Lateral Epicondyle Tendinopathy Toolkit: Section F - Manual Therapy
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Manual Therapy[edit | edit source]
Manual therapy is a modality used in rehabilitation to assess and treat various conditions. The American Physical Therapy Association (APTA) describes manual therapy as “skilled hand movements intended to improve tissue extensibility, increase range of motion, induce relaxation, mobilize or manipulate soft tissue and joints, modulate pain, and reduce soft tissue swelling, inflammation, or restriction”. It describes hands-on techniques used in rehabilitation to treat various conditions, such as:
- Massage
- manual lymphatic drainage
- manual traction
- mobilisation/manipulation
- passive range of motion
Manual therapy is one of the oldest recorded modalities and over the years hit as seen many changes to its use and governance [Ref]. It's use in the assessment and treatment of epicondylitis is often advocated[ref].
Cyriax-Type Physiotherapy Treatment (Viswas et al 2012[1])[edit | edit source]
Figures 1 and 2 and the accompanying descriptions are the components of this treatment approach.
Deep Transverse Friction Massage (DTFM)
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Figure 1 |
Mill’s Manipulation
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Figure 2 |
Elbow Mobilization with Movement (MWM)[edit | edit source]
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Figure 3 |
Spinal Mobilization/Manipulation[edit | edit source]
Lateral Glide Mobilization (Vicenzino et al 1996[2])
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Figure 4 |
Passive Intervertebral Mobilization (Cleland et al 2005[3]) Passive Physiological Mobilization
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Figure 5 |
Passive Intervertebral Mobilization (Cleland et al 2005[3]) Passive Accessory Mobilization
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Figure 6 |
Cervical Manipulative Thrust (Fernández-Carnero et al 2008[4])
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Figure 7 |
Resources[edit | edit source]
- Click to go back to the Lateral Epicondyle Tendinopathy Toolkit page
- Click to continue to Section B - Clinical Assessment of LET
- Click to continue to Section C - Outcome Measures
- Click to continue to Section D - Summary of the Evidence
- Click to continue to Section E - Exercise Prescription
- Click to continue to Section G - LASER Dosage Calculation
- Click to continue to Section H - Braces, Splints and Taping
- UBC Lateral Epicondyle Tendinopathy Toolkit [LINK]
References[edit | edit source]
- ↑ Viswas R, Ramachandran R, Korde Anantkumar P. Comparison of effectiveness of supervised exercise program and cyriax physiotherapy in patients with tennis elbow (lateral epicondylitis): a randomized clinical trial. The Scientific World Journal. 2012.
- ↑ Vicenzino B, Collins D, Wright A. The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia. Pain. Nov 1996; 68(1): 69-74.
- ↑ 3.0 3.1 Cleland JA, Flynn TW, Palmer JA. Incorporation of manual therapy directed at the cervicothoracic spine in patients with lateral epicondylalgia: a pilot clinical trial. Journal of Manual & Manipulative Therapy. 2005; 13(3): 143-151.
- ↑ Fernández-Carnero J, Fernández-De-Las-Peñas C, et al. Immediate hypoalgesic and motor effects after a single cervical manipulation in subjects with lateral epicondylalgia. Journal of Manual & Manipulative Therapy. 2008; 31(9): 675-681.