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Lateral Epı̇kondı̇lı̇t Hastalarında Boyun Kasları Kuvvetı̇ ve Enduransı

Yıl 2023, Cilt: 14 Sayı: 3, 326 - 337, 29.12.2023
https://doi.org/10.22312/sdusbed.1319112

Öz

Amaç: Lateral Epikondilit (LE) ön kol dışında farklı bölgelerde de fonksiyon bozukluklarına neden olabilir. Bu çalışmanın amacı; LE hastalarında servikal bölge fonksiyonlarını, güç ve endurans açısından değerlendirmek ve sağlıklı kontrollerle karşılaştırmaktır.
Gereç ve Yöntem: Çalışmaya LE’i olan (Çalışma Grubu; N:30) ve sağlıklı bireylerden (Kontrol Grubu; N:30) toplam 60 birey dahil edildi. Her iki gruptaki bireylerde servikal ağrı şiddeti (VAS), boyun özür düzeyi (BÖİ), derin servikal fleksör kasların kuvveti (Stabilizer Pressure Biofeedback), servikal kas enduransı (Endurans Testleri, sn.) ve El kavrama kuvveti (hidrolik el dinamometresi) değerlendirildi.
Bulgular: LE hastalarında servikal bölgede derin servikal fleksör kasların kuvvetinde (p<0,05) ve servikal ekstansör kasların enduransında kontrol grubuna göre azalma olduğu belirlenmiştir (p<0,001). Çalışma grubu bireylerinde ağrı şiddetinin daha yüksek (p<0.01) ve boyun fonksiyonlarının daha düşük olduğu belirlenmiştir (p<0.01).
Sonuç: Bu çalışmanın sonuçları LE’in ağrı şiddetini arttırdığını, boyun fonksiyonlarını, servikal kas kuvveti ve enduransını azalttığını göstermiştir. Bu nedenle LE’li bireylerin servikal bölge kasları değerlendirilerek gerekli durumlarda tedavi programına dahil edilmelidir.

Kaynakça

  • [1] Stasinopoulos D, Johnson M. Cyriax. 2004. Physiotherapy for tennis elbow/lateral epicondilitis. Br J Sports Med, 38(6): 675-7. doi: 10.1136/bjsm.2004.013573.
  • [2] Herd CR, Meserve BB. A. 2008. Systematic review of the effectiveness of manipulative therapy in treating lateral epicondylalgia. J Man Manip Ther, 16(4): 225-37. doi: 10.1179/106698108790818288.
  • [3] Erick M. Marigi EM, Malik Dancy, vd. 2023. Lateral Epicondylitis Critical Analysis Review of Current Nonoperative Treatments, JBJS REVIEWS, 11(2): 1-8.
  • [4] Dimberg L. 1987. The prevalence and causation of tennis elbow (lateral humeral epicondylitis) in a population of workers in an engineering industry. Ergonomics; 30(3): 573-9. doi: 10.1080/00140138708969746.
  • [5] Gruchow HW, Pelletier D. 1979. An epidemiologic study of tennis elbow. Incidence, recurrence, and effectiveness of prevention strategies. Am J Sports Med, 7(4): 234-8. doi: 10.1177/036354657900700405.
  • [6] Coonrad RW, Hooper WR. 1973. Tennis elbow: its course, natural history, conservative and surgical management. J Bone Joint Surg Am, 55(6): 1177-82.
  • [7] Shiri R, Viikari-Juntura E. 2011. Lateral and medial epicondylitis: role of occupational factors. Best Pract Res Clin Rheumatol, 25(1): 43–57. doi: 10.1016/j.berh.2011.01.013.
  • [8] Michienzi AE, Anderson CP, Vang S, vd. 2015. Lateral epicondylitis and tobacco use: a case-control study. Iowa Orthop J, 35: 114-8.
  • [9] Otoshi K, Takegami M, Sekiguchi M, vd. 2015. Chronic hyperglycemia increases the risk of lateral epicondylitis: the Locomotive Syndrome and Health Outcome in Aizu Cohort Study (LOHAS). Springerplus, 4: (407): 1-9. doi: 10.1186/s40064-015-1204-3.
  • [10] Lee SH, Gong HS, Kim S, vd. 2019. Is there a relation between lateral epicondylitis and total cholesterol levels? Arthrscopy, 35(5): 1379-84. doi: 10.1016/j.arthro.2019.01.048.
  • [11] Sanders TL, Kremers HM, Bryan AJ, vd. 2015. The epidemiology and health care burden of tennis elbow. a population-based study. Am J Sports Med, 43(5): 1066-71. doi: 10.1177/0363546514568087.
  • [12] Aben A, de Wilde L, Hollevoet N, vd. 2018. Tennis elbow: associated psychological factors. J Shoulder Elbow Surg; 27(3): 387–92. doi: 10.1016/j.jse.2017.11.033.
  • [13] Lee DO, Gong HS, Kim JH, vd. 2014. The relationship between positive or negative phrasing and patients’ coping with lateral epicondylitis. J Shoulder Elbow Surg, 23(4): 567-72. doi: 10.1016/j.jse.2014.01.020.
  • [14] Schwarzman G, Watson JN, Hutchinson MR. 2017. Lateral Epicondylopathy (Aka. Tennis Elbow): A review of current concepts and treatment. Ann Sports Med Res, 4(5): 1117.
  • [15] Bisset LM, Vicenzino B. 2015. Physiotherapy management of lateral epicondylalgia. J Physiother, 61(4): 174–81. doi: 10.1016/j.jphys.2015.07.015.
  • [16] Krol P, Franek A, Durmala J, vd. 2015. Focused and radial shock wave therapy in the treatment of tennis elbow: A pilot randomised controlled study. J Hum Kinet, 47: 127-35. doi: 10.1515/hukin-2015-0068.
  • [17] Lucado AM, Dale RB, Vincent J, vd. 2019. Do joint mobilizations assist in the recovery of lateral elbow tendinopathy? A systematic review and meta-analysis. J Hand Ther, 32(2): 262-76. doi: 10.1016/j.jht.2018.01.010.
  • [18] Brian S. Russ BS, Kelby Kaplan K, Kristina Marie Martin KM. 2022. Regeneratıve rehabılıtatıon for lateral epıcondylalgıa. Bio Ortho J, 4(SP1): 61–82.
  • [19] Vaquero-Picado A, Barco R, Antuña SA. 2017. Lateral epicondylitis of the elbow. EFORT Open Rev, 1(11): 391-7. doi: 10.1302/2058-5241.1.000049.
  • [20] Waugh EJ, Jaglal SB, Davis AM, vd. 2004. Factors associated with prognosis of lateral epicondylitis after 8 weeks of physical therapy. Arch Phys Med Rehabil, 85(2): 308-18. doi: 10.1016/s0003-9993(03)00480-5.
  • [21] Tsolias A, Detrembleur C, Druez V, vd. 2019. Effect of radial nerve release on lateral epicondylitis outcomes: A prospective, randomized, double-blinded trial. J Hand Surg Am, 44(3): 216-21. doi:10.1016/j.jhsa.2018.06.009.
  • [22] Holmedal Ø, Olaussen M, Mdala I, vd. 2019. Predictors for outcome in acute lateral epicondylitis. BMC Musculoskeletal Disorders, 20(1): 375. doi: 10.1186/s12891-019-2758-y.
  • [23] Berglund KM, Persson BH. Denison E. 2008. Prevalence of pain and dysfunction in the cervical and thoracic spine in persons with and without lateral elbow pain. Man Ther, 13(4): 295-9. doi: 10.1016/j.math.2007.01.015.
  • [24] Smidt N, Lewis M, van der Windt DA, vd. 2006. Lateral epicondylitis in general practice: Course and prognostic indicators of outcome. J Rheumatol, 33(10): 2053-59.
  • [25] Cleland JA, Whitman JM, Fritz JM. 2004. Effectiveness of manual physical therapy to the cervical spine in the management of lateral epicondylalgia: a retrospective analysis. J Orthop Sports Phys Ther, 34(11): 713-24. doi: 10.2519/jospt.2004.34.11.713.
  • [26] Korkmaz NC, Cavlak U, Telci EA. 2011. Musculoskeletal pain, associated risk factors and coping strategies in school teachers. Scientific Research and Essays, 6(3): 649-57. doi: 10.5897/SRE10.1064
  • [27] Smidt N, van der Windt DA, Assendelft W, vd. 2002. Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis. Arch Phys Med Rehabil, 83(8): 1146-50. doi: 10.1053/apmr.2002.33728.
  • [28] Telci-Aslan E, Karaduman A, Yakut Y, vd. 2009. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine, 34(16): 1732-5. doi: 10.1097/BRS.0b013e3181ac9055.
  • [29] Vernon H, Mior S. 1991 The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther, 14(7): 409-15.
  • [30] Jull GA, O’Leary SP, Falla DL. 2008. Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. J Manipulative Physiol Ther, 31(7): 525-33. doi: 10.1016/j.jmpt.2008.08.003.
  • [31] Özçelik Y. 2009. Dejeneratif servikal hastalığı olan olgularda proprioseptif eğitim ve stabilizasyon. Hacettepe Üniversitesi, Sağlık Bilimleri Enstitüsü, Yüksek Lisans Tezi, 39-40s. Ankara.
  • [32] Grimmer K. 1994. Measuring the endurance capacity of the cervical short flexor muscle group. Aust J Physiother, 40(4): 251-4. doi: 10.1016/S0004-9514(14)60461-X.
  • [33] Guru K, Praveen N, Selvamani K. 2013. Isometric endurance of neck muscles and muscles for scapular positioning in individuals with and without postural neck pain. IJAHSP, 11(2): 1-11.
  • [34] Harris KD, Heer DM, Roy TC, vd. 2005. Reliability of a measurement of neck flexor muscle endurance. Phys Ther, 85(12): 1349-55.
  • [35] Johns H. 2003. Hand Grip Strength Protocol. TNC-CDAAR. 1-2. Revised 09/03
  • [36] Roberts HC, Denison HJ, Martin HJ, vd. 2011. A Review of the Measurement of Grip Strength in Clinical and Epidemiological Studies: Towards a Standardised Approach. Age Ageing. 40(4): 423-9. doi: 10.1093/ageing/afr051.
  • [37] Cyriax JH. 1936. The pathology and treatment of tennis elbow. J Bone Joint Surg, 18: 921-40 337.
  • [38] Bisset LM, Russell T, Bradley S, vd. 2006 Bilateral sensorimotor abnormalities in unilateral lateral epicondylalgia. Arch Phys Med Rehabil, 87(4): 490-5. doi: 10.1016/j.apmr.2005.11.029.
  • [39] Fernandez-Carnero J, Fernandez-de-las-Penas C, de la Llave-Rincon AI, vd. 2008 Bilateral myofascial trigger points in the forearm muscles in patients with chronic unilateral lateral epicondylalgia: a blinded, controlled study. Clin J Pain, 24(9): 802-7. doi: 10.1097/AJP.0b013e31817bcb79.
  • [40] Shmushkevich Y, Kalichman L. 2013. Myofascial pain in lateral epicondylalgia: A review. J Bodyw Mov Ther;17: 434-9. doi: 10.1016/j.jbmt.2013.02.003.
  • [41] Heales LJ, Bout N, Dines B, vd. 2021. An Investigation of Maximal Strength of the Upper Limb Bilaterally inIndividuals With Lateral Elbow Tendinopathy: A Systematic Review With Meta-Analysis, Physical Therapy, 101(1): 14.
  • [42] Scudeller L, Del Fante C, Perotti C, vd. 2011. Two contemporary arm, randomised controlled clinical trial for bilateral epicondylitis: a new study design. BMJ, 343: 1-5. doi: 10.1136/bmj.d7653
  • [43] Shmushkevich Y, Kalichman L. 2013. Myofascial pain in lateral epicondylalgia: A review. J Bodyw Mov Ther; 17: 434-9. doi: 10.1016/j.jbmt.2013.02.003.
  • [44] Gunn CC, 1976. Milbrandt WE. Tennis elbow and the cervical spine. Can Med Assoc J, 114(9): 803-9.
  • [45] Ylinen J, Takala E, Kautiainen H, vd. 2005. Effect of long-term neck muscle training on pressure pain threshold: a randomized controlled trial. Eur J Pain, 9(6): 673-81. doi: 10.1016/j.ejpain.2005.01.001.
  • [46] Coombes BK, Bisset L, Vicenzino B. 2014. Bilateral cervical dysfunction in patients with unilateral lateral epicondylalgia without concomitant cervical or upper limb symptoms: a cross-sectional case-control study. J Manipulative Physiol Ther, 37(2): 79-86. doi: 10.1016/j.jmpt.2013.12.005.
  • [47] Dines JS, Bedi A, Williams PN, vd. 2015. Tennis injuries: epidemiology, pathophysiology, and treatment. J Am Acad Orthop Surg, 23(3): 181-9. doi: 10.5435/JAAOS-D-13-00148.
  • [48] Ertem K, Ergen E, Yoloğlu S. 2015. Functional outcomes of arthroscopic treatment of lateral epicondylitis. Acta Orthop Traumatol Turc, 49(5): 471-7. doi: 10.3944/AOTT.2015.15.0048.
  • [49] Zunke P, Auffarth A, Hitzl W, vd. 2020. The effect of manual therapy to the thoracic spine on pain-free grip and sympathetic activity in patients with lateral epicondylalgia humeri. A randomized,sample sized planned, placebo-controlled, patient-blinded monocentric trial, BMC Musculoskeletal Disorders, 21(86): 1-11.
  • [50] Kim JW, Heo TJ, Park J. 2022. Scapulothoracic Mobilization for the Management of Lateral Epicondylalgia: a Case Report. Kor Phys Ther, 34(4):140-148.
  • [51] Day JM, Lucado AM, Dale RB, vd. 2021. The Effect of Scapular Muscle Strengthening on Functional Recovery in Patients With Lateral Elbow Tendinopathy: A Pilot Randomized Controlled Trial. J Sport Rehabil, 30(5): 744-753.
  • [52] Gonzalez-Iglesias J, Cleland JA, del Rosario Gutierrez-Vega M, vd. 2011. Multimodal management of lateral epicondylalgia in rock climbers: a prospective case series. J Manipulative Physiol Therapy, 34(9): 635-42. doi: 10.1016/j.jmpt.2011.09.003.
  • [53] Lee A, Lee-Robinson A. 2010. Evaluating concomitant lateral epicondylitis and cervical radiculopathy. J Musculoskel Med, 27(3): 111-5.

Neck Muscle Strength and Endurance in Patients with Lateral Epicondylitis

Yıl 2023, Cilt: 14 Sayı: 3, 326 - 337, 29.12.2023
https://doi.org/10.22312/sdusbed.1319112

Öz

Objective: Lateral Epicondylitis (LE) can cause dysfunction in different regions besides the forearm. The aim of this study was to evaluate cervical region such as muscle strength and endurance in LE patients and to compare them with healthy controls.

Material and Methods: A total of 60 individuals with LE (Study Group; N: 30) and healthy individuals (Control Group; N: 30) were included in the study. All the participants were evaluated in terms of cervical pain severity (VAS), neck disability level (NDI), deep cervical flexor muscle strength (Stabilizer Pressure Biofeedback), cervical muscle endurance (Endurance Tests, sec.), and hand grip strength (hydraulic hand dynamometer).

Results: It was determined that the strength of the deep cervical flexor muscles in the cervical region (p<0.05) and the endurance of the cervical extensor muscles were decreased in LE patients compared to the control group (p<0.001). On the other hand, the severity of pain (p<0.01) and level of neck disability in the study group individuals were higher than those in the control group (p<0.01).

Conclusion: The results of this study showed that LE increased pain intensity, decreased neck function, cervical muscle strength and endurance. Therefore, we think that the cervical muscles of individuals with LE should be evaluated and included in the treatment program when necessary.

Kaynakça

  • [1] Stasinopoulos D, Johnson M. Cyriax. 2004. Physiotherapy for tennis elbow/lateral epicondilitis. Br J Sports Med, 38(6): 675-7. doi: 10.1136/bjsm.2004.013573.
  • [2] Herd CR, Meserve BB. A. 2008. Systematic review of the effectiveness of manipulative therapy in treating lateral epicondylalgia. J Man Manip Ther, 16(4): 225-37. doi: 10.1179/106698108790818288.
  • [3] Erick M. Marigi EM, Malik Dancy, vd. 2023. Lateral Epicondylitis Critical Analysis Review of Current Nonoperative Treatments, JBJS REVIEWS, 11(2): 1-8.
  • [4] Dimberg L. 1987. The prevalence and causation of tennis elbow (lateral humeral epicondylitis) in a population of workers in an engineering industry. Ergonomics; 30(3): 573-9. doi: 10.1080/00140138708969746.
  • [5] Gruchow HW, Pelletier D. 1979. An epidemiologic study of tennis elbow. Incidence, recurrence, and effectiveness of prevention strategies. Am J Sports Med, 7(4): 234-8. doi: 10.1177/036354657900700405.
  • [6] Coonrad RW, Hooper WR. 1973. Tennis elbow: its course, natural history, conservative and surgical management. J Bone Joint Surg Am, 55(6): 1177-82.
  • [7] Shiri R, Viikari-Juntura E. 2011. Lateral and medial epicondylitis: role of occupational factors. Best Pract Res Clin Rheumatol, 25(1): 43–57. doi: 10.1016/j.berh.2011.01.013.
  • [8] Michienzi AE, Anderson CP, Vang S, vd. 2015. Lateral epicondylitis and tobacco use: a case-control study. Iowa Orthop J, 35: 114-8.
  • [9] Otoshi K, Takegami M, Sekiguchi M, vd. 2015. Chronic hyperglycemia increases the risk of lateral epicondylitis: the Locomotive Syndrome and Health Outcome in Aizu Cohort Study (LOHAS). Springerplus, 4: (407): 1-9. doi: 10.1186/s40064-015-1204-3.
  • [10] Lee SH, Gong HS, Kim S, vd. 2019. Is there a relation between lateral epicondylitis and total cholesterol levels? Arthrscopy, 35(5): 1379-84. doi: 10.1016/j.arthro.2019.01.048.
  • [11] Sanders TL, Kremers HM, Bryan AJ, vd. 2015. The epidemiology and health care burden of tennis elbow. a population-based study. Am J Sports Med, 43(5): 1066-71. doi: 10.1177/0363546514568087.
  • [12] Aben A, de Wilde L, Hollevoet N, vd. 2018. Tennis elbow: associated psychological factors. J Shoulder Elbow Surg; 27(3): 387–92. doi: 10.1016/j.jse.2017.11.033.
  • [13] Lee DO, Gong HS, Kim JH, vd. 2014. The relationship between positive or negative phrasing and patients’ coping with lateral epicondylitis. J Shoulder Elbow Surg, 23(4): 567-72. doi: 10.1016/j.jse.2014.01.020.
  • [14] Schwarzman G, Watson JN, Hutchinson MR. 2017. Lateral Epicondylopathy (Aka. Tennis Elbow): A review of current concepts and treatment. Ann Sports Med Res, 4(5): 1117.
  • [15] Bisset LM, Vicenzino B. 2015. Physiotherapy management of lateral epicondylalgia. J Physiother, 61(4): 174–81. doi: 10.1016/j.jphys.2015.07.015.
  • [16] Krol P, Franek A, Durmala J, vd. 2015. Focused and radial shock wave therapy in the treatment of tennis elbow: A pilot randomised controlled study. J Hum Kinet, 47: 127-35. doi: 10.1515/hukin-2015-0068.
  • [17] Lucado AM, Dale RB, Vincent J, vd. 2019. Do joint mobilizations assist in the recovery of lateral elbow tendinopathy? A systematic review and meta-analysis. J Hand Ther, 32(2): 262-76. doi: 10.1016/j.jht.2018.01.010.
  • [18] Brian S. Russ BS, Kelby Kaplan K, Kristina Marie Martin KM. 2022. Regeneratıve rehabılıtatıon for lateral epıcondylalgıa. Bio Ortho J, 4(SP1): 61–82.
  • [19] Vaquero-Picado A, Barco R, Antuña SA. 2017. Lateral epicondylitis of the elbow. EFORT Open Rev, 1(11): 391-7. doi: 10.1302/2058-5241.1.000049.
  • [20] Waugh EJ, Jaglal SB, Davis AM, vd. 2004. Factors associated with prognosis of lateral epicondylitis after 8 weeks of physical therapy. Arch Phys Med Rehabil, 85(2): 308-18. doi: 10.1016/s0003-9993(03)00480-5.
  • [21] Tsolias A, Detrembleur C, Druez V, vd. 2019. Effect of radial nerve release on lateral epicondylitis outcomes: A prospective, randomized, double-blinded trial. J Hand Surg Am, 44(3): 216-21. doi:10.1016/j.jhsa.2018.06.009.
  • [22] Holmedal Ø, Olaussen M, Mdala I, vd. 2019. Predictors for outcome in acute lateral epicondylitis. BMC Musculoskeletal Disorders, 20(1): 375. doi: 10.1186/s12891-019-2758-y.
  • [23] Berglund KM, Persson BH. Denison E. 2008. Prevalence of pain and dysfunction in the cervical and thoracic spine in persons with and without lateral elbow pain. Man Ther, 13(4): 295-9. doi: 10.1016/j.math.2007.01.015.
  • [24] Smidt N, Lewis M, van der Windt DA, vd. 2006. Lateral epicondylitis in general practice: Course and prognostic indicators of outcome. J Rheumatol, 33(10): 2053-59.
  • [25] Cleland JA, Whitman JM, Fritz JM. 2004. Effectiveness of manual physical therapy to the cervical spine in the management of lateral epicondylalgia: a retrospective analysis. J Orthop Sports Phys Ther, 34(11): 713-24. doi: 10.2519/jospt.2004.34.11.713.
  • [26] Korkmaz NC, Cavlak U, Telci EA. 2011. Musculoskeletal pain, associated risk factors and coping strategies in school teachers. Scientific Research and Essays, 6(3): 649-57. doi: 10.5897/SRE10.1064
  • [27] Smidt N, van der Windt DA, Assendelft W, vd. 2002. Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis. Arch Phys Med Rehabil, 83(8): 1146-50. doi: 10.1053/apmr.2002.33728.
  • [28] Telci-Aslan E, Karaduman A, Yakut Y, vd. 2009. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine, 34(16): 1732-5. doi: 10.1097/BRS.0b013e3181ac9055.
  • [29] Vernon H, Mior S. 1991 The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther, 14(7): 409-15.
  • [30] Jull GA, O’Leary SP, Falla DL. 2008. Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. J Manipulative Physiol Ther, 31(7): 525-33. doi: 10.1016/j.jmpt.2008.08.003.
  • [31] Özçelik Y. 2009. Dejeneratif servikal hastalığı olan olgularda proprioseptif eğitim ve stabilizasyon. Hacettepe Üniversitesi, Sağlık Bilimleri Enstitüsü, Yüksek Lisans Tezi, 39-40s. Ankara.
  • [32] Grimmer K. 1994. Measuring the endurance capacity of the cervical short flexor muscle group. Aust J Physiother, 40(4): 251-4. doi: 10.1016/S0004-9514(14)60461-X.
  • [33] Guru K, Praveen N, Selvamani K. 2013. Isometric endurance of neck muscles and muscles for scapular positioning in individuals with and without postural neck pain. IJAHSP, 11(2): 1-11.
  • [34] Harris KD, Heer DM, Roy TC, vd. 2005. Reliability of a measurement of neck flexor muscle endurance. Phys Ther, 85(12): 1349-55.
  • [35] Johns H. 2003. Hand Grip Strength Protocol. TNC-CDAAR. 1-2. Revised 09/03
  • [36] Roberts HC, Denison HJ, Martin HJ, vd. 2011. A Review of the Measurement of Grip Strength in Clinical and Epidemiological Studies: Towards a Standardised Approach. Age Ageing. 40(4): 423-9. doi: 10.1093/ageing/afr051.
  • [37] Cyriax JH. 1936. The pathology and treatment of tennis elbow. J Bone Joint Surg, 18: 921-40 337.
  • [38] Bisset LM, Russell T, Bradley S, vd. 2006 Bilateral sensorimotor abnormalities in unilateral lateral epicondylalgia. Arch Phys Med Rehabil, 87(4): 490-5. doi: 10.1016/j.apmr.2005.11.029.
  • [39] Fernandez-Carnero J, Fernandez-de-las-Penas C, de la Llave-Rincon AI, vd. 2008 Bilateral myofascial trigger points in the forearm muscles in patients with chronic unilateral lateral epicondylalgia: a blinded, controlled study. Clin J Pain, 24(9): 802-7. doi: 10.1097/AJP.0b013e31817bcb79.
  • [40] Shmushkevich Y, Kalichman L. 2013. Myofascial pain in lateral epicondylalgia: A review. J Bodyw Mov Ther;17: 434-9. doi: 10.1016/j.jbmt.2013.02.003.
  • [41] Heales LJ, Bout N, Dines B, vd. 2021. An Investigation of Maximal Strength of the Upper Limb Bilaterally inIndividuals With Lateral Elbow Tendinopathy: A Systematic Review With Meta-Analysis, Physical Therapy, 101(1): 14.
  • [42] Scudeller L, Del Fante C, Perotti C, vd. 2011. Two contemporary arm, randomised controlled clinical trial for bilateral epicondylitis: a new study design. BMJ, 343: 1-5. doi: 10.1136/bmj.d7653
  • [43] Shmushkevich Y, Kalichman L. 2013. Myofascial pain in lateral epicondylalgia: A review. J Bodyw Mov Ther; 17: 434-9. doi: 10.1016/j.jbmt.2013.02.003.
  • [44] Gunn CC, 1976. Milbrandt WE. Tennis elbow and the cervical spine. Can Med Assoc J, 114(9): 803-9.
  • [45] Ylinen J, Takala E, Kautiainen H, vd. 2005. Effect of long-term neck muscle training on pressure pain threshold: a randomized controlled trial. Eur J Pain, 9(6): 673-81. doi: 10.1016/j.ejpain.2005.01.001.
  • [46] Coombes BK, Bisset L, Vicenzino B. 2014. Bilateral cervical dysfunction in patients with unilateral lateral epicondylalgia without concomitant cervical or upper limb symptoms: a cross-sectional case-control study. J Manipulative Physiol Ther, 37(2): 79-86. doi: 10.1016/j.jmpt.2013.12.005.
  • [47] Dines JS, Bedi A, Williams PN, vd. 2015. Tennis injuries: epidemiology, pathophysiology, and treatment. J Am Acad Orthop Surg, 23(3): 181-9. doi: 10.5435/JAAOS-D-13-00148.
  • [48] Ertem K, Ergen E, Yoloğlu S. 2015. Functional outcomes of arthroscopic treatment of lateral epicondylitis. Acta Orthop Traumatol Turc, 49(5): 471-7. doi: 10.3944/AOTT.2015.15.0048.
  • [49] Zunke P, Auffarth A, Hitzl W, vd. 2020. The effect of manual therapy to the thoracic spine on pain-free grip and sympathetic activity in patients with lateral epicondylalgia humeri. A randomized,sample sized planned, placebo-controlled, patient-blinded monocentric trial, BMC Musculoskeletal Disorders, 21(86): 1-11.
  • [50] Kim JW, Heo TJ, Park J. 2022. Scapulothoracic Mobilization for the Management of Lateral Epicondylalgia: a Case Report. Kor Phys Ther, 34(4):140-148.
  • [51] Day JM, Lucado AM, Dale RB, vd. 2021. The Effect of Scapular Muscle Strengthening on Functional Recovery in Patients With Lateral Elbow Tendinopathy: A Pilot Randomized Controlled Trial. J Sport Rehabil, 30(5): 744-753.
  • [52] Gonzalez-Iglesias J, Cleland JA, del Rosario Gutierrez-Vega M, vd. 2011. Multimodal management of lateral epicondylalgia in rock climbers: a prospective case series. J Manipulative Physiol Therapy, 34(9): 635-42. doi: 10.1016/j.jmpt.2011.09.003.
  • [53] Lee A, Lee-Robinson A. 2010. Evaluating concomitant lateral epicondylitis and cervical radiculopathy. J Musculoskel Med, 27(3): 111-5.
Toplam 53 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Fizyoterapi
Bölüm Araştırma Makaleleri
Yazarlar

Halil Hakan Uysal 0000-0001-7929-5777

Çağlayan Pınar Öztürk 0000-0002-7049-9746

Yayımlanma Tarihi 29 Aralık 2023
Gönderilme Tarihi 23 Haziran 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 14 Sayı: 3

Kaynak Göster

Vancouver Uysal HH, Öztürk ÇP. Lateral Epı̇kondı̇lı̇t Hastalarında Boyun Kasları Kuvvetı̇ ve Enduransı. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2023;14(3):326-37.

SDÜ Sağlık Bilimleri Dergisi, makalenin gönderilmesi ve yayınlanması dahil olmak üzere hiçbir aşamada herhangi bir ücret talep etmemektedir. Dergimiz, bilimsel araştırmaları okuyucuya ücretsiz sunmanın bilginin küresel paylaşımını artıracağı ilkesini benimseyerek, içeriğine anında açık erişim sağlamaktadır.