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manuelletherapie 2014; 18(01): 38-47
DOI: 10.1055/s-0034-1368805
Originalia
Literaturstudie
Georg Thieme Verlag KG Stuttgart · New York

Effektivität gezielter Kräftigungsübungen der Handgelenkextensoren beim subakuten und chronischen Tennisellenbogen

Systematischer Review mit MetaanalyseEffectiveness of Selective Strengthening Exercise for the Wrist in Subacute and Chronic Tennis ElbowSystematic Review with Meta-Analysis
Markus Dietsche
,
Markus Ernst
1   ZHAW – Zürcher Hochschule für angewandte Wissenschaften, Technikumstr. 71, 8405 Winterthur, Schweiz
› Author Affiliations
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Publication History

Publication Date:
18 February 2014 (online)

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Zusammenfassung

Für die Epicondylopathia radialis humeri (Tennisellenbogen) bestehen zahlreiche konservative Therapiemöglichkeiten. In Interventionsstudien ist die alleinige Wirksamkeit von Kräftigungsübungen aufgrund des parallelen Einsatzes anderer physiotherapeutischer Maßnahmen nicht ersichtlich.

Die vorliegende systematische Übersicht und Metaanalyse stellt die Effektivität von Kräftigungsübungen der Handgelenkextensoren beim Tennisellenbogen für die Outcomes Schmerz, Kraft, Aktivitätseinschränkung und allgemeine Verbesserung dar. Insgesamt erwiesen sich Kräftigungsübungen als gleich wirksam wie Vergleichsinterventionen. Aufgrund der begrenzten Anzahl qualitativ hochwertiger randomisierter Studien sind die Resultate jedoch vorsichtig zu interpretieren.

Abstract

There are several conservative treatment modalities for lateral epicondylopathy (tennis elbow). The effectiveness of strengthening exercises alone is not evident in intervention studies, due to the usage of other physiotherapeutic interventions in these studies.

This systematic review and meta-analysis portrays the effectiveness of wrist extensor strengthening exercise in tennis elbow for the outcome measures pain, strength, reduced activity and general improvement. In summary, strengthening exercise proved to be just as effective as equivalent interventions. However, due to the small amount of high quality randomised studies, these results must be interpreted carefully.

Schlüsselwörter

Wirksamkeit - Kräftigungsübungen - Tennisellenbogen - systematischer Review - Metaanalyse

Keywords

effectiveness - strengthening exercise - tennis elbow - systematic review - meta-analysis
 

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