Bilateral Sensorimotor Abnormalities in Unilateral Lateral Epicondylalgia

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Title Bilateral Sensorimotor Abnormalities in Unilateral Lateral Epicondylalgia
Author Bisset, Leanne Margaret; Russell, Trevor; Bradley, Stephen; Ha, Bernadette; Vicenzino, Bill T.
Journal Name Archives of Physical Medicine and Rehabilitation
Editor Kenneth M. Jaffe
Year Published 2006
Place of publication Philadelphia
Publisher Elsevier
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. Key Words: Hand; Rehabilitation; Tennis elbow; Wrist
Peer Reviewed Yes
Published Yes
Publisher URI
Alternative URI
Volume 87
Issue Number 4
Page from 490
Page to 495
ISSN 0003-9993
Date Accessioned 2006-07-10
Language en_AU
Research Centre Menzies Health Institute Qld; Centre for Musculoskeletal Research
Faculty Griffith Health Faculty
Subject Therapies and Therapeutic Technology
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1x

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