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Tendon neuroplastic training for lateral elbow tendinopathy: 2 case reports
1Department of Graduate Studies, Canadian Memorial Chiropractic College.
The Journal of the Canadian Chiropractic Association
|October 12, 2018
Summary
Tendon neuroplastic training (TNT) offers a novel approach for lateral elbow tendinopathy. This method, involving metronome-paced exercises, showed sustained pain relief and functional improvement in two case studies.
Area of Science:
- Orthopedics
- Neurology
- Rehabilitation Medicine
Background:
- Chronic tendinopathies, including lateral elbow tendinopathy, may involve central nervous system factors.
- Traditional passive therapies may not fully address the neuroplastic component of tendinopathy.
Purpose of the Study:
- To present two cases of lateral elbow tendinopathy treated with a modified tendon neuroplastic training (TNT) protocol.
- To evaluate the efficacy of this novel TNT adaptation for pain and function.
Main Methods:
- Two patients with occupation-related lateral elbow tendinopathy participated in an 8-week rehabilitation program.
- The program incorporated a novel adaptation of TNT, utilizing metronome-paced resistance exercises.
Main Results:
- Both patients demonstrated clinically significant improvements in pain and functional scores.
- These positive outcomes were maintained at a 3-month follow-up assessment.
Conclusions:
- Novel TNT may target the central nervous system aspects of chronic or recurrent lateral elbow tendinopathy.
- This approach could complement traditional therapies by addressing neuroplasticity.
- Further research is warranted to confirm the effectiveness of TNT in larger populations.
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