Effects of a Conventional Treatment Plus Scapular Exercises Program in Patients With Chronic Lateral Elbow Tendinopathy: A Pre−Post Single-Group Study

Author:

Gutiérrez-Espinoza Héctor1,Estrella-Flores Evelin1,Cuyul-Vásquez Iván2,Jorquera-Aguilera Rene3,Francisco López-Gil José4,Araya-Quintanilla Felipe5

Affiliation:

1. Escuela de Fisioterapia, Universidad de las Americas, Quito, Ecuador

2. Faculty of Health, Therapeutic Process Department, Temuco Catholic University, Temuco, Chile

3. Orthopedic Surgeon, Clinica Indisa, Santiago, Chile

4. One Health Research Group, Universidad de las Americas, Quito, Ecuador

5. Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile

Abstract

Background: Weakness of the shoulder girdle muscles has been reported in patients with chronic lateral elbow tendinopathy. The aim of this study was to assess the short- and long-term effects of a conventional treatment plus scapular exercises program in patients with chronic lateral elbow tendinopathy. Methods: A single-group prestudy and poststudy were conducted. The primary outcome was the Patient-Rated Tennis Elbow Evaluation questionnaire score. Secondary outcomes were grip strength; Disabilities of the Arm, Shoulder, and Hand questionnaire score; Visual Analogue Scale score at rest and at grip, and presence of scapular dyskinesis. Results: A total of 65 patients (72.3% females), with a mean age of 41.8 years, were analyzed. At the end of 6 weeks, the results showed clinically and statistically significant differences (P < .05). At 1-year follow-up, the differences were: Patient-Rated Tennis Elbow Evaluation −31 points (P < .001); grip strength +33.6% (P < .001); Disabilities of the Arm, Shoulder, and Hand −34.2 points (P < .001); Visual Analogue Scale at rest −2.5 cm (P < .001); and Visual Analogue Scale at grip −2.3 cm (P < .001). Conclusion: At the end of 6 weeks and at 1-year follow-up, conventional treatment plus scapular exercises program showed statistically and clinically significant differences in all functional outcomes assessed in patients with lateral elbow tendinopathy.

Publisher

Human Kinetics

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