overuse syndromes of elbow

Question 1

define overuse syndromes

Answer 1

cumulative trauma from repetitive strain - not sudden injury

repeated submax overload or frictional wear

Question 2

discuss lateral elbow tendinopathy

Answer 2

strained wrist extensors - ECRB tas ED

pain at common ext origin aggravated by gripping

tennis elbow

Question 3

discuss medial elbow tendinopathy

Answer 3

pain at common flexor origin - medial epicondyle

golfer’s or little league’s elbow

FCR and pronator teres

Question 4

activities that irritate lat epi

Answer 4

backhand stroke on tennis

computer keyboarding

repetitive wrist ext - pulling weeds

Question 5

activities that irritate med epi

Answer 5

repetitive wrist flexion

work-related grasping

shuffling papers lifting heavy objects

Question 6

rehab goals during protection phase

Answer 6

control pain, edema and spasm

develop soft tissue and joint mob

maintain UE function

Question 7

give interventions to control pain, edema and spasm

Answer 7

rest in splint or counterforce brace

cryotherapy or TENS

avoid provocative activities and activity modification

Question 8

give interventions to dev soft tissue and joint mobility

Answer 8

technique of maintaining mob and strength

wrist extensor - flexed elbow, pronated, wrist ext the iso contract 6 secs x 10 reps; progress to wrist more flexed - straight elbow

if wrist flexors - flexed elbow, supinated, wrist flex tas same parameters except dapat towards ext na

cross fiber massage

Question 9

give interventions to maintain UE function

Answer 9

AROM - elbow, FA and wrist

PRE for shoulder and scapular msucles

Question 10

rehab goals during controlled motion and return to function phase

Answer 10

inc muscle flexibility and scar mob

restore normal joint tracking

strengthen and improve muscle endurance

functional training and conditioning

Question 11

give interventions to inc muscle flexibility and scar mob

Answer 11

GPS, HR stretching

self stretching

cross fiber or friction massage

Question 12

give interventions to restore joint tracking of the radio-humeral joint

Answer 12

MWM - lateral glide c resisted wrist ext or gripping

self mob sa wall

Question 13

give interventions to strengthen and improve muscle endurance

Answer 13

isometric - isotonic - eccentric; include shoulder ER, ext and horizontal abd

Question 14

give interventions for functional training and conditioning

Answer 14

improve endurance, power and flexibility

include trunk rotation motion - pitching

plyos

pt educ on prevention and proper technique - warm up and proper form