Lateral Epicondyle Tendinopathy Toolkit: Section E - Exercise Prescription: Difference between revisions

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'''Deep Transverse Friction Massage (DTFM)'''
*Patient is in supine with their arm by their side, elbow extended and forearm pronated.
*A lateral glide is applied to the radius and ulna with the therapist’s hands or using a belt around the therapist’s shoulders.


*Patient’s elbow is supported in a 90 degrees flexion, fully supinated position.  
*The patient then either grips or extends the wrist against resistance as long as this is now pain-free.  
*DTFM is applied with the thumb at the common extensor tendon just anterior to the epicondyle.
*6-10 repetitions are performed in a single treatment session.
*Frictions were applied for 10 minutes prior to the Mill’s manipulation.
 
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[[Image:LET Appendix B Fig1.png|center|264x230px|Fig 1 of LET App B]]'''&nbsp; &nbsp; Figure 1'''
 
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'''Mill’s Manipulation'''
 
*Patient is in sitting with arm in abduction, internal rotation such that the olecranon faces upwards, forearm fully pronated and wrist in flexion. Therapist’s one hand supports the wrist flexion, the other hand placed over the olecranon.
*Maintaining this position the therapist applies a high velocity, low amplitude thrust through the olecranon.


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[[Image:LET Appendix B Fig2.png|center|264x230px]]'''&nbsp; &nbsp; Figuer 2'''  
[[Image:LET Appendix B Fig3.png|center|264x230px|Fig 3 of LET App B]]'''&nbsp; &nbsp; Figure 3'''  


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Revision as of 02:11, 12 August 2013

Concentric/Eccentric Home Exercise Program[edit | edit source]

  • Patient is in supine with their arm by their side, elbow extended and forearm pronated.
  • A lateral glide is applied to the radius and ulna with the therapist’s hands or using a belt around the therapist’s shoulders.
  • The patient then either grips or extends the wrist against resistance as long as this is now pain-free.
  • 6-10 repetitions are performed in a single treatment session.
Fig 3 of LET App B
    Figure 3


Mechanism of Injury / Pathological Process
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Clinical Presentation[edit | edit source]

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Differential Diagnosis
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