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Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review
Frances L Cullinane1, Mark G Boocock, Fiona C Trevelyan
1AUT University, Auckland, New Zealand.
Clinical Rehabilitation
|July 25, 2013
Summary
Eccentric exercise, when part of a broader treatment plan, effectively reduces pain and improves function for lateral epicondylitis. This approach enhances grip strength and overall outcomes for patients with this condition.
Area of Science:
- Orthopedics
- Sports Medicine
- Rehabilitation Science
Background:
- Lateral epicondylitis, commonly known as tennis elbow, is a prevalent musculoskeletal condition.
- Current treatment strategies vary, with a need to establish effective interventions.
Purpose of the Study:
- To systematically review the evidence on the effectiveness of eccentric exercise for treating lateral epicondylitis.
- To determine if eccentric exercise, alone or as part of multimodal therapy, improves pain, function, and grip strength.
Main Methods:
- A systematic review of randomized and controlled clinical trials was conducted.
- Studies were included if they used eccentric exercise, assessed functional outcomes, and involved patients with diagnosed lateral epicondylitis.
- Methodological quality was assessed using the Modified Cochrane Musculoskeletal Injuries Group score sheet.
Main Results:
- Twelve studies met inclusion criteria; eight were randomized trials with 334 subjects.
- All treatment groups including eccentric exercise showed decreased pain and improved function and grip strength from baseline.
- Seven studies indicated superior outcomes for therapies incorporating eccentric exercise compared to those without.
Conclusions:
- The evidence supports the integration of eccentric exercise into multimodal therapy programs for lateral epicondylitis.
- Eccentric exercise appears to be a beneficial component for enhancing patient outcomes.
