The effect of cryotherapy and exercise on lateral epicondylitis: a controlled randomised study.

Aims: The purposes of this randomised clinical trial were to determine the effect that exercise, cryotherapy, and exercise with cryotherapy have on treating lateral epicondylitis. The therapeutic efficacy of a newly designed controlled release cold pack was also investigated. Methods: Grip strength...

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Publicado en:International Journal of Therapy & Rehabilitation Vol. 19; no. 11; pp. 641 - 651
Autores principales: Agostinucci, James, Mclinden, John, Cherry, Elizabeth
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Mark Allen Holdings Limited Nov2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2012
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      pub: Mark Allen Holdings Limited
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        atl: The effect of cryotherapy and exercise on lateral epicondylitis: a controlled randomised study.
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        au:
          Agostinucci, James
          Mclinden, John
          Cherry, Elizabeth
        affil: Associate professor, Physical Therapy Department, University of Rhode Island, US
      sug:
        subj:
          Tennis Elbow Therapy
          Therapeutic Exercise
          Cryotherapy
          Combined Modality Therapy
          Pain Measurement
          Disability Evaluation
          Grip Strength
          Cryotherapy Equipment and Supplies
          Equipment Design
          Visual Analog Scaling
          Scales
          Treatment Outcomes
          Dynamometry
          Patient Satisfaction
          Diaries
          Clinical Assessment Tools
          Questionnaires
          Randomized Controlled Trials
          Analysis of Covariance
          Physical Examination
          Human
          Funding Source
      ab: Aims: The purposes of this randomised clinical trial were to determine the effect that exercise, cryotherapy, and exercise with cryotherapy have on treating lateral epicondylitis. The therapeutic efficacy of a newly designed controlled release cold pack was also investigated. Methods: Grip strength and pain were measured, and the Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH) was given before and after a home programme consisting of either exercise only, exercise with a conventional cold pack, exercise with a Cryo-MAX®, and Cryo-MAX® without exercise. Cryo-Max® is the commercial name given to the cold pack that remains consistently cold for an extended time. Findings: ANCOVA showed significant improvements between pre and post-treatment values for DASH, pain level, and grip strength for all subject groups receiving treatment. No treatment group was superior to the other, indicating that exercise and cryotherapy alone was as effective as the combination of exercise and cryotherapy. In addition, the type of cold pack used (conventional or Cryo-Max®) also showed no significant difference. Conclusions: Exercise and cryotherapy used in isolation or in combination reduces the symptoms of lateral epicondylitis. Cryo-MAX® was preferred over conventional cold packs but it did not have any additional therapeutic benefit.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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