- •Novel approach, a regional interdependence model, to reduce symptoms of upper extremity musculoskeletal overuse in populations at risk by addressing a broader systematic approach versus a localized symptom driven approach for the assessment and treatment of lateral elbow pain.
- •“Think in nerve length and layers”- accounts for nerve tension and muscle balance in the entire extremity.
- •Application of the “Think in nerve length and layers” model for assessment and treatment of SRSN irritation in individuals with lateral elbow pain and proposal of a method for treatment and for further studies.
- •The proposed treatment approach combines mobilization with movement, elastic taping, and isometric exercises to address impairment at each level: joint alignment, neural tension, and the superficial sensory nervous system.
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JHT Read for Credit
Quiz: # 759
- # 1.The authors are justifiably
- a.advocating EMG NCV testing for most patients with lateral elbow pain
- b.promoting the Mayo Clinic System of addressing lateral elbow pain
- c.enthusiastic about the standard techniques of managing lateral elbow pain
- d.skeptical of the standard techniques of managing lateral elbow pain
- # 2.The SRSN is especially vulnerable because it
- a.courses through the cubital tunnel
- b.lies deep to the extensor wad
- c.sits in close proximity to the radial head
- d.has a low threshold for overload
- # 3.Their proposed intervention includes
- a.isometric exercise
- b.elastic taping
- c.mobilization with movement
- d.all of the above
- # 4.The proposed method was implemented
- a.in a case series
- b.on a limited cohort
- c.in RCTs
- d.for 3 years with 50 patient subjects
- # 5.The recommended program is based on thinking in layers and length
- a.not true
Conflict of interest: All named authors hereby declare that they have no conflicts of interest to disclose.
Research Institution: Hospital for Special Surgery.