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Efficacy of Current Physiotherapy Approaches Used in Lateral Epicondylitis Rehabilitation on Pain and Function

Yıl 2022, Cilt: 7 Sayı: 2, 373 - 381, 31.05.2022

Öz

Lateral epicondylitis, also known as the tennis elbow, develops at the attachment of the wrist extensor tendons to the lateral epicondyle of the humerus and is characterized by reduced muscle strength and limited range of motion associated with localized inflammation. Lateral epicondylitis leads significant pain and loss of function. Approximately 10% of the individuals working with arm strength experience lateral elbow pain and 2.4% of them had confirmed diagnosis of lateral epicondylitis. Thus, this disease is also recognized as an important public health problem. Although the signs of lateral epicondylitis are clear and its diagnosis is easy, there is no definitive rehabilitation method that is accepted and is applied by all clinicians. Therefore, it is an important necessity to identify current physiotherapy approaches especially with high effectiveness on pain and function in the rehabilitation process of lateral epicondylitis. Hence, the present review aims to examine the effectiveness of current physiotherapy approaches used in the rehabilitation of lateral epicondylitis on pain and function and to contribute to the available literature.

Kaynakça

  • Lenoir H, Mares O, Carlier Y. Management of lateral epicondylitis. Orthop Traumatol Surg Res. 2019;105(8):241-46.
  • Herquelot E, Bodin J, Roquelaure Y, Ha C, Leclerc A, Goldberg M, et al. Work‐related risk factors for lateral epicondylitis and other cause of elbow pain in the working population. Am J Ind Med. 2013;56(4):400-9.
  • Ahmad Z, Siddiqui N, Malik SS, Abdus-Samee M, TytherleighStrong G, Rushton N. Lateral epicondylitis: a review of pathology and management. Bone Joint J. 2013;95(9):1158-1164.
  • Vaquero-Picado A, Barco R, Antuña SA. Lateral epicondylitis of the elbow. EFORT Open Rev. 2016;1(11):391-7.
  • Castillo-Lozano R, Casuso-Holgado MJ. Incidence of musculoskeletal sport injuries in a sample of male and female recreational paddle-tennis players. J Sports Med Phys Fitness. 2016;57(6):816-821.
  • Xu Q, Chen J, Cheng L. Comparison of platelet rich plasma and corticosteroids in the management of lateral epicondylitis: A metaanalysis of randomized controlled trials. Int J Surg. 2019;67:37-46.
  • Bisset LM, Vicenzino B. Physiotherapy management of lateral epicondylalgia. J Physiother. 2015;61(4):174-181.
  • Mi B, Liu G, Zhou W, Lv H, Liu Y, Wu Q, et al. Platelet rich plasma versus steroid on lateral epicondylitis: meta-analysis of randomized clinical trials. Phys Sportsmed. 2017;45(2):97-104.
  • Brumitt J, Jobst EE. Physical Therapy Case Files: Orthopaedics: Orthopedics. McGraw Hill Professional. 2013.
  • da Luz DC, de Borba Y, Ravanello EM, Daitx RB, Döhnert MB. Iontophoresis in lateral epicondylitis: a randomized, double-blind clinical trial. J Shoulder Elbow Surg. 2019;28(9):1743-9.
  • Sayegh ET, Strauch RJ. Does nonsurgical treatment improve longitudinal outcomes of lateral epicondylitis over no treatment? A meta-analysis. Clin Orthop Relat Res. 2015;473(3):1093-1107.
  • Ma KL, Wang HQ. Management of Lateral Epicondylitis: A Narrative Literature Review. Management PRA. 2020:32454922.
  • Haahr JP, Andersen JH. Prognostic factors in lateral epicondylitis: a randomized trial with one-year follow-up in 266 new cases treated with minimal occupational intervention or the usual approach in general practice. Rheumatol. 2003;42(10):1216-1225.
  • Eraslan L, Yüce D, Erbilici A, Baltacı, G. Does Kinesiotaping improve pain and functionality in patients with newly diagnosed lateral epicondylitis? Knee Surg Sports Traumatol Arthrosc. 2018;26(3):938- 945.
  • Jones VAL. Physiotherapy in the management of tennis elbow: a review. Shoulder Elbow. 2009;1(2):108-113.
  • Waseem M, Nuhmani S, Ram C.S, Sachin Y. Lateral epicondylitis: a review of the literature. J Back Musculoskelet Rehabil, 2012;25(2):131- 142.
  • Altan L, Ercan İ, Konur S. Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatol Int, 2010;30(8):1049-1054.
  • Bostrøm K, Mæhlum S, Småstuen MC, Storheim K. Clinical comparative effectiveness of acupuncture versus manual therapy treatment of lateral epicondylitis: feasibility randomized clinical trial. Pilot Feasibility Stud. 2019;5(1):1-10.
  • Barnett J, Bernacki MN, Kainer JL, Smith HN, Zaharoff AM, Subramanian SK. The effects of regenerative injection therapy compared to corticosteroids for the treatment of lateral Epicondylitis: a systematic review and meta-analysis. Arch Physiother. 2019;9(1):1- 12.
  • Turgay T, Karadeniz PG, Sever GB. Comparison of low level laser therapy and extracorporeal shock wave in treatment of chronic lateral epicondylitis. Acta Orthop Traumatol Turc. 2020;54(6):591-5.
  • Johns N, Shridhar V. Lateral epicondylitis: Current concepts. Aust J Gen Pract. 2020;49(11):707-9.
  • Abbas S, Riaz R, Khan A, Javed A, Raza S. Effects of mulligan and cyriax approach in patients with subacute lateral epicondylitis. Rehabil J. 2019;3(2):107-115.
  • Kaydok E, Ordahan B, Solum S, Karahan AY. Short-term efficacy comparison of high-intensity and low-intensity laser therapy in the treatment of lateral epicondylitis: a randomized double-blind clinical study. Arch Rheumatol. 2020;35(1):60-7.
  • Giray E, Karali‐Bingül D, Akyüz G. The effectiveness of Kinesiotaping, sham taping or exercises only in lateral epicondylitis treatment: a randomized controlled study. J Am Acad Phys Med Rehabil. 2019;11(7):681-693.
  • Babaei-Ghazani A, Shahrami B, Fallah E, Ahadi T, Forough B, Ebadi, S. Continuous shortwave diathermy with exercise reduces pain and improves function in Lateral Epicondylitis more than sham diathermy: A randomized controlled trial. J Bodyw Mov Ther. 2020;24(1): 69-76.
  • Kanagaraj, R. The role of progressive strengthening, stretching exercises and ultrasound in chronic lateral epicondylitis. Int J Innovative Sci Res Technol. 2021;6(6):44-64.
  • Cook J, Purdam C. Tendon overuse injury (tendinopathy). In Brukner P, Khan KM, editors. Brukner & Khan’s clinical sports medicine. Volume 1: injuries. 5th ed. New South Wales: McGraw-Hill Education Australia; 2017. p. 46-51.
  • Clifford C, Challoumas D, Paul L, Syme G, Millar NL. Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials. BMJ Open Sport Exerc Med. 2020;6(1):e000760.
  • Stasinopoulos D, Stasinopoulos I. Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. J Hand Ther. 2017;30(1):13-9.
  • Vuvan V, Vicenzino B, Mellor R, Heales LJ, Coombes BK. Unsupervised isometric exercise versus Wait-and-See for lateral elbow tendinopathy. Med Sci Sports Exerc. 2020;52:287-295.
  • Coombes BK, Bisset L, Brooks P, Khan A, Vicenzino B. Isometric exercise above but not below an individual’s pain threshold influences pain perception in people with lateral epicondylalgia. Clin J Pain. 2016;32(12):1069-1075.
  • Weber C, Thai V, Neuheuser K, Groover K, Christ O. Efficacy of physical therapy for the treatment of lateral epicondylitis: a meta-analysis. BMC Musculoskelet Disord. 2015;16(1):1-13.
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Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği

Yıl 2022, Cilt: 7 Sayı: 2, 373 - 381, 31.05.2022

Öz

Tenisçi dirseği olarak da bilinen lateral epikondilit, el bileği ekstansör tendonlarının humerusun lateral epikondiline yapışma yerinde gelişir ve lokalize inflamasyon ile ilişkili azalmış kas gücü ve sınırlanmış eklem hareket açıklığı ile karakterizedir. Lateral epikondilit önemli derecede ağrı ve fonksiyon kaybına yol açmaktadır. Kol gücüyle çalışan bireylerin yaklaşık %10’u lateral dirsek ağrısı deneyimlemektedir ve %2,4’ü doğrulanmış lateral epikondilit teşhisine sahiptir. Bu nedenle, bu hastalık aynı zamanda önemli bir halk sağlığı problemi olarak kabul edilmektedir. Lateral epikondilitin bulgularının net ve teşhisinin kolay olmasına rağmen, tüm klinisyenler tarafından kabul edilen ve uygulanan kesin bir rehabilitasyon yöntemi bulunmamaktadır. Dolayısıyla, lateral epikondilit rehabilitasyonu sürecinde özellikle ağrı ve fonksiyon üzerine etkinliği yüksek olan güncel fizyoterapi yaklaşımlarının belirlenmesi önemli bir gerekliliktir. Bu doğrultuda, bu derleme; lateral epikondilit rehabilitasyonunda kullanılan güncel fizyoterapi yaklaşımlarının ağrı ve fonksiyon üzerine olan etkinliğini incelemeyi ve mevcut literatüre katkı sağlamayı amaçlamaktadır.

Kaynakça

  • Lenoir H, Mares O, Carlier Y. Management of lateral epicondylitis. Orthop Traumatol Surg Res. 2019;105(8):241-46.
  • Herquelot E, Bodin J, Roquelaure Y, Ha C, Leclerc A, Goldberg M, et al. Work‐related risk factors for lateral epicondylitis and other cause of elbow pain in the working population. Am J Ind Med. 2013;56(4):400-9.
  • Ahmad Z, Siddiqui N, Malik SS, Abdus-Samee M, TytherleighStrong G, Rushton N. Lateral epicondylitis: a review of pathology and management. Bone Joint J. 2013;95(9):1158-1164.
  • Vaquero-Picado A, Barco R, Antuña SA. Lateral epicondylitis of the elbow. EFORT Open Rev. 2016;1(11):391-7.
  • Castillo-Lozano R, Casuso-Holgado MJ. Incidence of musculoskeletal sport injuries in a sample of male and female recreational paddle-tennis players. J Sports Med Phys Fitness. 2016;57(6):816-821.
  • Xu Q, Chen J, Cheng L. Comparison of platelet rich plasma and corticosteroids in the management of lateral epicondylitis: A metaanalysis of randomized controlled trials. Int J Surg. 2019;67:37-46.
  • Bisset LM, Vicenzino B. Physiotherapy management of lateral epicondylalgia. J Physiother. 2015;61(4):174-181.
  • Mi B, Liu G, Zhou W, Lv H, Liu Y, Wu Q, et al. Platelet rich plasma versus steroid on lateral epicondylitis: meta-analysis of randomized clinical trials. Phys Sportsmed. 2017;45(2):97-104.
  • Brumitt J, Jobst EE. Physical Therapy Case Files: Orthopaedics: Orthopedics. McGraw Hill Professional. 2013.
  • da Luz DC, de Borba Y, Ravanello EM, Daitx RB, Döhnert MB. Iontophoresis in lateral epicondylitis: a randomized, double-blind clinical trial. J Shoulder Elbow Surg. 2019;28(9):1743-9.
  • Sayegh ET, Strauch RJ. Does nonsurgical treatment improve longitudinal outcomes of lateral epicondylitis over no treatment? A meta-analysis. Clin Orthop Relat Res. 2015;473(3):1093-1107.
  • Ma KL, Wang HQ. Management of Lateral Epicondylitis: A Narrative Literature Review. Management PRA. 2020:32454922.
  • Haahr JP, Andersen JH. Prognostic factors in lateral epicondylitis: a randomized trial with one-year follow-up in 266 new cases treated with minimal occupational intervention or the usual approach in general practice. Rheumatol. 2003;42(10):1216-1225.
  • Eraslan L, Yüce D, Erbilici A, Baltacı, G. Does Kinesiotaping improve pain and functionality in patients with newly diagnosed lateral epicondylitis? Knee Surg Sports Traumatol Arthrosc. 2018;26(3):938- 945.
  • Jones VAL. Physiotherapy in the management of tennis elbow: a review. Shoulder Elbow. 2009;1(2):108-113.
  • Waseem M, Nuhmani S, Ram C.S, Sachin Y. Lateral epicondylitis: a review of the literature. J Back Musculoskelet Rehabil, 2012;25(2):131- 142.
  • Altan L, Ercan İ, Konur S. Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatol Int, 2010;30(8):1049-1054.
  • Bostrøm K, Mæhlum S, Småstuen MC, Storheim K. Clinical comparative effectiveness of acupuncture versus manual therapy treatment of lateral epicondylitis: feasibility randomized clinical trial. Pilot Feasibility Stud. 2019;5(1):1-10.
  • Barnett J, Bernacki MN, Kainer JL, Smith HN, Zaharoff AM, Subramanian SK. The effects of regenerative injection therapy compared to corticosteroids for the treatment of lateral Epicondylitis: a systematic review and meta-analysis. Arch Physiother. 2019;9(1):1- 12.
  • Turgay T, Karadeniz PG, Sever GB. Comparison of low level laser therapy and extracorporeal shock wave in treatment of chronic lateral epicondylitis. Acta Orthop Traumatol Turc. 2020;54(6):591-5.
  • Johns N, Shridhar V. Lateral epicondylitis: Current concepts. Aust J Gen Pract. 2020;49(11):707-9.
  • Abbas S, Riaz R, Khan A, Javed A, Raza S. Effects of mulligan and cyriax approach in patients with subacute lateral epicondylitis. Rehabil J. 2019;3(2):107-115.
  • Kaydok E, Ordahan B, Solum S, Karahan AY. Short-term efficacy comparison of high-intensity and low-intensity laser therapy in the treatment of lateral epicondylitis: a randomized double-blind clinical study. Arch Rheumatol. 2020;35(1):60-7.
  • Giray E, Karali‐Bingül D, Akyüz G. The effectiveness of Kinesiotaping, sham taping or exercises only in lateral epicondylitis treatment: a randomized controlled study. J Am Acad Phys Med Rehabil. 2019;11(7):681-693.
  • Babaei-Ghazani A, Shahrami B, Fallah E, Ahadi T, Forough B, Ebadi, S. Continuous shortwave diathermy with exercise reduces pain and improves function in Lateral Epicondylitis more than sham diathermy: A randomized controlled trial. J Bodyw Mov Ther. 2020;24(1): 69-76.
  • Kanagaraj, R. The role of progressive strengthening, stretching exercises and ultrasound in chronic lateral epicondylitis. Int J Innovative Sci Res Technol. 2021;6(6):44-64.
  • Cook J, Purdam C. Tendon overuse injury (tendinopathy). In Brukner P, Khan KM, editors. Brukner & Khan’s clinical sports medicine. Volume 1: injuries. 5th ed. New South Wales: McGraw-Hill Education Australia; 2017. p. 46-51.
  • Clifford C, Challoumas D, Paul L, Syme G, Millar NL. Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials. BMJ Open Sport Exerc Med. 2020;6(1):e000760.
  • Stasinopoulos D, Stasinopoulos I. Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. J Hand Ther. 2017;30(1):13-9.
  • Vuvan V, Vicenzino B, Mellor R, Heales LJ, Coombes BK. Unsupervised isometric exercise versus Wait-and-See for lateral elbow tendinopathy. Med Sci Sports Exerc. 2020;52:287-295.
  • Coombes BK, Bisset L, Brooks P, Khan A, Vicenzino B. Isometric exercise above but not below an individual’s pain threshold influences pain perception in people with lateral epicondylalgia. Clin J Pain. 2016;32(12):1069-1075.
  • Weber C, Thai V, Neuheuser K, Groover K, Christ O. Efficacy of physical therapy for the treatment of lateral epicondylitis: a meta-analysis. BMC Musculoskelet Disord. 2015;16(1):1-13.
  • Parmar BA, Shukla YU. Effect of Eccentric versus Concentric Exercise on Pain, Grip Strength and Function in Lateral Epicondylitis-A Comparative Study. Int J Sci Healthcare Res. 2020;5(2):98-109.
  • Murtaugh B, Ihm JM. Eccentric training for the treatment of tendinopathies. Curr Sports Med Rep. 2013;12(3):175-182.
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  • Reis O, Berger C, Rachold W. Therapeutic Effects of Manual Therapy, Transcutaneous Electric Nerve Stimulation, and Forearm Brace on Lateral Epicondylitis: A Randomized Controlled Trial. Res Sq. 2021;1:1-15
  • Basson A, Olivier B, Ellis R, Coppieters M, Stewart A, Mudzi W. The effectiveness of neural mobilization for neuromusculoskeletal conditions: a systematic review and meta-analysisJ Orthop Sports Phys Ther. 2017;47(9):593-615.
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  • Chaves P, Simoes D, Paco M, Pinho F, Duarte JA, Ribeiro F. Cyriax’s deep friction massage application parameters: Evidence from a cross-sectional study with physiotherapists. Musculoskelet Sci Pract. 2017;32:92-7.
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  • Yi R, Bratchenko WW, Tan V. Deep friction massage versus steroid injection in the treatment of lateral epicondylitis. Hand. 2018;13(1):56-9.
  • Lee JH, Oh JS, Kim MH. Effect of Deep Friction Massage with Taping Technique on Strength, Pain, Function and Wrist Extensor Muscle Activity in Patient with Tennis Elbow. J Musculoskelet Sci Technol. 2020;4(2):76-83.
  • Büker N, Şavkın R, Altındal F, Tonak HA. Lateral epikondilit tedavisinde derin transvers friksiyon masajı ve ekstrakorporeal şok dalga tedavisinin kısa dönem etkilerinin karşılaştırılması. Çukurova Med J. 2020;45(1):48-55.
  • Zhong Y, Zheng C, Zheng J, Xu S. Kinesio tape reduces pain in patients with lateral epicondylitis: a meta-analysis of randomized controlled trials. Int J Surg. 2020;76:190-9.
  • Sultanoğlu TE, Sultanoğlu H. Comparison and Short Term Effect of Extracorporeal Shock Wave Therapy and Kinesiotaping in Treatment of Lateral Epicondylitis. J Basic Clin Health Sci. 2020;4(3):218-223.
  • Koçak FA, Kurt EE, Sas S, Tuncay F, Erdem HR. Short-term effects of steroid injection, kinesio taping, or both on pain, grip strength, and functionality of patients with lateral epicondylitis: A single-blinded randomized controlled trial. Am J Phys Med Rehabil. 2019;98(9):751-758.
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  • Watson T. Ultrasound in contemporary physiotherapy practice. Ultrason. 2008;48(4):321-9.
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  • Ünver HH, Bakılan F, Taşçıoğlu FB, Armağan O, Özgen M. Comparing the efficacy of continuous and pulsed ultrasound therapies in patients with lateral epicondylitis: A double-blind, randomized, placebocontrolled study. Turk J Phys Med Rehabil. 2021;67(1):99-106.
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  • Rathwa HR, Shukla Y. Effect of Cryotherapy versus Ultrasound Therapy in Lateral Epicondylitis: A Comparative Study. Int J Sci Healthcare Res. 2020;5(1):261-7.
  • Dündar U, Türkmen U, Toktaş H, Ulaşlı AM, Solak, O. Effectiveness of high-intensity laser therapy and splinting in lateral epicondylitis; a prospective, randomized, controlled study. Lasers Med Sci. 2015;30(3):1097-1107.
  • Ezzati K, Fekrazad R, Raoufi Z. The effects of photobiomodulation therapy on post-surgical pain. J Lasers Med Sci. 2019;10(2):79-85.
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  • Testa G, Vescio A, Perez S, Petrantoni V, Mazzarella G, Costarella L, Pavone V. Functional outcome at short and middle term of the extracorporeal shockwave therapy treatment in lateral epicondylitis: A case-series study. J Clin Med. 2020;9(3):1-8.
  • Ismael MMM, Arafa MM, El Zohiery AAK, Ibrahim SE. Comparative effectiveness of extracorporeal shock wave therapy, local corticosteroid injection, and conventional physiotherapy in treatment of chronic lateral epicondylitis. Egypt Rheumatol Rehabil. 2020;47(1):1-6.
  • Valen PA, Foxworth J. Evidence supporting the use of physical modalities in the treatment of upper extremity musculoskeletal conditions. Curr Opin Rheumatol. 2010;22(2):194-204.
  • Wong CWY, Ng EYL, Fung PW, Mok KM, Yung PSH, Chan KM. Comparison of treatment effects on lateral epicondylitis between acupuncture and extracorporeal shockwave therapy. Asia-Pac J Sport Med Arthros Rehabil Technol. 2017;7:21-6.
  • Vahdatpour B, Taheri P, Abasi F. Extracorporeal Shock Wave Therapy for Lateral Epicondylitis, Lonely or in Combination with Topical Corticosteroid; Which Approach is Superior? Galen Med J. 2020;9:e1791.
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  • Aydın A, Atıç R. Comparison of extracorporeal shock-wave therapy and wrist-extensor splint application in the treatment of lateral epicondylitis: a prospective randomized controlled study. J Pain Res. 2018;11:1459-1467.
  • Yao G, Chen J, Duan Y, Chen X. Efficacy of extracorporeal shock wave therapy for lateral epicondylitis: a systematic review and meta-analysis. Biomed Res Int. 2020;2064781.
  • Landesa-Martínez L, Leirós-Rodríguez R. Physiotherapy treatment of lateral epicondylitis: a systematic review. J Back Musculoskelet Rehabil. 2021;36,1-15.
  • Bateman M, Saunders B, Littlewood C, Hill JC. Literature Review of Physiotherapy Interventions for Lateral Elbow Tendinopathy. BMJ Open. 2021;e053841.
  • Kachanathu SJ, Alenazi AM, Hafez AR, Algarni AD, Alsubiheen AM. Comparison of the effects of short-duration wrist joint splinting combined with physical therapy and physical therapy alone on the management of patients with lateral epicondylitis. Eur J Phys Rehabil Med. 2019;55(4):488-493.
  • Akkurt HE, Kocabaş H, Yılmaz H, Eser C, Şen Z, Erol K, Baktık S. Comparison of an epicondylitis bandage with a wrist orthosis in patients with lateral epicondylitis. Prosthet Orthot Int. 2018;42(6):599-605.
  • Nishizuka T, Iwatsuki K, Kurimoto S, Yamamoto M, Hirata H. Efficacy of a forearm band in addition to exercises compared with exercises alone for lateral epicondylitis: A multicenter, randomized, controlled trial. J Orthop Sci. 2017;22(2):289-294.
  • Barati H, Zarezadeh A, MacDermid JC, Sadeghi-Demneh E. The immediate sensorimotor effects of elbow orthoses in patients with lateral elbow tendinopathy: a prospective crossover study. J Shoulder Elbow Surg. 2019;28(1);10-17.
  • Ahmed AF, Rayyan R, Zikria BA, Salameh M. Lateral epicondylitis of the elbow: an up-to-date review of management. Eur J Orthop Surg Traumatol. 2022;1-6.
  • Kroslak M, Pirapakaran K, Murrell GA. Counterforce bracing of lateral epicondylitis: a prospective, randomized, double-blinded, placebocontrolled clinical trial. J Shoulder Elbow Surg. 2019;28(2):288-295.
  • Bisset LM, Collins NJ, Offord SS. Immediate effects of 2 types of braces on pain and grip strength in people with lateral epicondylalgia: a randomized controlled trial. J Orthop Sports Phys Ther. 2014;44(2):120-128.
  • Dundar U, Turkmen U, Toktas H, Ulasli AM, Solak O. Effectiveness of high-intensity laser therapy and splinting in lateral epicondylitis; a prospective, randomized, controlled study. Lasers Med Sci. 2015;30(3):1097-1107.
  • Santiago AO, Rios-Russo JL, Baerga L, Micheo W. Evidenced-Based Management of Tennis Elbow. Curr Phys Med Rehabil Rep. 2021;9:186-194
Toplam 87 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Erhan Seçer 0000-0002-4476-3785

Sevtap Günay Uçurum 0000-0002-4933-076X

Erken Görünüm Tarihi 30 Mayıs 2022
Yayımlanma Tarihi 31 Mayıs 2022
Gönderilme Tarihi 18 Kasım 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 7 Sayı: 2

Kaynak Göster

APA Seçer, E., & Günay Uçurum, S. (2022). Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 7(2), 373-381.
AMA Seçer E, Günay Uçurum S. Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği. İKÇÜSBFD. Mayıs 2022;7(2):373-381.
Chicago Seçer, Erhan, ve Sevtap Günay Uçurum. “Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı Ve Fonksiyon Üzerine Etkinliği”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7, sy. 2 (Mayıs 2022): 373-81.
EndNote Seçer E, Günay Uçurum S (01 Mayıs 2022) Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7 2 373–381.
IEEE E. Seçer ve S. Günay Uçurum, “Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği”, İKÇÜSBFD, c. 7, sy. 2, ss. 373–381, 2022.
ISNAD Seçer, Erhan - Günay Uçurum, Sevtap. “Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı Ve Fonksiyon Üzerine Etkinliği”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7/2 (Mayıs 2022), 373-381.
JAMA Seçer E, Günay Uçurum S. Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği. İKÇÜSBFD. 2022;7:373–381.
MLA Seçer, Erhan ve Sevtap Günay Uçurum. “Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı Ve Fonksiyon Üzerine Etkinliği”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, c. 7, sy. 2, 2022, ss. 373-81.
Vancouver Seçer E, Günay Uçurum S. Lateral Epikondilit Rehabilitasyonunda Kullanılan Güncel Fizyoterapi Yaklaşımlarının Ağrı ve Fonksiyon Üzerine Etkinliği. İKÇÜSBFD. 2022;7(2):373-81.