Download PDF
CC BY 4.0 · Journal of Health and Allied Sciences NU 2023; 13(02): 241-246
DOI: 10.1055/s-0042-1753509
Original Article

Effect of TheraBand Flex Bar versus Strengthening Exercise in Patients with Lateral Epicondylitis

Biva Rani Kalai
1   Department of Physiotherapy, Krupanidhi College of Physiotherapy, Bengaluru, Karnataka, India
,
Sudhakar Subramanian
1   Department of Physiotherapy, Krupanidhi College of Physiotherapy, Bengaluru, Karnataka, India
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Background Lateral epicondylitis (LE) is an exertion or sporting-connected aching condition of the extensor muscles of the forearm. The core warning signs are pain and soreness of the outside on the elbow and grip strength weakness. The investigation aims to differentiate the effect of TheraBand flex bar versus strengthening exercise on pain, grip strength, range of motion, and functional status.

Objectives To find the effects of TheraBand flex bar, strengthening exercise, and compare the effects of Thera band flex bar versus strengthening exercise on the elbow pain, handgrip strength, elbow and wrist range of motion, and functional disability status in lateral epicondylitis.

Design Quasi-experimental study.

Methods Thirty (30) patients with lateral epicondylitis were enrolled, both male and female, randomly assigned to control or 6-week training groups. They were subdivided into two groups. Subjects were pre-tested and post-tested using a hand-held dynamometer, the VAS, PRTEE Questionnaire Functional status, and goniometer.

Results The results showed a statistically significant difference between pre and post-treatment in the study batch. The results show that Batch-1 and Batch-2 were significantly improved with p-values of 0.000, 0.004, 0.000, 0.001, 0.001, 0.004 at p < 0.05.

Conclusion In this study, the TheraBand flex bar and the strengthening exercise for lateral epicondylitis effectively reduced pain, enlarged the functional status, and improved the range of function within 30 subjects with lateral epicondylitis. The study concluded that TheraBand flex bar in Batch-1 and strengthening exercise in Batch-2 significantly improved VAS, PRTEE, handgrip strength, and ROM. The study's outcome suggests that TheraBand flex bar and strengthening exercise of extensors muscles of the wrist can be productive for the treatment among lateral epicondylitis (LE) sufferers.

Keywords

lateral epicondylitis - pain - Theraband flex bar - strengthening exercise - grip strength - phonophoresis - range of motion - dumbbell


Publication History

Article published online:
04 August 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Lee JH, Kim TH, Lim KB. Effects of eccentric control exercise for wrist extensor and shoulder stabilization exercise on the pain and functions of tennis elbow. J Phys Ther Sci 2018; 30 (04) 590-594
    CrossrefPubMedSearch in Google Scholar
  • 2 Pienimäki TT, Tarvainen TK, Siira PT, Vanharanta H. Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylitis. Physiotherapy 1996; 82 (09) 522-530
    CrossrefSearch in Google Scholar
  • 3 Upadhyay S, Shukla Y, Patel KK. Effects of progressive strengthening exercise in chronic lateral epicondylitis. International Journal of Health Sciences & Research 2017; 7 (04) 244-257
    Search in Google Scholar
  • 4 Vasseljen O. Low-level laser versus traditional physiotherapy in the treatment of tennis elbow. Physiotherapy 1992; 78 (05) 329-334
    CrossrefSearch in Google Scholar
  • 5 Stasinopoulos D. The effectiveness of isometric contractions combined with eccentric contractions and stretching exercises on pain and disability in lateral elbow tendinopathy. A case report. J Nov Physiother 2015; 5 (238): 2
    Search in Google Scholar
  • 6 Kraushaar BS, Nirschl RP. Tendinosis of the elbow (tennis elbow). Clinical features and findings of histological, immunohistochemical, and electron microscopy studies. J Bone Joint Surg Am 1999; 81 (02) 259-278
    CrossrefPubMedSearch in Google Scholar
  • 7 Nizar Abdul M. Effects of therapeutic Exercise on pain and grip strength in persons with lateral epicondylitis: a randomized controlled trial. J Nursing Health Sci 2016; 5 (04) 66-71
    Search in Google Scholar
  • 8 Stasinopoulos D, Stasinopoulou K, Johnson MI. An exercise programme for the management of lateral elbow tendinopathy. Br J Sports Med 2005; 39 (12) 944-947
    CrossrefPubMedSearch in Google Scholar
  • 9 Page P. A new exercise for tennis elbow that works!. N Am J Sports Phys Ther 2010; 5 (03) 189-193
    PubMedSearch in Google Scholar
  • 10 Haker E. Lateral epicondylalgia: diagnosis, treatment and evaluation. Crit Rev Phys Rehabil Med 1993; 5: 129-154
    Search in Google Scholar
  • 11 Faro F, Wolf JM. Lateral epicondylitis: review and current concepts. The Journal of hand surgery. 2007; 32 (08) 1271-19
    CrossrefPubMedSearch in Google Scholar
  • 12 Flatt AE. Tennis elbow. Proceedings (Baylor University. Medical Center) 2008; 21 (04) 400-402
    CrossrefPubMedSearch in Google Scholar
  • 13 Maureen Salter, Lynn Chesire. Hand Therapy Principles and Practice, 1st ed,. Butterworth-Heinemann publishers; Oxford: 2000. 40. 53
    Search in Google Scholar
  • 14 Bohannon RW. Intertester reliability of hand-held dynamometry: a concise summary of published research. Percept Mot Skills 1999; 88 (3 Pt 1): 899-902
    CrossrefPubMedSearch in Google Scholar
  • 15 Geoffroy P, Yaffe MJ, Rohan I. Diagnosing and treating lateral epicondylitis. Can Fam Physician 1994; 40 (40) 73-78
    PubMedSearch in Google Scholar
  • 16 Baktir S, Ozdincler AR, Mutlu EK, Bilsel K. The short-term effectiveness of low level laser, phonophoresis, and iontophoresis in patients with lateral epicondylosis. J Hand Ther 2019; 32 (04) 417-425
    CrossrefPubMedSearch in Google Scholar
  • 17 Tyler TF, Thomas GC, Nicholas SJ, McHugh MP. Addition of isolated wrist extensor eccentric exercise to standard treatment for chronic lateral epicondylosis: a prospective randomized trial. J Shoulder Elbow Surg 2010; 19 (06) 917-922
    CrossrefPubMedSearch in Google Scholar
  • 18 Croisier JL, Foidart-Dessalle M, Tinant F, Crielaard JM, Forthomme B. An isokinetic eccentric programme for the management of chronic lateral epicondylar tendinopathy. Br J Sports Med 2007; 41 (04) 269-275
    CrossrefPubMedSearch in Google Scholar
  • 19 Viswas R, Ramachandran R, Korde Anantkumar P. Comparison of effectiveness of supervised exercise program and Cyriax physiotherapy in patients with tennis elbow (lateral epicondylitis): a randomized clinical trial. The scientific world journal. 2012; 2012
    PubMedSearch in Google Scholar
  • 20 Başkurt F, Özcan A, Algun C. Comparison of effects of phonophoresis and iontophoresis of naproxen in the treatment of lateral epicondylitis. Clin Rehabil 2003; 17 (01) 96-100
    CrossrefPubMedSearch in Google Scholar
  • 21 MacDermid JC. The Patient-Rated Tennis Elbow Evaluation (PRTEE) User Manual. Hamilton, Canada: School of Rehabilitation Science,. McMaster University. 2007
    PubMedSearch in Google Scholar