![]() ![]() Eccentric interventions for lateral epicondylalgia. Have you performed these exercises with your patients with tennis elbow? Have any others that would help? Share your comments and exercises below so we can all take a swing at managing tennis elbow pain! Each eccentric contraction should endure approximately 4–6 seconds without variation in speed throughout the repetition.Each exercise session should consist of one wrist supination and one wrist extension exercise for 2 sets of 10 repetitions each. ![]() Perform eccentric exercises three times per week with 24–48 hours between bouts of eccentric work to allow for proper recovery.The article recommended these eccentric exercise parameters: Tyler Twist for Tennis Elbow using the TheraBand Flexbar Photo Courtesy of Kenas A et al. *For pictures and step-by-step exercise instructions on eccentric exercises for tennis elbow, view the article. Eccentric supination with elastic band (Can be easily performed with the TheraBand CLX).The Tyler Twist with the Thera-Band Flex Bar (“Eccentric wrist extension with twist bar”).Eccentric wrist extension with dumbbell.Lets get moving! Kenas and his collagues outlined five exercises in the article, and the parameters to perform the exercises in: At the conclusion of the experiment, the eccentric group had significantly less pain, mitigated bilateral strength deficits, improved homogenous tendon integrity (e.g., showed evidence of pathology resolution), and improved disability status when compared with the control group.” Eccentric exercises for tennis elbow performed an intervention study on 92 patients…. “Moreover, a randomized control trial by Svernlov and Adolfsson found that regardless of the duration of symptoms, the most effective therapeutic intervention for lateral epicondylalgia is eccentric training." ![]() (By the way, “tendinopathy” is a newer term for “tendonitis”): Why are eccentric exercises the answer? When utilized at the appropriate time, studies have shown that eccentric exercises are a key component to tendinopathy rehabilitation. With a high prevalence rate and an even higher recurrence rate, (1 in 4 will get it again!) the need for effective treatments options is a pressing issue for therapists and athletic trainers everywhere.
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