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Titre : | A service evaluation and improvement project: a three year systematic audit cycle of the physiotherapy treatment for Lateral Epicondylalgia (2018) |
Auteurs : | Paul A. Barratt ; James Selfe |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 104, n° 2, 2018) |
Article en page(s) : | p. 209-216 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Epicondylite ; Exercice physique ; Kinésithérapie (spécialité) |
Mots-clés: | Tennis elbow ; Resistance Training ; Entraînement en résistance ; Physical Therapy Specialty ; Elbow Tendinopathy ; Tendinopathie du coude ; Exercise |
Résumé : |
Objectives To improve outcomes of physiotherapy treatment for patients with Lateral Epicondylalgia. Design A systematic audit and quality improvement project over three phases, each of one year duration. Setting Salford Royal NHS Foundation Trust Teaching Hospital Musculoskeletal Physiotherapy out-patients department. Participants n = 182. Interventions Phase one individual discretion; Phase two strengthening as a core treatment however individual discretion regarding prescription and implementation; Phase three standardised protocol using high load isometric exercise, progressing on to slow combined concentric & eccentric strengthening. Main outcome measures Global Rating of Change Scale, Pain-free grip strength, Patient Rated Tennis Elbow Evaluation, Tampa Scale of Kinesophobia-11. Results Phase three demonstrated a reduction in the average number of treatments by 42% whilst improving the number of responders to treatment by 8% compared to phase one. Complete cessation of non-evidence based treatments was also observed by phase three. Conclusions Strengthening should be a core treatment for LE. Load setting needs to be sufficient. In phase three of the audit a standardised tendon loading programme using patient specific high load isometric exercises into discomfort/pain demonstrated a higher percentage of responders compared to previous phases. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940617300883 |