"Radial Extracorporeal Shockwave Therapy and A Supervised Exercise Programme in Patients with Lateral Elbow Tendinopathy? A Research Protocol"

Dimitrios Stasinopoulos

doi:10.26717/bjstr.2021.39.006329

Abstract

Dimitrios Stasinopoulos1*, Daphne Bakalidou2, Magdalini Stamou3 Author Affiliations 1Assistant Professor, Physiotherapy, Dept. of Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Member of Laboratory of Neuromuscular & Cardiovascular Study of Motion (LANECASM) 2Associate Professor, Physiotherapy, Dept. of Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Member of Laboratory of Neuromuscular & Cardiovascular Study of Motion (LANECASM) 3EDIP, Physiotherapy, Dept. of Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Member of Laboratory of Neuromuscular & Cardiovascular Study of Motion (LANECASM) Received: October 19, 2021 | Published: October 26, 2021 Corresponding author: Dimitrios Stasinopoulos, Department of Physiotherapy, Assistant Professor, Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Member of Laboratory of Neuromuscular & Cardiovascular Study of Motion (LANECASM), Agiou Spyridonos 28, Egaleo 12243, Athens -Greece DOI: 10.26717/BJSTR.2021.39.006329

Highlights

One of the two most common tendinopathies of the upper limb is Lateral elbow Tendinopathy (LET)
Group A will be treated with Tendon Neuroplastic Training (TNT) of wrist extensors, static stretching exercises of wrist extensors, isometric of wrist extensors, concentric – eccentric training of wrist extensors and strengthening of supinator, rotator cuff and scapula muscles exercises and Radial Extracorporeal shockwave therapy (RESWT) in the painful point and group B will be treated with TNT of wrist extensors, static stretching exercises of wrist extensors, isometric of wrist extensors, concentric – eccentric training of wrist extensors and strengthening of supinator, rotator cuff and scapula muscles exercises and RESWT, scanning the relative area and painful point
The present RCT will be evaluate the effectiveness of two different applications of RESWT as a supplement to exercise programme in patients with LET

Summary

Introduction

One of the two most common tendinopathies of the upper limb is Lateral elbow Tendinopathy (LET). Lateral elbow tendinopathy (LET), one of the most common lesions of the arm work-related or sport-related pain disorder, is the most appropriate term to use in clinical practice because all the other terms such as lateral epicondylalgia, lateral epicondylosis, lateral epicondylitis and/or tennis elbow make reference to inappropriate pathophysiological, aetiological, and anatomical terms [1]. LET is a syndrome of pain in the area of the lateral epicondyle [2] that may be failed healing tendon response or degenerative rather than inflammatory [3]. The dominant arm is commonly affected, between 30 and 60 years of age is the peak prevalence of LET [2,5] and the disorder appears to be severed and of longer duration in women [3,6]. A therapist should be able to reproduce the symptoms by: a) Resisted wrist extension and/or resisted middle-finger extension with the elbow in extension, b) Getting the patient to grip an object and c) Digital palpation on the facet of the lateral epicondyle [2,3,5]

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