Elbow Treatments Flashcards Preview

Upper Limb Physiotherapy (PHTY206) > Elbow Treatments > Flashcards

Flashcards in Elbow Treatments Deck (20):
1

How can LE be assessed during subjective exam?

Patient rated tennis elbow evaluation (PRTEE) score

2

How is LE treated?

MT
NSIDS
steroid injections
other injections
US
ionisation
massage/TF
exercise
orthotics
acupuncture

3

How effective are corticosteroid injections?

Help most in short term but no evidence for long term bnefis

4

How does corticosteroid injections compare wit wait and see policy and MWM/Exercise

wait and see & MWM/exercise much lower rate of reccurence.
Not per protocol - MWM lower than wait&see and injections

5

Which medical treatments have short term and long term effects in LE?

short:
corticosteroid vs.control
sclerosing agent vs local anaesthetic
nitric oxide patches vs. placebo

Long term
autologous platelet rich plasma vs Cl

6

What manual therapy is effective in the short term and long term for LE?

short:
acupuncture vs placebo
MSM vs placebo/control
Elbow
Cx spine
wrist manipulation vs US
exercise
brace vs control

Long term:
MWM (?)
Exercise (?)

7

When approaching LE treatment, what should be considered?

Target pan,motor, muscle.
Complex aetiology
Target specific deficits
No on treatment for everyone

8

What is a self treatment for LE?

Self MWM against wall

9

What are the guidelines for exercise in LE?

Pain free graduated progressive programme
supervised weekly
6-8 week

10

What must an exercise programme for LE addres?

PFG strength defict
Any ROM restrictions
Altered wrist posture
Sensorimotor deficts

11

What should be done in grip posture retraining

Thumb up/palm down/extended elbow
Extended wrist posture is very important

12

How is eccentric loading effective in LE?

Limited evidence
positive effect on clinical outcomes such as pain, function, patient satisfaction/return to work
compared with stretching or concentric exercises

13

How quickly should rehab be progressed after tenon/ligament/bone injurty?

accelerated rehab accepted to avoid adverse effects of immobilisation

14

Where can median nerve become entrapped at elbow?

Above elbow remnant of ligament of struthers
Below elbow between pronator teres

15

Symptoms of median nerve entrapment

Like carpal tunnel

16

What does entrapment of superficial radial do?

pain/sensation over radial aspect wrist or thumb

17

What can cause entrapment of deep radial neve?

may follow direct or indirect trauma to forearm or synovitis of elbow joint

18

What can cause ulnar nerve entrapment?

commonly after prolonged elbow flexn

19

Where can the ulnr neve becm entrapped?

retrocondylar groove
cubital tunnel
arcade of struthers
rarely between two heads of flexor carpi ulnari

20

Treatment of nerve entrapment

Address cause eg stretch tight muscles, decrease swelling with EPA, rest, foam pads etc.

Neural mobilisations: sliders and tensioners

Medical: NSAIDs, cortisone injection, surgery e.g. nerve transportation