کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3453225 | 1595808 | 2006 | 6 صفحه PDF | دانلود رایگان |

Bisset LM, Russell T, Bradley S, Ha B, Vicenzino BT. Bilateral sensorimotor abnormalities in unilateral lateral epicondylalgia.ObjectiveTo evaluate impairments in motor function of the upper limb in unilateral lateral epicondylalgia.DesignAssessor-blinded, case-controlled study.SettingUniversity laboratory.ParticipantsForty participants with lateral epicondylalgia and 40 age- and sex-matched controls were recruited from the general community.InterventionsNot applicable.Main Outcome MeasuresWrist posture adopted during a grip test, grip strength force, as well as upper-limb reaction times and speed of movement.ResultsParticipants with unilateral lateral epicondylalgia adopted wrist postures that were on average 11° less extended, bilaterally, than controls (P<.000). This was paralleled by increased upper-limb reaction times and reduced speed of movement (mean differences, 2%−15%) in both affected and unaffected limbs. Pain-free grip strength was reduced on the involved side (mean difference, 170N; 95% confidence interval, 144−195N).ConclusionsMotor deficits may be modifiable through exercise and postural retraining. Although further work is required to evaluate the clinical efficacy of such an approach, health care practitioners have an emerging evidence base on which to base their management of lateral epicondylalgia.
Journal: Archives of Physical Medicine and Rehabilitation - Volume 87, Issue 4, April 2006, Pages 490–495