Does age and pain free grip strength predict outcome to MWM and exercise for tennis elbow?

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Title Does age and pain free grip strength predict outcome to MWM and exercise for tennis elbow?
Author Bisset, Leanne Margaret; Vicenzino, B.; Smith, D.; Cleland, J.
Publication Title Connecting "science" to Quality of Life
Year Published 2008
Publisher The International Federation of Orthopaedic Manipulative Therapists
Abstract Purpose: The aim of this post hoc analysis of a recently conducted randomised control trial was to develop a preliminary clinical prediction rule (CPR) for identifying patients with tennis elbow (TE) likely to respond to physiotherapy mobilisation with movement and exercise (PT) early within rehabilitation. Relevance: Manual therapists do not have evidence-based means to identify patients who are likely to respond to PT a priori. Participants:64 participants (21 female) with a mean age (SD) of 48.2 (7.4) years and on average (SD) duration of TE of 26.3 (28) weeks received standardised PT. Methods: Potential predictive factors and reference measures were recorded at baseline and three weeks. After three weeks, participants were categorised as having experienced 'success' or 'non-success' with treatment. Factors with univariate relationship (p<0.15) to 'success' were entered into a step-wise logistic regression model. Receiver operator characteristic curves were used to calculate cut-off points for continuous variables. Results: Age<49 years (+LR = 2.6), baseline affected side pain-free grip strength (PFGS)>112N (+LR = 2.3) and baseline unaffected side PFGS>336N (+LR = 2.1) were the final criterion of the CPR. Probability of success rose from 79% to 100% if all three CPR criteria were positive. Conclusions: For the first time, this post hoc analysis has created a Level IV CPR that identifies patients with TE that will respond to PT. Future studies are required to validate the rule and perform impact analysis.
Peer Reviewed No
Published Yes
Publisher URI
Conference name 9th Congress of the International Federation of Orthopaedic Manipulative Therapists (IFOMT)
Location Rotterdam, Netherlands
Date From 2008-06-08
Date To 2008-06-13
Date Accessioned 2008-11-03
Language en_AU
Research Centre Menzies Health Institute Qld; Centre for Musculoskeletal Research
Faculty Griffith Health Faculty
Subject Therapies and Therapeutic Technology
Publication Type Conference Publications (Extract Paper)
Publication Type Code e3

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