CPG for LETs (Elbow) Flashcards
CPG: Lat. Elbow P! and Muscle function Impairments
What do the Grades of Recommendations A-F mean?
A: Strong Evidence
B: Moderate Evidence
C: Weak Evidence
D: Conflicting Evidence
E: Theoretical/Foundational Evidence
F: Expert Opinion
We should be using A or B
A is a must!!!
CPG: Lat. Elbow P! and Muscle function Impairments
What do the Levels of Evidence Mean I-V mean?
I. Evidence obtained from high-quality diagnostic studies, perspective studies, systematic reviews, or RTC
II. Evidence obtained from lesser quality diagnostic studies. perspective studies, systematic reviews, or RTC
III. Case-controlled studies or retrospective studies
IV. Case Seriese
V. Expert Opinion
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines with Taping?
Interventions for Symptoms Modulation
(B) Clincians should use De-loading Ridge Tape for immediate/short-term pain releif and improvement in pain-free muscle function in those irritatble LET
(C) Clinicians may use Kinesiology tape application (as multimodel) for immediate and short-term management of pain and muscle function with LET
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines with Cryotherapy with Burst TENS?
Interventions for Symptoms Modulation
(C) Clinicians may use cryotherapy combined with burst TENS to reduce pain in the short term in individuals with symtoms of LET for greater then 30 days
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines with TENS?
Interventions for Symptoms Modulation
(C) Clinicians may use burst TENS to the painful region or high or low frequency applied to acupuncture points, for short term pain relief in individuals with LET
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines with Laser?
Interventions for Symptoms Modulation
(C) Clinicians may use laser therapy for improvement in pain andn grip strengthl seen in follow-up periods >4 weeks to 6 months, for individuals with LET
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines with Manual Therapy: Regional Joint Mobilization or Manipulations?
Interventions for Symptoms Modulation
(C) Clinicians may use manipulation or mobilization techniques directed at the cervical spine, thoracic spine, and/or wrist as adjunct to local treatment for short-term pain relief in individuals with LET when impairments in those regions are identified
This is the same for Interventions for Mobility
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines with Cryotherapy ?
Interventions for Symptoms Modulation
NO BURST TENS
(E) Clinicians may use cryotherapy to reduce pain in individuals with irritable symptoms of LET
Remember this is without burst TENS, thats a āCā grade
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines with Ergonomics?
Interventions for Symptoms Modulation
(E) Clinicians may use ergonomic interventions in the management of symptoms in individuals with LET; the implementation of education, behavioral modification, ergonomic equipment, and workstation adjustment is moderatley supported by best practice/standard of care
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines with Orthoses?
Interventions for Symptoms Modulation
(F) Clinicians may use a forearm counterforce or wrist suport orthosis to be worn during activities for immediate improvement of pain and strength in those with LET whose symptoms are aggravated with activity
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines for Wrist Extensor Strengthening?
Interventions for Mobiliy
(B) Clinicians should use isometric, concentric and/or eccentric therapeutic exercises of the wrist extensors in the treatment of individuals with subacute or chronic LET
(C) WIth shoulder and scapula training
(F) Phased approach to load progression
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines for Local Joint Mobilizations or Manipulations?
Interventions for Mobility
(B) Clinicians should use Local elbow joint manipulation or mobilization techniques to reduce pain and increase free grip strength in individuals with LET, as a stand-alone or adjunctive treatment in improving short-term outcomes for those who can tolerate the specific technique
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines for Dry Needling?
Interventions for Mobiliy
(B) Clinicians should use either tendon or trigger point dry needling for the treatment of pain and functional deficits associated with LET
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines for Regional Mobilization or Manipulaiton?
Interventions for Mobiliy
(C) Clinicians may use manipulation or mobilization techniques directed at the cervical spine, thoracic spine, and/or wrist as adjunct to local treatment for short-term pain relief in individuals with LET when impairments in those regions are identified
Its the same for Interventon for Sx Modulationn
CPG: Lat. Elbow P! and Muscle function Impairments
What are the Clinical Practice Guidelines for Soft Tissue Mobilization?
Interventions for Mobiliy
(C) Clinicians may use soft tissue mobilizations, including manual release therapy to improve pain and function in individuals with chronic LET.
(C) Clinicians may use instrument-associated soft tissue mobilization combined with exercise to improve pain and function in those with chronic LET
