A Systematic Review of Randomized Control Trials to Assess Exercise Prescription Practice in Tennis Elbow

Khaiyat, Omid A. (2023) A Systematic Review of Randomized Control Trials to Assess Exercise Prescription Practice in Tennis Elbow. Mathews Journal of Sports Medicine, 3 (1). ISSN 2692-8442

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Abstract

Context: There are concerns about the appropriate integration of underpinning scientific rationale and methodology when designing exercise programmes for Tennis Elbow (TE) rehabilitation. Objective: To systematically review the exercise prescription practices in the management of TE. Data Source: A systematic search of MEDLINE, EMBASE, AMED, and SCOPUS (2015-2021). Study Selection: A comprehensive literature search was conducted applying recommended methods and Boolean logic with the following terms: physiotherapy; physical therapy; rehabilitation; exercise; tennis elbow; lateral epicondylitis; and lateral elbow tendinopathy. Out of the total of 848 articles that were identified from the initial search, 21 RCTs were shortlisted for the current systematic review. Study Design: Systematic Review. Level of Evidence: Level 4. Data Extraction: The Preferred Reporting Items for Systematic Reviews (PRISMA) was used to guide the search and report the process of synthesizing the results. The quality of the RCTs was assessed using The Physiotherapy Evidence Database (PEDro) scale. Information regarding the exercise prescription practice and study characteristics were extracted from the included articles. Results: On the PEDro scale, 2 RCTs were scored excellent, 11 good, 7 fair and 1 poor. The majority of the studies failed to provide sufficient scientific justification
for either the exercises chosen, or the progressions implemented in order to achieve optimal results. Conclusions: There is clearly a paucity of highquality evidence to guide physiotherapists in designing and progressing exercise programmes for patients with TE. Further research in the field of exercise prescription and related progression is required to provide more robust evidence in prescribing exercise-based interventions for the management of TE in clinical practice.

Item Type: Article
Additional Information and Comments: Copyright: Jayanti R, et al. © (2023). This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywords: Tennis Elbow, Exercise Dosage, Exercise Prescription, Physiotherapy
Faculty / Department: Faculty of Human and Digital Sciences > School of Health and Sport Sciences
Depositing User: Omid Khaiyat
Date Deposited: 21 Mar 2023 12:20
Last Modified: 21 Nov 2023 14:48
URI: https://hira.hope.ac.uk/id/eprint/3809

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