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ANALYSIS OF RANGE OF MOTION IN FEMALE RECREATIONAL TENNIS PLAYERS WITH AND WITHOUT LATERAL ELBOW TENDINOPATHY
Ann M Lucado1, R Barry Dale2, Morey J Kolber3
1Mercer University, Atlanta, GA, USA.
International Journal of Sports Physical Therapy
|December 23, 2020
Summary
Tennis players with lateral elbow tendinopathy show altered upper extremity (UE) joint motion, specifically reduced shoulder internal rotation and wrist flexion. Greater elbow flexion and forearm pronation were also observed in symptomatic players.
Area of Science:
- Biomechanics
- Sports Medicine
- Orthopedics
Background:
- Altered upper extremity (UE) joint motion can lead to biomechanical changes in tennis players, potentially causing lateral elbow tendinopathy (LET).
- Understanding these intrinsic factors is crucial for injury prevention and management in athletes.
Purpose of the Study:
- To compare passive upper extremity (UE) motion and elbow carrying angle in three groups of women.
- Groups included recreational tennis players with LET, non-symptomatic recreational tennis players, and a control group of non-tennis players.
Main Methods:
- A cross-sectional study involving 63 women divided into three groups: symptomatic tennis players (STP), non-symptomatic tennis players (NSTP), and controls.
- Measurements included elbow carrying angle and passive range of motion for the shoulder, elbow, forearm, and wrist.
Main Results:
- Significant differences were found in wrist flexion, forearm pronation, elbow flexion, and shoulder internal rotation between groups.
- Symptomatic tennis players (STP) exhibited greater elbow flexion and forearm pronation compared to both non-symptomatic tennis players (NSTP) and controls.
- Both STP and NSTP groups showed less shoulder internal rotation and wrist flexion than the control group.
Conclusions:
- Symptomatic tennis players present with specific impairments in UE passive motion, including reduced shoulder internal rotation and wrist flexion, and increased elbow/forearm motion.
- Pre-rehabilitation assessment of passive motion and muscle length is recommended for symptomatic tennis players to guide treatment plans.

