Symptoms of lateral epicondylitis (LE) are attributed to degenerative changes and inflammatory reactions in the common extensor tendon induced by microscopic tear in the tissue after repetitive or overload functions of the wrist and hand extensor muscles. Conventional treatments, provided on the premise of inflammatory basis of LE, have shown 39–80% failure rate. An alternative approach suggests that symptoms of LE could be due to active tender points that develop in the origin of hand and wrist extensor muscles after overuse or repetitive movements. Oscillating energy manual therapy (OEMT), also known as V-spread, is a craniosacral manual technique that has been clinically used for treating tender points over the suture lines in the skull. Considering that symptoms of LE may result from active tender points, the purpose of this study was to investigate the effect of localized tender point treatments with OEMT on pain, grip strength, and functional abilities of subjects with chronic LE.
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Short Description: This randomized placebo-controlled study provides evidence for use of an effective and efficient alternative treatment, oscillating energy manual therapy, for lateral epicondylitis. The results of this study show clinical and statistical significant improvement in grip strength, pain intensity, functional activity, and arm use after treatment compared with a placebo group. This abstract has been presented as a poster at the CSM-2006 in San Diego.
© 2006 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.