Physiotherapy techniques used in injury treatment: A systematic review of tennis elbow

Claudio Lopes Simplicio, Joseph Purita, William Murrell, Gabriel Silva Santos, Rafael Gonzales dos Santos, José Fábio Santos Duarte Lana

Abstract


Background and Study Aim. This review provides a comprehensive analysis of the physiotherapy methods used to treat tennis elbow, emphasizing the importance of understanding its pathophysiology and etiology to inform effective treatment strategies.

Material and Methods. This review explores a range of physiotherapy interventions, including manual therapies that alleviate pain and improve joint function. Techniques such as joint mobilization, soft tissue massage, and myofascial release are highlighted. Additionally, exercise rehabilitation plays a key role, with individualized exercise programs designed to strengthen weakened muscles and improve elbow biomechanics. The study utilized the Harzing Publish or Perish application for its literature search, sourcing relevant studies from Google Scholar and PubMed using keywords like "Cyriax," "myofascial release," "tendinitis," "trigger points," "tennis elbow," and "degeneration." Boolean operators "WITH," "AND," and "OR" were employed to refine the search results..

Results. Various physiotherapy approaches, including manual therapy, the Cyriax method, deep friction massage, Mill manipulation, myofascial release techniques, laser therapy, pulse shortwave diathermy, and ultrasound, have demonstrated positive outcomes in reducing pain, enhancing function, and promoting tissue repair.

Conclusion. In conclusion, this review emphasizes the critical role physiotherapy plays in the effective management of tennis elbow. By compiling the latest research and best practices, it offers valuable insights for practitioners seeking to improve patient outcomes for this prevalent and disabling condition.


Keywords


Lateral Epicondylitis; Exercise; Physiotherapy; Elbow Pain; Tennis Elbow.

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Ahmad, Z., Siddiqui, N., Malik, S. S., Abdus-Samee, M., Tytherleigh-Strong, G., & Rushton, N. (2013). Lateral epicondylitis: A review of pathology and management. In Bone and Joint Journal. https://doi.org/10.1302/0301-620X.95B9.29285

Ajimsha, M. S., Chithra, S., & Thulasyammal, R. P. (2012). Effectiveness of myofascial release in the management of lateral epicondylitis in computer professionals. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2011.10.012

Behrens, S. B., Deren, M. E., Matson, A. P., Bruce, B., & Green, A. (2012). A review of modern management of lateral epicondylitis. Physician and Sportsmedicine. https://doi.org/10.3810/psm.2012.05.1963

Brosseau, L., Casimiro, L., Milne, S., Welch, V., Shea, B., Tugwell, P., & Wells, G. A. (2014). Deep transverse friction massage for treating lateral elbow or lateral knee tendinitis. Cochrane Database of Systematic Reviews.

Chang, W. D., Wu, J. H., Yang, W. J., & Jiang, J. A. (2010). Therapeutic effects of low-level laser on lateral epicondylitis from differential interventions of chinese-western medicine: Systematic review. Photomedicine and Laser Surgery. https://doi.org/10.1089/pho.2009.2558

Cotler, H. B., Chow, R. T., Hamblin, M. R., & Carroll, J. (2015). The Use of Low Level Laser Therapy (LLLT) For Musculoskeletal Pain. MOJ Orthopedics & Rheumatology, 2(5). https://doi.org/10.15406/mojor.2015.02.00068

Duncan, J., Duncan, R., Bansal, S., Davenport, D., & Hacker, A. (2019). Lateral epicondylitis: The condition and current management strategies. In British Journal of Hospital Medicine. https://doi.org/10.12968/hmed.2019.80.11.647

Elmeligie, M. M., Gbreel, M. I., Yehia, R. M., & Hanafy, A. F. (2023). Clinical Efficacy of High-Intensity Laser Therapy on Lateral Epicondylitis Patients: A Systematic Review and Meta-analysis. American Journal of Physical Medicine and Rehabilitation, 102(1), 64–70. https://doi.org/10.1097/PHM.0000000000002039

Herd, C. R., & Meserve, B. B. (2008). A systematic review of the effectiveness of manipulative therapy in treating lateral epicondylalgia. Journal of Manual and Manipulative Therapy. https://doi.org/10.1179/106698108790818288

Hill, C. E., Heales, L. J., Stanton, R., & Kean, C. O. (2023). Pain-free grip strength in individuals with lateral elbow tendinopathy: Between- and within-session reliability of one versus three trials. Physiotherapy Theory and Practice, 39(5), 1007–1015. https://doi.org/10.1080/09593985.2022.2030445

Landesa-Piñeiro, L., & Leirós-Rodríguez, R. (2022). Physiotherapy treatment of lateral epicondylitis: A systematic review. In Journal of Back and Musculoskeletal Rehabilitation. https://doi.org/10.3233/BMR-210053

LaPelusa, A., & Bordoni, B. (2022). High Velocity Low Amplitude Manipulation Techniques. In StatPearls.

Lin, M. T., Chou, L. W., Chen, H. S., & Kao, M. J. (2012). Percutaneous soft tissue release for treating chronic recurrent myofascial pain associated with lateral epicondylitis: 6 case studies. Evidence-Based Complementary and Alternative Medicine. https://doi.org/10.1155/2012/142941

Liza, Bafirman, Masrun, Arief, I., Ishak, M., Khodari, R., Suganda, M. A., Suryadi, D., & Alimuddin. (2023). Does Combining Deep Tissue Massage and Stretching Help with the Healing of Low Back Pain Injuries? International Journal of Human Movement and Sports Sciences, 11(5), 994–1001. https://doi.org/10.13189/saj.2023.110507

Liza, Bafirman, Masrun, Samodra, Y. T. J., Suganda, M. A., Rifki, M. S., Suryadi, D., Okilanda, A., Purwanto, D. D., & Haïdara, Y. (2024). Can the combination of deep tissue massage and stretching influence the recovery process of lower back pain injuries? SPORT TK-Revista EuroAmericana de Ciencias Del Deporte, 13(SE-), 33. https://doi.org/10.6018/sportk.570621

Liza, Bafirman, Masrun, Suganda, M. A., Rubiyatno, Suryadi, D., Rifki, M. S., Purwanto, D. D., Ramli, Haïdara, Y., Samodra, Y. T. J., Hasan, B., & Fallo, I. S. (2024). Combination of deep tissue massage and stretching: Does it affect the healing of low back pain injuries? Fizjoterapia Polska, 24(2), 70–76. https://doi.org/10.56984/8ZG5608CA7

Lundeberg, T. C., Abrahamsson, P., Haker, E. H., Ho, C., Stefanou, A., Marshall, N., Holdan, W., Siddiqui, A., Keijsers, R., Kuijer, P. P. F. M., Koenraadt, K. L. M., van den Bekerom, M. P. J., Gerritsma-Bleeker, C. L. E., Beumer, A., Frings-Dresen, M. H. W., Eygendaal, D., Vicenzino, B., Brooksbank, J., Minto, J., … Burton, A. K. (2018). Trial of Physiotherapy and Corticosteroid Injections in Lateral Epicondylalgia. BMC Musculoskeletal Disorders.

Mahesvi, H., Sukarmin, Y., Suhartini, B., & Graha, A. S. (2023). Effectiveness of massage therapy injury sports methods ali satia graha: experimental study against chronic ankle. Tanjungpura Journal of Coaching Research, 1(2), 56–62. https://doi.org/10.26418/tajor.v1i2.65216

Meltzer, K. R., Cao, T. V., Schad, J. F., King, H., Stoll, S. T., & Standley, P. R. (2010). In vitro modeling of repetitive motion injury and myofascial release. Journal of Bodywork and Movement Therapies. https://doi.org/10.1016/j.jbmt.2010.01.002

Mohamed Shaffril, H. A., Samah, A. A., Samsuddin, S. F., & Ali, Z. (2019). Mirror-mirror on the wall, what climate change adaptation strategies are practiced by the Asian’s fishermen of all? In Journal of Cleaner Production (pp. 232, 104–117). https://doi.org/10.1016/j.jclepro.2019.05.262

Nagore, A., Samal, S., & Kolhe, P. D. (2024). Effectiveness of the Cyriax Technique With Conventional Therapy in the Management of Lateral Epicondylitis: A Case Report. Cureus, 16(6), e61813. https://doi.org/10.7759/cureus.61813

Nasir, M. F., Jawed, R., Baig, N. N., Younus, M., Arshad, A., & Tahir, A. (2021). A study to observe the effects of physiotherapy with and without manual therapy in the management postural neck pain: A randomized control trial. JPMA. The Journal of the Pakistan Medical Association. https://doi.org/10.47391/JPMA.186

Pathan, A. F., & Sharath, H. V. (2023). A Review of Physiotherapy Techniques Used in the Treatment of Tennis Elbow. Cureus, 15(10), e47706. https://doi.org/10.7759/cureus.47706

Pitsillides, A., & Stasinopoulos, D. (2019). Cyriax friction massage—suggestions for improvements. Medicina (Lithuania), 55(185). https://doi.org/10.3390/medicina55050185

Rathod, A., Jaiswal, P., Bajaj, P., Kale, B., & Masurkar, D. (2022). Implementation of Low-Level Laser Therapy in Dentistry: A Review. Cureus, 14(9), e28799. https://doi.org/10.7759/cureus.28799

Smallcomb, M., Khandare, S., Vidt, M. E., & Simon, J. C. (2022). Therapeutic Ultrasound and Shockwave Therapy for Tendinopathy: A Narrative Review. American Journal of Physical Medicine and Rehabilitation, 10(8), 801–807. https://doi.org/10.1097/PHM.0000000000001894

Speers, C. J. B., Bhogal, G. S., & Collins, R. (2018). Lateral elbow tendinosis: A review of diagnosis and management in general practice. British Journal of General Practice, 68(676), 548–549. https://doi.org/10.3399/bjgp18X699725

Stasinopoulos, D., & Johnson, M. I. (2004). Cyriax physiotherapy for tennis elbow/lateral epicondylitis. In British Journal of Sports Medicine. https://doi.org/10.1136/bjsm.2004.013573

Stratford, P., Levy, D. R., & Gauldie, S. (1987). Extensor carpi radialis tendonitis: A validation of selected outcome measures. Physiotherapy Canada, 39, 250–255.

Sturion, L. A., Nowotny, A. H., Barillec, F., Barette, G., Santos, G. K., Teixeira, F. A., Fernandes, K. P., & da Silva, R. (2020). Comparison between high-velocity low-amplitude manipulation and muscle energy technique on pain and trunk neuromuscular postural control in male workers with chronic low back pain: A randomised crossover trial. South African Journal of Physiotherapy. https://doi.org/10.4102/sajp.v76i1.1420

Vaquero-Picado, A., Barco, R., & Antuña, S. A. (2016). Lateral epicondylitis of the elbow. EFORT Open Reviews. https://doi.org/10.1302/2058-5241.1.000049

Viswas, R., Ramachandran, R., & Korde Anantkumar, P. (2012). Comparison of effectiveness of supervised exercise program and cyriax physiotherapy in patients with tennis elbow (lateral epicondylitis): A randomized clinical trial. The Scientific World Journal, 939645. https://doi.org/10.1100/2012/939645




DOI: https://doi.org/10.26418/tajor.v2i3.86823

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Copyright (c) 2024 Claudio Lopes Simplicio, Joseph Purita, William Murrell, Gabriel Silva Santos, Rafael Gonzales dos Santos, José Fábio Santos Duarte Lana

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