Bilateral sensorimotor abnormalities in unilateral lateral epicondylalgia

Bisset, Leanne M., Russell, Trevor, Bradley, Stephen, Ha, Bernadette and Vicenzino, Bill T. (2006) Bilateral sensorimotor abnormalities in unilateral lateral epicondylalgia. Archives of Physical Medicine And Rehabilitation, 87 4: 490-495. doi:10.1016/j.apmr.2005.11.029


Author Bisset, Leanne M.
Russell, Trevor
Bradley, Stephen
Ha, Bernadette
Vicenzino, Bill T.
Title Bilateral sensorimotor abnormalities in unilateral lateral epicondylalgia
Journal name Archives of Physical Medicine And Rehabilitation   Check publisher's open access policy
ISSN 0003-9993
Publication date 2006-04
Sub-type Article (original research)
DOI 10.1016/j.apmr.2005.11.029
Volume 87
Issue 4
Start page 490
End page 495
Total pages 6
Editor K. J. Jaffe
Place of publication Philadelphia
Publisher W. B. Saunders Co-elsevier Inc
Collection year 2006
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730303 Occupational, speech and physiotherapy
Formatted abstract
Objective:  To evaluate impairments in motor function of the upper limb in unilateral lateral epicondylalgia.

Design
:  Assessor-blinded, case-controlled study.

Setting
:  University laboratory.

Participants
:  Forty participants with lateral epicondylalgia and 40 age- and sex-matched controls were recruited from the general community.

Interventions
:  Not applicable.

Main Outcome Measures
:  Wrist posture adopted during a grip test, grip strength force, as well as upper-limb reaction times and speed of movement.

Results
:  Participants with unilateral lateral epicondylalgia adopted wrist postures that were on average 11° less extended, bilaterally, than controls (P<.000). This was paralleled by increased upper-limb reaction times and reduced speed of movement (mean differences, 2%−15%) in both affected and unaffected limbs. Pain-free grip strength was reduced on the involved side (mean difference, 170N; 95% confidence interval, 144−195N).

Conclusions
:  Motor deficits may be modifiable through exercise and postural retraining. Although further work is required to evaluate the clinical efficacy of such an approach, health care practitioners have an emerging evidence base on which to base their management of lateral epicondylalgia.
Keyword Rehabilitation
Sport Sciences
hand
rehabilitation
tennis elbow
wrist
Tennis Elbow
Motor-performance
Grip Strength
Pain
Hyperalgesia
Prevalence
Disorders
Position
Wrist
Time
Q-Index Code C1
Additional Notes This study was first to identify specific sensorimotor deficits in tennis elbow, which is likely to impact substantially on this conditions management. It was published in the most cited and 4th highest IF (1.734) of 25 rehabilitation journals. Vicenzino conceived and led this project, which was aligned with the NHMRC funded research project of a physical therapy rehabilitation approach.

 
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Created: Wed, 15 Aug 2007, 08:12:16 EST