Lateral Epicondyle Tendinopathy Toolkit: Section H - Braces, Splints, and Taping: Difference between revisions

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== Counterforce Brace ==
== Counterforce Brace ==
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*Counterforce braces are often used for pain relief in LET.
*They are thought to diffuse the load through the tendon to less sensitive areas, thereby decreasing the stress on the area of pathology.
*A combined cadaveric and clinical study showed a 13-15% force reduction of the ECRB origin with the counterforce brace (Meyer et al 2003<ref>Meyer NJ, Walter F, Haines B, Orton D, Daley RA. Modeled evidence of force reduction at the extensor carpi radialis brevis origin with the forearm support band. J Hand Surg [Am] 2003; 28:279-87.</ref>).<br>


== Wrist Splint ==
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[[Image:LET Appendix E Fig1.png|center|264x230px|Fig 1 of LET App E]]'''&nbsp; &nbsp; Figure 1'''
 
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== Wrist Splint ==
 
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*Wrist splints are less commonly used, but do have some support for temporary pain relief in more acute patients.  
*The goal is to rest the musculotendinous unit originating at the lateral epicondyle.<br>
 
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== Diamond Taping Technique (Vicenzino et al 2003) ==
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[[Image:LET Appendix E Fig2.png|center|264x230px|Fig 2 of LET App E]]'''&nbsp; &nbsp; Figure 2'''
 
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== Diamond Taping Technique (Vicenzino et al 2003<ref>Vicenzino B, Brooksbank J, Minto J, Offord S, Paungmali A. Initial effects of elbow taping on pain-free grip strength and pressure pain threshold. Journal of Orthopaedic &amp; Sports Physical Therapy. Jul 2003; 33(7): 400-7.</ref>) ==
 
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*This taping technique consists of four tape strips, repeated twice.
*The tape is laid in a diamond shape while pulling the soft tissues centrally towards the lateral epicondyle.
*The goal is to decrease tension at the epicondyle attachment.<br>
 
 
 
 
 
 
 
 
 
 
 
 
 
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[[Image:LET Appendix E Fig3.png|center|264x230px|Fig 3 of LET App E]]'''&nbsp; &nbsp; Figure 3'''
 
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Revision as of 01:03, 14 August 2013

Counterforce Brace[edit | edit source]

  • Counterforce braces are often used for pain relief in LET.
  • They are thought to diffuse the load through the tendon to less sensitive areas, thereby decreasing the stress on the area of pathology.
  • A combined cadaveric and clinical study showed a 13-15% force reduction of the ECRB origin with the counterforce brace (Meyer et al 2003[1]).
Fig 1 of LET App E
    Figure 1


Wrist Splint[edit | edit source]

  • Wrist splints are less commonly used, but do have some support for temporary pain relief in more acute patients.
  • The goal is to rest the musculotendinous unit originating at the lateral epicondyle.
Fig 2 of LET App E
    Figure 2


Diamond Taping Technique (Vicenzino et al 2003[2])[edit | edit source]

  • This taping technique consists of four tape strips, repeated twice.
  • The tape is laid in a diamond shape while pulling the soft tissues centrally towards the lateral epicondyle.
  • The goal is to decrease tension at the epicondyle attachment.
Fig 3 of LET App E
    Figure 3


References[edit | edit source]

  1. ↑ Meyer NJ, Walter F, Haines B, Orton D, Daley RA. Modeled evidence of force reduction at the extensor carpi radialis brevis origin with the forearm support band. J Hand Surg [Am] 2003; 28:279-87.
  2. ↑ Vicenzino B, Brooksbank J, Minto J, Offord S, Paungmali A. Initial effects of elbow taping on pain-free grip strength and pressure pain threshold. Journal of Orthopaedic & Sports Physical Therapy. Jul 2003; 33(7): 400-7.
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