https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2021.131

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 9; Issue 3 (June 2021)

Page No.: 3848-3853

DOI: https://dx.doi.org/10.16965/ijpr.2021.131

Effects of Middle Trapezius, Lower Trapezius, and Serratus Anterior Strengthening on Pain and Functional Status in Lateral Epicondylalgia

Anumol C *1, Aneesh K John 2, Reji Mol Jos Pulicken 3, Remya N 4, Chinchu Alwin 5, Reeba Roy 6.

*1 Assistant Professor, Little Flower Institute Of Medical Science And Research Centre, Angamaly, Kerala, India.

2 Assistant Professor, Little Flower Institute Of Medical Science And Research Centre, Angamaly, Kerala, India.

3 Associate Professor, Little Flower Institute Of Medical Science And Research Centre, Angamaly, Kerala, India.

4 Professor & HOD, Little Flower Institute Of Medical Science And Research Centre, Angamaly, Kerala, India.

5 Associate Professor, Little Flower Institute Of Medical Science And Research Centre, Angamaly, Kerala, India.

6 Associate Professor, Little Flower Institute Of Medical Science And Research Centre, Angamaly, Kerala, India.

Corresponding author: Anumol C, Assistant Professor, Little Flower Institute Of Medical Science And Research, Angamaly, Kerala 683572, India. E-Mail: anusanthosh4@gmail.com

ABSTRACT

Background: Lateral Epicondylalgia (LE) is described as a tendinopathy at the common extensor origin at the lateral epicondyle of the humerus 1. Approximately 40% of people will experience LE at some point in their life. Recent studies highlighted the importance of assessing Middle Trapezius (MT), Lower Trapezius (LT) and Serratus Anterior (SA) muscle strength and also the importance of strength training in LE.

Context and purpose: LE is the most common chronic musculoskeletal pain condition, causing significant pain, disability and lost productivity. Various studies focusing on scapular muscle strength and endurance give some indication that scapular muscle may need to be screened and treated.

Result: There was significant effect on middle trapezius, lower trapezius and serratus anterior strengthening on reducing pain and improving functional status in patients with LE.

Conclusion: The study primarily tried to analyze the effects of strengthening exercises to MT, LT, and SA along with conventional therapy on pain and functional status in LE patients. And this study reveals that addition of strengthening exercises to MT, LT and SA to the regimen enhances faster recovery in patients with LE.

KEY WORDS: Lateral Epicondylalgia, Middle Trapezius, Lower Trapezius, Serratus Anterior.

REFERENCES

[1]. Bisset L M, Vicenzino B.Physiotherapy management of lateral epicondylalgia.Journal of physiotherapy. 2015;61:174-181.
[2]. Shiri R ,Vitkari-juntura E. Lateral and medial epicondylitis;role of occupational factors. Best Pract Res Clin Rheumatol. 2011;25(1):43-57.
[3]. Vicezino B,Wright A. Lateral epicondylalgia, a review of epidemiology,pathophysiology ,aethiology, and natural history .Physical therapy reviews.1996;1:23-24.
[4]. Allander E, Scand. Prevalence, incidence and remission rates of common rheumatic diseases and syndromes.J Rheumatology.1974;(3):145-153.
[5]. Orchard J,Kountouris. The management of Tennis elboe. BMJ.2011;342-2687
[6]. R W Coonrad,W R Hooper. Tennis elbow: Its course, natural history, conservative and surgical management. J Bone Joint Surg Am.1973 sep; 55 (6):1177-1182.
[7]. Coombes B K,Bisset L, Brooks P, Khan A, Vicenzino B. Effect of corticosteroid injection, physiotherapy or both on clinical outcomes of patients with unilateral LE:A RCT. JAMA 2013 ;309:461-469. www.ortho.aaos.org/topic.cfm
[8]. Dr. Joseph Anthony, Dr. Angela Fearon, Diana Hughes, Carol Kennedy, Dr. Alex Scott, Micheal Yates, Alison Hoens. Laterel epicondyle tendinopathy summary; summary of evidence for pt interventions, developed by the BC physical therapy tendinopathy task force. June 2013.
[9]. Carolyn Kisner, Lyn Allen Colby.Therapeutic exercise foundation and techniques.6thed.. Philadelphia: Jaypee publishers; 2012.page-637.
[10]. D Stasinopoulous, K Stasinopoulos, M Johnson. An exercise program for the management of lateral elbow tendinopathy. Br J Sport Med. 2005; 39:944-947
[11]. Brent Brotzman M D, Robert C Manske.Clinicalorthopaedic rehabilitation, An evidence based approach.3rd edition. Philadelphia: Mosby Elsevier publishers; page-69-70,431.
[12]. JaymohanSigh. Manual of practical electrotherapy.1st ed. Jaypee publishers;2001.
[13]. Dr. Joseph Anthony, Dr. Angela Fearon, Diana Hughes, Carol Kennedy, Dr. Alex Scott, Micheal Yates, Alison Hoens. Laterel epicondyltendinopathysummary; summary of evidence for pt interventions, developed by the BC physical therapy tendinopathy task force. June 2013.
[14]. Feltner ME, Dapena Jesus.l3 dimensions interaction in a 2 segment kinetic chain-part 1, general model. J Applied BIOMEC. 1989;5(4):403-419.
[15]. Jithen B Bhatt, Randal Glaser, Andre Chavez, Emmanuel yung. Middle trapezius and lower trapezius strengthening for management of LE- A case report. J Orthop Sports Phys Ther. 2013;43(11):841-846.
[16]. Decker M J, Hintermeister R A, Faber K J, Hawkins R J.SA muscle activity during selected reh exercises. Am J Sport Med.1999 Nov-Dec;27(6):784-791.
[17]. Richard A, Robert A, Gary L. Surface EMG Analysis for trapezius and SA muscle. J Orthop Sports Phys Ther. 2003; 33(5): 247-257.
[18]. Aaron Sciascia and Robin Cromwell. Kinetic chain-A theoretical framework: Reh research and practice. Rehabilitation research and practice.2012; page9
[19]. Putnam C A. Sequential motions of body segments in striking and throwing skills; descriptions and explanation. J Biomec .1993;26:125-135.
[20]. Todd Ellenbecker, Mark De Carlo, Eduardo De Rose. Effective functional progressions in sports rehabilitation.2009
[21]. Sahrman S A. Diagnosis and treatment of movement impairment syndromes. St. Lousis, MO: Mosby;2001.
[22]. Paul A. Borsa, Mark K Timmons, Eric L Sauers. Scapular-Positioning Patterns During Humeral Elevation in Unimpaired Shoulders. J Athl Train. 2003 Jan-Mar;38(1): 12 17.
[23]. Lishuk AK, Dorantes T M, Wong W, Haims AH. Imaging of sports related hip and groin injuries. Sports health.2010;2:252-261.
[24]. Mascal C L, Landel R, Powers C. Management of patellofemoral pain targeting hip, pelvis and trunk muscle function,2 case reports. J Orthop Sports phys Ther.2003;33:647-660.

Cite this article: Anumol C, Aneesh K John, Reji Mol Jos Pulicken, Remya N, Chinchu Alwin, Reeba Roy.  Effects of Middle Trapezius, Lower Trapezius, and Serratus Anterior Strengthening on Pain and Functional Status in Lateral Epicondylalgia. Int J Physiother Res 2021;9(3):3848-3853. DOI: 10.16965/ijpr.2021.131

Post Views: 0