Immediate effects of 2 types of braces on pain and grip strength in people with lateral epicondylalgia: A randomized controlled trial

Journal article


Bisset, Leanne, Collins, Natalie and Offord, Sonia S.. (2014) Immediate effects of 2 types of braces on pain and grip strength in people with lateral epicondylalgia: A randomized controlled trial. Journal of Orthopaedic and Sports Physical Therapy. 44(2), pp. 120 - 128. https://doi.org/10.2519/jospt.2014.4744
AuthorsBisset, Leanne, Collins, Natalie and Offord, Sonia S.
Abstract

Study: Design Repeated-measures, crossover, double-blinded randomized controlled trial.

Objectives: To compare the immediate effectiveness of 2 types of counterforce braces in improving pain-free grip strength, pressure pain threshold, and wrist angle during a gripping task in individuals with lateral epicondylalgia.

Background: Sports medicine management of lateral epicondylalgia often includes application of a counterforce brace, but the comparative effectiveness of different braces is unclear. The most common brace design consists of a single strap wrapped around the proximal forearm. A variation of this brace is the use of an additional strap that wraps above the elbow, which aims to provide further unloading to the injured tissue.

Methods: Pain-free grip strength, pressure pain threshold, and wrist angle during a gripping task were measured on 34 participants with a clinical diagnosis of lateral epicondylalgia (mean ± SD age, 47.8 ± 8.5 years). Measurements were made without a brace, as well as immediately before and after the application of 2 types of counterforce braces. Each condition was tested during a separate session, with a minimum of 48 hours between sessions. Analysis-of-variance models were used to test the differences within and between conditions.

Results: Pain-free grip strength (17.2 N; 95% confidence interval: 7.5, 26.8) and pressure pain threshold (42.2 kPa; 95% confidence interval: 16.5, 68.0) significantly improved on the affected side immediately following the intervention conditions as well as the control condition. There was no significant difference between braces or the control condition for any outcome.

Conclusion: Both types of counterforce braces had an immediate positive effect in participants with lateral epicondylalgia, without differences between interventions and similar to a no-brace control condition. Therefore, while the use of a brace may be helpful in managing immediate symptoms related to lateral epicondylalgia, the choice of which brace to use may be more a function of patient preference, comfort, and cost. Further research is required to investigate the comparative longer-term and clinical effects of the 2 braces. Trial registration: ACTRN12609000354280 ( www.anzctr.org.au).

Year2014
JournalJournal of Orthopaedic and Sports Physical Therapy
Journal citation44 (2), pp. 120 - 128
PublisherOrthopedic Section, American Physical Therapy Association
ISSN0190-6011
Digital Object Identifier (DOI)https://doi.org/10.2519/jospt.2014.4744
Scopus EID2-s2.0-84903952007
Page range120 - 128
Research GroupSchool of Allied Health
Place of publicationUnited States of America
Permalink -

https://acuresearchbank.acu.edu.au/item/88y6q/immediate-effects-of-2-types-of-braces-on-pain-and-grip-strength-in-people-with-lateral-epicondylalgia-a-randomized-controlled-trial

  • 0
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Tracking changes in glenohumeral joint position in acute post-stroke hemiparetic patients: An observational study
Choolun, Praline, Kuys, Suzanne and Bisset, Leanne. (2018) Tracking changes in glenohumeral joint position in acute post-stroke hemiparetic patients: An observational study. Disability and Rehabilitation. 40(3), pp. 259 - 266. https://doi.org/10.1080/09638288.2016.1250167
Single-leg squat performance is impaired 1 to 2 years after hip arthroscopy
Charlton, Paula Clare, Bryant, Adam, Kemp, Joanne L., Clark, Ross, Crossley, Kay M. and Collins, Natalie. (2016) Single-leg squat performance is impaired 1 to 2 years after hip arthroscopy. Physical Medicine and Rehabilitation. 8(4), pp. 321 - 330. https://doi.org/10.1016/j.pmrj.2015.07.004
Dynamic foot function as a risk factor for lower limb overuse injury : A systematic review
Dowling, Geoffrey, Murley, George, Munteanu, Shannon, Franettovich Smith, Melinda, Neal, Bradley, Griffiths, Ian, Barton, Christian and Collins, Natalie. (2014) Dynamic foot function as a risk factor for lower limb overuse injury : A systematic review. Journal of Foot and Ankle Research. 7(53), pp. 1 - 13. https://doi.org/10.1186/s13047-014-0053-6
Foot posture as a risk factor for lower limb overuse injury : A systematic review and meta-anaylsis
Neal, Bradley, Griffiths, Ian, Dowling, Geoffrey, Murley, George, Munteanu, Shannon, Franettovich Smith, Melinda, Collins, Natalie and Barton, Christian. (2014) Foot posture as a risk factor for lower limb overuse injury : A systematic review and meta-anaylsis. Journal of Foot and Ankle Research. 7(55), pp. 1 - 13. https://doi.org/10.1186/s13047-014-0055-4
One-week time course of the effects of Mulligan's mobilisation with movement and taping in painful shoulders
Teys, Pamela, Bisset, Leanne, Collins, Natalie, Coombes, Brooke and Vicenzino, Bill. (2013) One-week time course of the effects of Mulligan's mobilisation with movement and taping in painful shoulders. Manual Therapy. https://doi.org/10.1016/j.math.2013.01.001
Building sustainable capacity in physiotherapy clinical education: An innovative Queensland state-wide collaboration
Dunwoodie, R., Moller, M., Teys, P., Blackwell, L., Dalton, Megan Bernadette, Kirwan, G. M., Offord, Sonia S., Pellatt, A. and Stuart, R.. (2011) Building sustainable capacity in physiotherapy clinical education: An innovative Queensland state-wide collaboration. World Physical Therapy 2011. Amsterdam: Elsevier. pp. eS1474 - eS1475
The initial effects of a Mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders
Teys, Pamela, Bisset, Leanne and Vicenzino, Bill. (2008) The initial effects of a Mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders. Manual Therapy. 13(1), pp. 37 - 42. https://doi.org/10.1016/j.math.2006.07.011