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Scand J Med Sci Sports 1997 Aug;7(4):229-237

Radial epicondylalgia ('tennis elbow'): treatment with stretching or forearm band. A prospective study with long-term follow-up including range-of-motion measurements.

Solveborn SA

Department of Orthopaedics, Academic Hospital, Uppsala, Sweden.

Stretching or upper forearm bands were used in the treatment of radial epicondylalgia ('tennis elbow') in a prospective study of 185 patients. The two consecutive series did not differ with respect to, for example, age (median 43 years), gender (57% men), symptom duration (mean 12 months) and symptomatic elbow (68% right), and were examined before and after 1 month of treatment, then at 3 and 9 months, and at a long-term follow-up (44/33 months). The 94 stretching-treated patients were instructed to perform home exercises twice daily, but were also treated at six physiotherapist sessions the first month. The other 91 patients were told to use a prescribed proximal forearm band in daily activities as much as possible. Both treatments were successful with a continuous symptom reduction, but the outcome was statistically significant in favour of st retching at all follow-ups, as assessed by subjective evaluation on a visual analogue pain scale, tabulated pain and condition alternatives on questionnaires, and objective findings such as palpation tenderness at the radial epicondyle, the (Mills') 'tennis elbow pain test', and range-of-motion. Practically all measured range-of-motions were restricted in both groups before treatment and did increase with stretching during the follow-up period, while the various changes in the forearm band group were statistically non-significant.

J Hand Ther 1997 Jul;10(3):229-231

Grip force reduction in patients with tennis elbow: influence of elbow position.

De Smet L, Fabry G

Department of Orthopaedic Surgery U.Z. Pellenberg, Belgium.

Grip force was measured in 55 consecutive patients with chronic tennis elbow. Grip force was markedly reduced at the pathological side, but there was also a striking reduction of the grip force at the pathological side when the grip force was measured with a straight elbow, compared with the standard position of 90 degrees flexion. This reduction was highly significant at the pathological side but not at the normal control side.

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