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

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== Counterforce Brace  ==


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Various methods have been developed to treat  lateral epicondyle tendinopathy that includes brace, splints and taping and these interventions have been found to be effective.
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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>


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== Counterforce Brace  ==
A counterforce brace is one of the most conventional treatments. They are often used for pain relief. 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<ref>Meyer NJ, Walter F, Haines B, Orton D, Daley RA. [https://pubmed.ncbi.nlm.nih.gov/12671861/ Modeled evidence of force reduction at the extensor carpi radialis brevis origin with the forearm support band.] The Journal of hand surgery. 2003 Mar 1;28(2):279-87.</ref> showed a 13-15% force reduction of the [[External carpi radialis brevis|ECRB]] origin with the counterforce brace.
[[File:LET Appendix E Fig1.png|thumb|Counterforce Badge]]


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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  ==
== Wrist Splint  ==
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.
[[File:LET Appendix E Fig2.png|thumb|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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[[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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== Diamond Taping Technique  ==
[[Image:LET Appendix E Fig3.png|center|264x230px|Fig 3 of LET App E]]'''&nbsp; &nbsp; Figure 3'''
Diamond Taping Technique <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>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.
[[File:LET Appendix E Fig3.png|thumb|Diamond taping technique]]
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== Download Lateral Epicondyle Tendinopathy Toolkit: Appendix E - Braces, Splints, and Taping  ==


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


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Revision as of 11:56, 14 October 2022

This article is currently under review and may not be up to date. Please come back soon to see the finished work! (14/10/2022)

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Various methods have been developed to treat lateral epicondyle tendinopathy that includes brace, splints and taping and these interventions have been found to be effective.

Counterforce Brace[edit | edit source]

A counterforce brace is one of the most conventional treatments. They are often used for pain relief. 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[1] showed a 13-15% force reduction of the ECRB origin with the counterforce brace.

Counterforce Badge




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.

Wrist splint



Diamond Taping Technique[edit | edit source]

Diamond Taping Technique [2]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.

Diamond taping technique




Download Lateral Epicondyle Tendinopathy Toolkit: Appendix E - Braces, Splints, and Taping


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


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. The Journal of hand surgery. 2003 Mar 1;28(2):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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