Joint Manipulation in the Management of Lateral Epicondylalgia: A Clinical Commentary

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Title Joint Manipulation in the Management of Lateral Epicondylalgia: A Clinical Commentary
Author Vicenzino, Bill; Bisset, Leanne Margaret; Cleland, Joshua A.
Journal Name The Journal of Manual & Manipulative Therapy
Editor Peter A. Huijbregts
Year Published 2007
Place of publication Oregon
Publisher Journal of Manual & Manipulative Therapy
Abstract Lateral epicondylalgia or tennis elbow is a prevalent musculoskeletal disorder that is characterized by lateral elbow pain often associated with gripping tasks. The underlying pathology remains to be fully elucidated; however, evidence indicates that the disorder does not involve an inflammatory process but rather impairments of the pain and motor systems as well as morphological changes in the structure of both the extensor carpi radialis brevis muscle and tendon. Although the most efficient management approach remains controversial, there is a growing body of literature reporting the effects and underlying mechanisms of joint manipulation in the management of lateral epicondylalgia. Evidence exists demonstrating that joint manipulation directed at the elbow and wrist as well as at the cervical and thoracic spinal regions results in clinical alterations in pain and the motor system. In addition to presenting this evidence, this paper describes proposed underlying physiological mechanisms of joint manipulation associated with the observed clinical effects. We propose that this information will be useful for the physical therapist in making clinical decisions regarding the selection of treatment technique for the management of patients with lateral epicondylalgia.
Peer Reviewed Yes
Published Yes
Publisher URI http://www.jmmtonline.com/
Volume 15
Issue Number 1
Page from 50
Page to 56
ISSN 1066-9817
Date Accessioned 2007-03-06
Date Available 2009-01-12T06:23:14Z
Language en_AU
Research Centre Griffith Health Institute
Faculty Griffith Health Faculty
Subject Therapies and Therapeutic Technology
URI http://hdl.handle.net/10072/20988
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1x

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