchs Lazarini ◽  
Renato Arouca Zan ◽  
João Carlos Belloti ◽  
Ildeu Afonso de Almeida Filho ◽  
Luiz Fernando Sartori Centenaro ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Tennis Elbow ◽  
Lateral Epicondylitis ◽  
Hand Surgery ◽  
Initial Therapy ◽  
Cross Sectional Study ◽  
Imaging Method ◽  
Cross Sectional ◽  
Imaging Tool ◽  
Management Protocol

Abstract Background Lateral epicondylitis (LE), also known as tennis elbow, is the most common painful elbow condition. It affects approximately 1–3% of adults. There are various possible treatments described in the literature, but evidence to support a gold standard management protocol is lacking. Therefore, the objective of this study was to evaluate how Brazilian orthopaedists diagnose and treat lateral epicondylitis and compare these results with the available evidence. Methods This is an observational, analytical, cross-sectional study. A questionnaire was prepared to obtain information from the participants with eight specific questions (2 on diagnosis and 6 on treatment). These questions were answered voluntarily by participants at 3 major congresses of orthopaedists in Brazil in 2018. The results were analysed in accordance with the overall number of responses and were evaluated among groups according to subspecialty. Results We obtained a total of 501 questionnaires. Of these, 33 were excluded. The mean age was 38.67 years. The majority of respondents (91%) were male. We obtained 26.7% from specialists in hand surgery (Hand group), 36.5% from subspecialists in shoulder and elbow (Shoulder and Elbow group), and 36.8% from generalists in orthopaedics or from other subspecialties (General Orthopaedists group). For diagnosis, 24.4% did not initially request any imaging method. The most requested exam was ultrasonography (54.9%). The most prominent indication for initial treatment was physical therapy. For refractory cases, 78.3% of the respondents preferred doing a local infiltration. The most commonly used substance for local infiltrations was corticosteroids (89.6%). With respect to the surgical treatment option, 75.8% of those who recommend it prefer open techniques, and 24.2% prefer arthroscopic treatment. Of the total respondents, 12.8% did not recommend surgical treatment for LE. Conclusion Among Brazilian orthopaedists, the Cozen test is most frequently chosen, and ultrasound is the most commonly used imaging tool. Nonsurgically, oral nonsteroidal anti-inflammatory drugs (NSAIDs) plus physiotherapy is the most popular initial therapy, and corticosteroids are the most popular type of infiltration agent. Most surgeons recommended surgery after 6 months of nonsurgical treatment, and 75.8% preferred the open technique.

scholarly journals Effects of intralesional platelet-rich plasma in the patients with lateral epicondylitis of elbow

2019 ◽  
Vol 12 (3) ◽  
pp. 138-141
Author(s):  
Mohammad Tariqul Islam ◽  
M. A. Shakoor ◽  
Afsana Mahjabin ◽  
Md. Ali Emran
Keyword(s):  
Visual Analogue Scale ◽  
Daily Living ◽  
Analogue Scale ◽  
Tennis Elbow ◽  
Platelet Rich Plasma ◽  
Lateral Epicondylitis ◽  
Activity Of Daily Living ◽  
Evaluation Tool ◽  
Plasma Injection ◽  
The Difference

Lateral epicondylitis (tennis elbow) is a major cause of musculoskeletal pain involving common extensor origin of the forearm. This study was done to determine the effects of platelet-rich plasma on 15 patients with lateral epicondylitis. Selected patients were given intralesional platelet-rich plasma injection, activity of daily living instructions and paracetamol. Patients were assessed every 14 days interval by visual analogue scale, and the patient rated tennis elbow evaluation. Treatment response according to visual analogue scale and patient rated tennis elbow evaluation tool, the difference of improvement was found in respect to time, from pretreatment W1 (just before 1st Intervention) score to W11 score in every alternate week (p<0.005). This indicates that intralesional platelet-rich plasma is effective in the patients with lateral epicondylitis of elbow.

scholarly journals Autologous Blood Injection and Wrist Immobilisation for Chronic Lateral Epicondylitis

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Nicola Massy-Westropp ◽  
Stuart Simmonds ◽  
Suzanne Caragianis ◽  
Andrew Potter
Keyword(s):  
Tennis Elbow ◽  
Autologous Blood ◽  
Lateral Epicondylitis ◽  
Contralateral Limb ◽  
Cortisone Injection ◽  
Autologous Blood Injection ◽  
Blood Injection ◽  
And Function ◽  
Prospective Longitudinal ◽  
Extensor Carpi Radialis

Purpose. This study explored the effect of autologous blood injection (with ultrasound guidance) to the elbows of patients who had radiologically assessed degeneration of the origin of extensor carpi radialis brevis and failed cortisone injection/s to the lateral epicondylitis.Methods. This prospective longitudinal series involved preinjection assessment of pain, grip strength, and function, using the patient-rated tennis elbow evaluation. Patients were injected with blood from the contralateral limb and then wore a customised wrist support for five days, after which they commenced a stretching, strengthening, and massage programme with an occupational therapist. These patients were assessed after six months and then finally between 18 months and five years after injection, using the patient-rated tennis elbow evaluation.Results. Thirty-eight of 40 patients completed the study, showing significant improvement in pain; the worst pain decreased by two to five points out of a 10-point visual analogue for pain. Self-perceived function improved by 11–25 points out of 100. Women showed significant increase in grip, but men did not.Conclusions. Autologous blood injection improved pain and function in a worker’s compensation cohort of patients with chronic lateral epicondylitis, who had not had relief with cortisone injection.

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