Chronic lateral epicondylitis: comparative effectiveness of a home exercise program including stretching alone versus stretching supplemented with eccentric or concentric strengthening.
Chronic lateral epicondylitis: comparative effectiveness of a home exercise program including stretching alone versus stretching supplemented with eccentric or concentric strengthening.
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DOI：
10.1197/j.jht.2005.07.007
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发表时间：
2005-10-01
期刊：
影响因子：
--
通讯作者：
Arendt, Katherine W
中科院分区：
文献类型：
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作者：
Martinez-Silvestrini, Julio A;Newcomer, Karen L;Arendt, Katherine W
本研究的目的是评估偏心强化的有效性。 94 名患有慢性外上髁炎的受试者（50 名男性）被随机分为三组：拉伸、向心强化拉伸和离心强化拉伸。受试者进行了为期六周的锻炼计划。所有三组都接受了有关冰敷、伸展运动和避免加重活动的指导。强化组分别接受孤立向心和偏心腕伸肌强化训练。六周时，通过无痛握力、患者评定的前臂评估问卷、手臂、肩部和手部残疾问卷、简表 36 和视觉模拟疼痛量表进行评估，所有三组均取得了显着的进步。三组之间的结果测量没有显着差异。尽管各组之间的结果没有显着差异，但离心强化并没有导致受试者病情恶化。需要进一步的研究来评估更强烈或更长的偏心强化计划对外上髁炎患者的独特效果。
The objective of this study was to evaluate the effectiveness of eccentric strengthening. Ninety-four subjects (50 men) with chronic lateral epicondylitis were allocated randomly into three groups: stretching, concentric strengthening with stretching, and eccentric strengthening with stretching. Subjects performed an exercise program for six weeks. All three groups received instruction on icing, stretching, and avoidance of aggravating activities. The strengthening groups received instruction on isolated concentric and eccentric wrist extensor strengthening, respectively. At six weeks, significant gains were made in all three groups as assessed with pain-free grip strength, Patient-rated Forearm Evaluation Questionnaire, Disabilities of the Arm, Shoulder, and Hand questionnaire, Short Form 36, and visual analog pain scale. No significant differences in outcome measures were noted among the three groups. Although there were no significant differences in outcome among the groups, eccentric strengthening did not cause subjects to worsen. Further studies are needed to assess the unique effects of a more intense or longer eccentric strengthening program for patients with lateral epicondylitis.