For enrichment only (not for CEUs)

REFERENCE:
Ann M. Lucado, PT, PhD, CHT • Joseph M. Day, PT, PhD, OCS • Joshua I. Vincent, PT, PhD • Joy C. Macdermid, PT, PhD, CHT • Jane Fedorczyk, PT, PhD, CHT • Ruby Grewal, MD • RobRoy L. Martin, PT, PhD
J Orthop Sports Phys Ther. 2022;52(12): CPG1-CPG111. https://www.jospt.org/doi/10.2519/jospt.2022.0302

https://www.orthopt.org/content/practice/clinical-practice-guidelines

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* 1. Outcome, Activity Limitations, Self-Report Measures: Clinicians should use the Patient-Specific Functional Scale (PSFS) for patients with high-demand activities and/or should administer a scale that assesses activity-specific disability (eg, DASH work or sports/performing arts module) at baseline and at least one other follow-up point that includes discharge for individuals with LET.

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* 2. Therapeutic Exercise: Physical therapists should use isometric, concentric, and/or eccentric therapeutic resisted exercises of the wrist extensors in the treatment of individuals with subacute or chronic LET.

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* 3. Manual Therapy Joing Mobilizations/Manipulation: Clinicians should not use local elbow joint manipulation or mobilization techniques as a stand-alone or adjunctive treatment in improving short-term outcomes for individuals with lateral epicondylitis (LET), especially for those who can tolerate the specific technique.

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* 4. Manual Therapy Soft Tissue Mobilization: Deep transverse tendon cross-friction massage is recommended as an effective treatment to alleviate symptoms in individuals with lateral epicondylitis (LET).

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* 5. Dry Needling: Tendon or trigger point dry needling for the treatment of pain and functional deficits associated with LET is recommended, based upon Grade B evidence.

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* 6. Orthoses: Based on conflicting evidence, a recommendation cannot be made regarding the use of a forearm counterforce or wrist support orthosis to alleviate intermediate or long-term symptoms in individuals with LET.

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* 7. Taping: Clinicians should avoid using rigid taping techniques for immediate/short-term pain relief and improvement in pain-free muscle function in those with irritable lateral epicondylitis (LET), as they have been shown to exacerbate symptoms and hinder recovery.

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* 8. Cryotherapy: Combining cryotherapy with burst transcutaneous electrical nerve stimulation (TENS) is an effective approach for short-term pain reduction in individuals experiencing symptoms of lateral epicondylitis (LET) persisting for more than 30 days.

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* 9. Phonophoresis: Clinicians should use phonophoresis with 10% hydrocortisone gel, topical prednisolone (2 mg/d), or 1% diclofenac sodium gel for the treatment of LET.

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* 10. Laser: Laser therapy is a viable option for clinicians to observe enhanced pain relief and increased grip strength in individuals with lateral epicondylitis (LET) during follow-up periods spanning from over 4 weeks to 6 months?

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