Elbow Evaluation & Intervention: Cnt.

Question 1

Why should you not aggressively stretch a child/adult’s elbow?

Answer 1

Vigorous stretching may cause myositis ossificans (hetertopic ossification)
Gently stretch the biceps especially in children

Question 2

Lateral Epicondylitis & Wrist Splints

Answer 2

Splinting is used to help rest the muscles and by splinting the wrist the pt. has a decreased ability to grip objects which would cause reinjury.

Question 3

Lateral Epicondylitis & Transverse Friction Massage

Answer 3

Massage the origin of the ECRB to disrupt the fibrosis scar tissue creating a better lay down of tissues. Massage also increase blood flow which promotes healing.
Increase the intensity of massage throughout the stages of healing.

Question 4

Lateral Epicondylitis & Wrist ext. Exercises

Answer 4

Elastic resistance should be used for eccentric wrist ext. exercises. Helps strengthen the muscle and makes the scar tissue more elastic by lengthening the tissue.

Question 5

Lateral Epicondylitis & AROM

Answer 5

AROM should be started in a gravity eliminated position which allows for easy mvnt. in a pain free zone.

Question 6

Lateral Epicondylitis & Pt. Education

Answer 6

Adapt activities in order to avoid elbow ext. with a forceful grasp.
Avoid griping activities.

Question 7

2 Common Tx’s fir Cubital Tunnel Syndrome

Answer 7

Mobilization, Gliding, & Flossing: Increase nerve gliding around the surrounding tissue, improves blood flow.
Activity Modification: Avoid motions, static positions that aggravate sx’s of put stress on the nerve.