A new integrative model of lateral epicondylalgia

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Title A new integrative model of lateral epicondylalgia
Author Coombes, B K; Bisset, Leanne Margaret; Vicenzino, B
Journal Name British Journal of Sports Medicine
Year Published 2009
Place of publication United Kingdom
Publisher BMJ Group
Abstract Tennis elbow or lateral epicondylalgia is a diagnosis familiar to many within the general community and presents with an uncomplicated clinical picture in most cases. However, the underlying pathophysiology presents a more complex state and its management has not been conclusively determined. Research on this topic extends across anatomical, biomechanical and clinical literature; however, integration of findings is lacking. We propose that the current understanding of the underlying pathophysiology of lateral epicondylalgia can be conceptualised as encompassing three interrelated components: (i) the local tendon pathology, (ii) changes in the pain system, and (iii) motor system impairments. This paper presents a model that integrates these components on the basis of a literature review with the express aim of assisting in the targeting of specific treatments or combinations thereof to individual patients.
Peer Reviewed Yes
Published Yes
Publisher URI http://bjsm.bmj.com/contents-by-date.0.dtl
Alternative URI http://dx.doi.org/10.1136/bjsm.2008.052738
Copyright Statement Copyright remains with the authors 2009. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal's website or contact the authors.
Volume 43
Issue Number 4
Page from 252
Page to 258
ISSN 0306-3674
Date Accessioned 2010-03-04
Language en_AU
Research Centre Menzies Health Institute Qld; Centre for Musculoskeletal Research
Faculty Griffith Health Faculty
Subject Medical and Health Sciences
URI http://hdl.handle.net/10072/29748
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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