Acta Scientific Orthopaedics (ASOR) (ISSN: 2581-8635)

Research Article Volume 3 Issue 8

Forearm Support Band Versus Wrist Splint in Treatment of Lateral Epicondylitis

Hamza M Shaheen1*, Nadia Fayaz2, Lilian Albert Zaky2 and Ayman Mansour3

1Department of Physiotherapy, Faculty of Allied Medical Sciences, Palestine Ahlyia University, Bethlehem, Palestine
2Department of Musculoskeletal Disorders and its Surgery. Faculty of Physical Therapy, Cairo University, Egypt
3Department of Orthopedic Surgery. Faculty of Medicine and Surgery, Cairo University,Egypt

*Corresponding Author: Hamza M Shaheen, Department of Physiotherapy, Faculty of Allied Medical Sciences, Palestine Ahlyia University, Bethlehem, Palestine.

Received: July 11, 2020; Published: July 30, 2020

×

Abstract

Objective this study was done to assess the therapeutic efficacy of forearm support band and wrist splint in minimizing severity of pain and improving hand grip strength with lateral epicondylitis cases, and determine which one of these two common splints is more effective to reduce pain intensity and improve grip strength.

Method: Thirty male and female patients with tennis elbow were selected from orthopedic Department at National instate of neurolocomotor system. All patients were randomly assigned into two groups. The group (A) (n = 15, mean age: 44.8 ± 6.87 years) received forearm support band for four weeks, while the group (B) (n = 15, mean age: 42.86 ± 6.34 years) received wrist splint. All patients received exercises (12 sessions, 3 sessions per week) over a four weeks period. They were evaluated using visual analog scale to determine the pain intensity, and handheld dynamometer to determine hand grip strength in both groups.

Results: The results of the current study revealed that forearm support band or wrist splint combination with exercises for four weeks in patients with tennis elbow resulted in significant increase in hand grip strength in the post-treatment, associated with a significant decrease in pain intensity in the post-treatment in both groups. In addition, it revealed that there was significant difference between forearm support and wrist splint as regard to pain reduction which wrist splint allows a greater degree of pain relief than the forearm support band for patients with lateral epicondylitis, while there was no difference as regard to grip strength improvement between both groups.

Conclusion: It was concluded that forearm support band or wrist splint (cock-up splint) combined with exercises were effective in improving pain intensity and increasing hand grip strength in patient with tennis elbow, and wrist splint allows a greater degree of pain relief than the forearm support band.

Keywords: Lateral Epicondylitis; Exercises; Forearm Support Band; Wrist Splint

×

References

  1. Thomas De Smedt., et al. “Lateral epicondylitis in tennis: update on aetiology, biomechanics and treatment”. Sports Medicine 41 (2007): 816-819.
  2. Knebel PT., et al. “Effects of the forearm support band on wrist extensor muscle fatigue”. Journal of Orthopaedic and Sports Physical Therapy 11 (1999) 677-685.
  3. Demneh E and Jafarian F. “The immediate effects of orthoses on pain in people with lateral epicondylalgia”. Pain Research Treatment (2013): 353-597.
  4. Stasinopoulos D., et al. “An exercise programme for the management of lateral elbow tendinopathy”. British Journal of Sports Medicine 39 (2005): 944-947.
  5. Brett M., et al. “Treatment of Tendinopathy”. Clinical Orthopaedics and Related Research 466 (2008): 1539-1554.
  6. Van de Streek MD., et al. “The effect of a forearm/hand splint compared with an elbow band as a treatment for lateral epicondylitis”. Prosthetics and Orthotics International 28 (2004): 183-189.
  7. Smidt N and van der Windt DA. “Tennis elbow in primary care”. BMJ 7575 (2006): 927-928.
  8. Smidt N., et al. “Corticosteroid injection, physiotherapy, or wait and see policy for lateral epicondylitis: a randomized controlled trial”. The Lancet9307 (2002): 657-662.
  9. Jafarian FS., et al. “The immediate effect of orthotic management on grip strength of patients with lateral epicondylosis”. Journal of Orthopaedic and Sports Physical Therapy 6 (2009): 484-489.
  10. Van Elk N., et al. “The application of an external wrist extension force reduces electromyographic activity of wrist extensor muscles during gripping”. Journal of Orthopaedic and Sports Physical Therapy5 (2004): 228-234.
  11. Faes M., et al. “Dynamic extensor brace for lateral epicondylitis”. Clinical Orthopaedics and Related Research 442 (2006): 149-157.
  12. Mary C Burns and Michael W Neumeister. “Orthoses for overuse disorders of the upper limb”. (2008): 287-296.
  13. Cannon NM., et al. Rehabilitation center of Indiana: diagnosis and treatment manual for physicians and therapists, ed 4, Indianapolis, IN, The Hand Rehabilitation Center of Indiana (2001).
  14. Jeffery A Dlabach., et al. “Lateral and medial epicondylitis in the overhead athlete”. Operative techniques in Orthopedics 11 (2011): 46-54.
  15. Juul-Kristensen B., et al. “Poorer elbow proprioception in patients with lateral epicondylitis than in healthy controls: A Cross-sectional study”. Journal of Shoulder and Elbow Surgery 17 (2008): 72s-81s.
  16. Simon B. “Elbow and arm pain”. In: Clinical Sports Medicine, Brukner P and Khan K (Eds.), 3rd. McGraw-Hil professional, Sydney (2006): 289-307.
  17. Struijs PA., et al. “Conservative treatment of lateral apicondylitis brace versus physical therapy or combination of both- A randomized clinical trial”. Journal of Sports Medicine2 (2004): 462-470.
  18. Wuori J., et al. “Strength and pain measures associated with lateral epicondylitis bracing”. Archives of Physical Medicine and Rehabilitation 79 (1998): 832-837.
  19. Kolber M and Cleland J. “Strength test using hand held dynamometery”. Physical Therapy Reviews 10 (2005): 99-112.
  20. Bijur P., et al. “Reliability of the visual analog scale for measurement of acute pain”. Academic Emergency Medicine 12 (2009): 1153-1157.
  21. Meyer NJ., et al. “The effect of the forearm support band on forces at the origin of the extensor carpi radialis brevis: a cadaveric study and review of literature”. Journal of Hand Therapy 15 (2002): 179-184.
  22. Fedorczyk JM. “Therapists management of elbow tendonitis”. In Hunter, Mackin, Callahan, editors: Rehabilitation of the hand and upper extremity 2.5 (2002).
  23. Wang C-J and Chen H-S. “Shock wave therapy for patient with lateral epicondylitis”. American Journal of Sports Medicine3 (2002): 265-270.
  24. Pienimaki T., et al. “Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylitis”. Physiotherapy9 (1996): 522-530.
  25. Radpsand M. “Combination of manipulation, exercise and physical therapy for treatment of lateral epicondylitis”. 32.2 (2009): 166-172.
  26. Davidson J., et al. “The effect of acupuncture versus ultrasound on pain level, grip strength and disability in individuals with lateral epicondylitis: A pilot study”. Physiotherapy 53 (2001): 195-202.
  27. Kochar M and Dogra A. “Research report, effectiveness of a specific physiotherapy regimen on patients with tennis elbow, clinical study”. Physiotherapy 88 (6): 333-341, 2002.
  28. Struijs PA., et al. “Manipulation of the wrist for management of lateral epicondylitis: A Randomized pilot study”. Physical Therapy7 (2003): 608-616.
  29. Mark A and Richard A. “The Effects of Counterforce Bracing on Forearm and Wrist Muscle Function”. JOSPT 2 (1992): 87-91.
  30. Selvier T and Wilson J. “Methods utilized in treating lateral epicondylitis”. Physical Therapy Reviews 5 (2005): 117-124.
  31. Walther M., et al. “Biomechanical evaluation of braces used for the treatment of epicondylitis”. Journal of shoulder and elbow Surgery2 (2002): 265-270.
  32. Takasaki H., et al. “Strain reduction of the extensor carpi radialis brevis tendon proximal origin following the application of a forearm support band”. Journal of Orthopaedic and Sports Physical Therapy 38 (2008): 257-261.
  33. Solveborn SA. “Radial epicondylagia (tennis elbow): treatment with stretching or forearm support band. A prospective study with long-term follow-up including rang of motion measurement”. Scandinavian Journal of Medicine and Science in Sports4 (1997): 229-237.
  34. Wadsworth TC. “Tennis elbow: Conservative, surgical, and manip ulative treatment”. British Medicine 1294 (1989): 621-623.
  35. Kroslak M and Murrell GAC. “Tennis elbow counterforce bracing”. Techniques in Shoulder and Elbow Surgery 8 (2007): 75-79.
  36. Haker and Lundeberg. “Elbow-band, splintage and steroids in lateral epicondylalgia (tennis elbow)”. Pain Clinic 6 (1993): 103-112.
  37. Erturk H., et al. “The efficacy of different treatment regiments that are commonly used in tennis elbow”. Journal of Rheumatology and Medical Rehabilitation 8 (1997): 298-301.
  38. Rosenberg N., et al. “Comparison of two methods for the evaluation of treatment in medial epicondylitis: pain estimation vs grip strength measurements”. Archives of Orthopaedic and Trauma Surgery 6 (2004): 363-365.
  39. Dutton M. “Orthopaedic Examination, Evaluation, and Intervention”. New York, NY: McGraw-Hill (2004).
  40. Caroline W., et al. “The effect of use of a wrist orthosis during functional activities on surface electromyography of the wrist extensors in normal subjects”. Journal of Hand Therapy4 (1997): 283-289.
  41. Altan L and Kanat E. “Conservative treatment of lateral epicondylitis: comparison of two different orthotic devices”. Clinical Rheumatology8 (2008): 1015-1019.
  42. Bhargava AS., et al. “Grip strength measurements at two different wrist extension positions in chronic lateral epicondylitis-comparison of involved vs. uninvolved side in athletes and non athletes: a case-control study”. Sports Medicine, Arthroscopy, Rehabilitation and Technology 2 (2010): 22.
  43. Garg R., et al. “A prospective randomized study comparing a forearm strap brace versus a wrist splint for the treatment of lateral epicondylitis”. Journal of Shoulder and Elbow Surgery 4 (2010): 508-512.
  44. Pienimaki T., et al. “Long- term follow-up of conservatively treated chronic tennis elbow patients. A prospective and retrospective analysis”. Scandinavian Journal of Medicine and Science in Sports3 (1998): 159-166.
  45. Svernlov B., et al. “Non-operative treatment regime including eccentric training for lateral humeral epicondylagia”. Scandinavian Journal of Medicine and Science in Sports 11 (2001): 328-334.
  46. Nilsson P., et al. “A prospective pilot study of a multidisciplinary home training programme for lateral epicondylitis”. Musculoskeletal care1 (2006) 36-50.
  47. Stasinopoulos D., et al. “Comparison of cyriax physiotherapy, A supervised exercise programme and polarized polychromatic non-coherent light (bioptron light) for treatment of lateral epicondylitis”. British Journal of Sports Medicine 41 (2007): 61-62.
  48. Manias P and Stasinopoulos D. “A controlled clinical pilot trial to study the effectiveness of ice as a supplement to the exercise programme for the management of lateral elbow tendinopathy”. British Journal of Sports Medicine 40 (2006): 81-85.
×

Citation

Citation: Hamza M Shaheen., et al. “Forearm Support Band Versus Wrist Splint in Treatment of Lateral Epicondylitis". Acta Scientific Orthopaedics 3.8 (2020): 51-68.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US