The purpose of the study was to determine the effectiveness of a custom-made below elbow lateral counterforce splint along with standard physiotherapy compared with physiotherapy alone, for the treatment of lateral epicondylitis. It was hypothesized that the recovery from lateral epicondylitis is greater following four weeks of standard physiotherapy and the use of the splint, than following four weeks of standard physiotherapy alone. The experimental group (with the splint and physiotherapy) demonstrated a significant improvement in pain (p = 0.05) and maximum grip strength (p = 0.025) of the affected arm compared to the control group. The experimental group showed a greater improvement in function approaching but not reaching significance. The results indicate that this custom-made splint is of value in facilitating the recovery from lateral epicondylitis.
BinderA.HodgeG.GreenwoodA.HazlemanB.PageT. D. (1985). Is therapeutic ultrasound effective in treating soft tissue lesions?British Medical Journal. 290, 512–514.
2.
BinderA.ParrG.PageT.HazlemanB. (1983). A clinical and thermographic study of lateral epicondylitis. British Journal of Rheumatology, 22, 77–81.
3.
BurtonK. (1984). Grip strength in tennis elbow. British Journal of Rheumatology, 23, 30.
4.
BurtonA. (1985). Grip strength and forearm straps in tennis elbow. British Journal of Sports Medicine, 19:1, 37–38.
5.
DijsH.MortimerG.DriessensM.RidderA.WillemsJ.De VroeyT. (1990). A retrospective study of the conservative treatment of tennis elbow. Medica Physica, 13, 73–77.
6.
FillionP. (1991). Treatment of lateral epicondylitis. American Journal of Occupational Therapy, 45, 340–343.
7.
FroimsonA (1971). Treatment of tennis elbow with forearm support band. Journal of Bone & Joint Surgery, 1, 183–184.
8.
GroppelJ.NirschlR. (1986). A mechanical and electromyographical analysis of the effects of various joint counterforce braces on the tennis player. American Journal of Sports Medicine, 14, 195–200.
9.
GruchowH.PelletierD. (1979). An epidemiologic study of tennis elbow. American Journal of Sports Medicine, 7, 234–238.
10.
HakerE.LundebergT. (1991). Is low-energy laser treatment effective in lateral epicondylalgia?Journal of Pain and Symptom Management, 6, 241–246.
11.
HanssonK.HorwichL. (1930). Epicondylitis humeri. Journal of American Medical Association, 94, 1557–1561.
12.
IlfeldF.FieldS. (1966). Treatment of tennis elbow. Use of a special brace. Journal of American Medical Association, 195, 111–114.
13.
KamienM. (1988). Tennis elbow in long-time tennis players. Australian Journal of Science & Medicine in Sport, 20, 19–27.
14.
KamienM. (1990), A rational management of tennis elbow. Sports Medicine, 9, 173–191.
15.
KiviP. (1983). The etiology and conservative treatment of humeral epicondylitis. Scandanavian Journal of Rehabilitative Medicine, 15, 37–41.
16.
KiviP. (1984). Rheumatic disorders of the upper limbs associated with repetitive occupational tasks in Finland in 1975-1979. Scandanavian Journal of Rheumatology, 13, 101–107.
LawM.BaptisteS.Carswell-OpzoomerA.McCollM.PolatajkoH.PollockN. (1991). Canadian occupational performance measure. Toronto, ON: CAOT Publications ACE.
19.
MorrisH. (1883). Lawn tennis elbow. British Medical Journal, 2, 557.
20.
Muffly-ElseyD.Flinn-WagnerS. (1987). Proposed screening tool for the detection of cumulative trauma disorders of the upper extremity. Hand Surgery (Am), 12A, 931–935.
21.
NirschlR. (1973). Tennis elbow. Orthopaedic Clinics of North American, 4, 787–799.
22.
NirschlR. (1977). Tennis elbow. Primary Care, 4, 367–382.
23.
PriceR.SinclairH.HeinrichI.GibsonT. (1991). Local injection treatment of tennis elbow - hydrocortisone, triamcinolone and lignocaine compared. British Journal of Rheumatology, 30, 39–44.
24.
PriestJ.BradenV.GerberichS. (1980). The elbow and tennis, part 2: A study of players with pain. Physician and Sportsmedicine, 8, 77–85.
25.
StratfordP.LevyD.GauldieS.LevyK.MiseferiD. (1987). Extensor carpi radialis tendonitis: A validation of selected outcome measures. Physiotherapy Canada, 39, 250–255.
26.
StratfordP.LevyD.GowlandC. (In press). Evaluative properties of measures used to assess patients with lateral epicondylitis at the elbow. Physiotherapy Canada.
27.
ThompsonJ.PhelpsT. (1990). Repetitive strain injuries. How to deal with the “epidemic of the 90's”Postgraduate Medicine88, 8, 143–149.
28.
ThurtleO.TylerA.CawleyM. (1984). Grip strength as a measure of response to treatment for lateral epicondylitis. British Journal of Rheumatology, 23, 154–156.
29.
WadsworthC.NielsenD.BurnsL.KrullJ.ThompsonC. (1989) Effect of the counterforce armband on wrist extension and grip strength and pain in subjects with tennis elbow. Journal of Orthopedics & Sports Physical Therapy, 11, 192–197.
30.
World Health Organization. (1980). International classification of impairments, disabilities and handicaps. Geneva: Author.
