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

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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>)  ==
== 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;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.
*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 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>
*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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== Download Lateral Epicondyle Tendinopathy Toolkit: Appendix C - Details of Exercise Prescription  ==


http://physicaltherapy.med.ubc.ca/files/2013/07/Appendix-E.-Lateral-Epicondyle-Tendinopathy-Braces-Splints-and-Taping-June-2013.pdf


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== Acknowledgements  ==
[[Image:LET Appendix E Fig3.png|center|264x230px|Fig 3 of LET App E]]'''&nbsp; &nbsp; Figure 3'''
 
Developed by the BC Physical Therapy Tendinopathy Task Force: Dr. Joseph Anthony, Dr. Angela Fearon, Diana Hughes, Carol Kennedy, Dr. Alex Scott, Michael Yates, &amp; Alison Hoens.
 
A Physical Therapy Knowledge Broker project supported by: UBC Department of Physical Therapy, Physiotherapy Association of BC, Vancouver Coastal Research Institute and Providence Healthcare Research Institute.


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June 2013


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== Toolkit Navigation  ==
*''Click to return to the ''[[Lateral Epicondyle Tendinopathy (Tennis Elbow) Toolkit|''Contents Page'']]
*''Click to return to the ''[[Lateral Epicondyle Tendinopathy Toolkit: Summary of the Evidence|''Summary of the Evidence'']]
*''Click to return to the ''[[Lateral Epicondyle Tendinopathy Toolkit: Treatment Algorithm|''Treatment Algorithm'']]
*''Click to return to ''[[Lateral Epicondyle Tendinopathy Toolkit: Appendix A|''Appendix A: Details of the Articles'']]<br>
*''Click to return to ''[[Lateral Epicondyle Tendinopathy Toolkit: Appendix B|''Appendix B: Manual Therapy'']]
*''Click to continue to ''[[Lateral Epicondyle Tendinopathy Toolkit: Appendix D|''Appendix D: LASER Dosage Calculation'']]
*''Click to skip to ''[[Lateral Epicondyle Tendinopathy Toolkit: Appendix E|''Appendix E: Braces, Splints, and Taping'']]
*''Click to skip to ''[[Lateral Epicondyle Tendinopathy Toolkit: Appendix F|''Appendix F: Outcome Measures'']]
*''Click to skip to ''[[Lateral Epicondyle Tendinopathy Toolkit: Appendix G|''Appendix G: Medical and Surgical Interventions'']]
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== References  ==
== References  ==


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Revision as of 01:05, 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


Download Lateral Epicondyle Tendinopathy Toolkit: Appendix C - Details of Exercise Prescription[edit | edit source]

http://physicaltherapy.med.ubc.ca/files/2013/07/Appendix-E.-Lateral-Epicondyle-Tendinopathy-Braces-Splints-and-Taping-June-2013.pdf


Acknowledgements[edit | edit source]

Developed by the BC Physical Therapy Tendinopathy Task Force: Dr. Joseph Anthony, Dr. Angela Fearon, Diana Hughes, Carol Kennedy, Dr. Alex Scott, Michael Yates, & Alison Hoens.

A Physical Therapy Knowledge Broker project supported by: UBC Department of Physical Therapy, Physiotherapy Association of BC, Vancouver Coastal Research Institute and Providence Healthcare Research Institute.

June 2013


Toolkit Navigation[edit | edit source]


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 &amp; Sports Physical Therapy. Jul 2003; 33(7): 400-7.
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