UE Diagnostic Manual - Muscle Power Elbow Flashcards
conditions associated with muscle power deficit at elbow
lateral / medial elbow tendionpathy
outcome measures specific to lateral elbow tendinopathy
PSFS
Patient related tennis elbow eval (PRTEE)
DASH
outcome measures associated with MPD at elbow
PSFS
DASH / Quick DASH
PRTEE
diagnostic information related to tennis elbow
ie lateral elbow tendinopathy
middle aged (35-50) adults
– more so males
strenuous occupations that involve repetitive UE tasks / gripping
diagnostic information related to golfer’s elbow
ie - medial elbow tendinopathy
middle aged (35-50) adults
– lower incidence than lateral
repetitive elbow flexion tasks
ROM findings associated with MPD at elbow
potential ROM deficits due to pain/weakness
- active in direction of muscle force, passive in opposite direction
–> could have ROM deficits at shoulder or wrist causing undue stress at elbow
muscle performance findings associated with lateral elbow tendinopathy
decreased wrist/digit extension
– extensor carpi radialis longus / brevis
pain with resisted wrist/digit ext
scapula thoracic muscle weakness often found
muscle performance findings associated with medial elbow tendinopathy
pain / decreased ability to resist wrist flexion and/or pronation
scapula-thoracic muscle weakness commonly found
palpation findings associated with lateral elbow tendinopathy
pain at or near ERCB tendon insertion at lateral epicondyle
palpation findings associated with medial elbow tendinopathy
pain at/near flexor/pronator tendon insertions at medial epicondyle
joint mobility findings associated with medial/lateral elbow tendinopathy
may be altered or unremarkable
neurological findings associated with medial/lateral elbow tendinopathy
n/a - normal
special tests for lateral elbow tendinopathy
Cozen’s
Maudsley’s
Mill’s
special tests for medial elbow tendinopathy
none, typically diagnosis of exclusion
education intervention associated with tendinopathy at elbow
modification of overuse activities
how to improve tissue tolerance to loaded active exercises
symptom modulation
mobility
loading
return to function
how to improve force production with medial/lateral elbow tendinopathy
focus on rotator cuff / scapula-thoracic muscles
how to normalize movement at elbow? what is the goal?
improve mechanics or weakness that has led to overuse
- improving kinetic chain of UE
medical interventions for tendinopathy at elbow
oral anti-inflammatories
corticosteroids
platelet rich plasma
explain protocol associated with platelet rich plasma
may have sling indication early
ROM emphasis early
loaded exercise after 2 weeks
– return to activity based upon symptoms and progression
