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SUMMARY: |
Manual therapy interventions for the elbow have been associated with improvements in pain and function in individuals with lateral epicondylalgia (LE). |
Lateral Epicondylalgia (LE): |
One high quality randomized trial investigated the effectiveness of manual therapy interventions for the elbow on patients with LE. Bisset and colleagues compared three distinct conservative treatment approaches in individuals with LE. One group received a program of manual therapy (MT) interventions for the elbow combined with therapeutic exercises, another group received corticosteroid injections (CSI) and the third group was managed with a ‘wait and see’ approach. At 6 weeks the MT + exercise group rated their global improvement higher than the other 2 groups, but other outcomes such as pain-free grip strength and pain rating favored the CSI group. However, at long term follow up (1 year), all outcomes favored the MT and exercise group and the ‘wait and see’ group over the CSI group. Patients receiving CSI had a higher recurrence rate than the other two groups. Additionally, the MT + exercise group had the lowest medication usage among all three groups. |
Vicenzino and colleagues conducted a post-hoc analyses (of the aforementioned study) to identify factors that could help predict individuals likely to respond favorably to a program of mobilization with movement (MWM) and exercise at 3-week follow up. 3 factors were identified and together formed the clinical prediction rule (CPR). The factors identified were: Bissett, 2006, BMJ
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OTHER CLINICAL EVIDENCE: Slater, 2006, Man Ther Abbott, 2001, Man Ther Vicenzino, 2001, Man Ther |
OTHER RELEVANT EVIDENCE: Vicenzino, 2003, Man Ther Vicenzino, 2007, J Man Manip Ther |
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