Thesis (M.S.)--West Virginia University, 2008. / Title from document title page. Document formatted into pages; contains vii, 143 p. : ill. Includes abstract. Includes bibliographical references.

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Thesis (Ph. D.)--University of Wisconsin--Madison, 1971. / Typescript. Vita. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Background: Lateral elbow pain (LEP) is one of the most common musculoskeletal pains of the upper limbs. There is no substantial evidence of efficacy, particularly in the long-term use, of current conservative treatment options, many of which also carry considerable side effects. Finding a safe and effective treatment for LEP is therefore of high significance. Acupuncture is a popular form of complementary and alternative medicine for treating pain and dysfunction associated with musculoskeletal conditions, including LEP. Multi-center acupuncture randomized controlled trials (RCTs) are still relatively novel. However, they have methodological advantages over single-center RCTs, which lead to an enhanced external validity and generalizability of their results. On the other hand, pattern diagnosis, which is the basis for individualized treatment in Traditional Chinese Medicine (TCM), has been used in the treatment of LEP clinically, but such practice has not been standardized and its basis not understood. Study of pattern diagnosis in LEP may provide a better understanding of the nature of LEP and lead to better treatment outcomes in future clinical trials.;Conclusion: Our findings suggest that acupuncture is effective and safe in the treatment of LEP. Further international multi-center RCTs are suggested to investigate the long-term (3-6 months post-treatment) efficacy as well as the effect of individualized, pattern-based acupuncture (and moxibustion) for LEP. The subtypes of LEP discovered by the combined use of TCM pattern diagnosis and thermal imaging may be important in the understanding of LEP and may also be used to improve individualized treatment approach for this and other musculoskeletal disorders.;Methods: (1) A systematic review of acupuncture for LEP that included Chinese language studies and that used revised STRICTA criteria to appraise acupuncture procedures would first be performed. Based on the findings of the first study we then would (2) conduct an international, collaborative multi-center RCT of acupuncture for LEP; (3) systematically review TCM patterns for LEP; (4) conduct a Delphi study to create a LEP pattern questionnaire; and (5) investigate if distinct temperature profiles were associated with LEP patterns, using the LEP pattern questionnaire developed prior.;Results: The main findings are as follows: (1) results from previous acupuncture RCTs for LEP were inconclusive due to low methodological quality; (2) compared to sham laser, acupuncture showed a medium effect size (d = 0.48) in improvement of functional impairment of the elbow; (3) four major LEP patterns, that had unique features with distinct bio- physiological correlations were identified; (4) an LEP pattern questionnaire to assist and standardize LEP pattern diagnosis was created; and (5) we found for the first time that different TCM patterns had distinct skin temperature profiles, and such profiles might reflect different pathophysiological processes amongst LEP sufferers.;We set out to (1) review the current evidence of efficacy for acupuncture treatment of LEP; (2) to obtain evidence of efficacy for acupuncture treatment of LEP; (3) to review the diagnostic methods of Chinese medicine in the treatment of LEP; (4) to improve the diagnostic methods of Chinese medicine for the treatment of LEP; and (5) to determine if different TCM patterns are each associated with distinct, objective physiological changes in LEP.

Thesis (Ph.D.) - University of Queensland, 2004. / Includes bibliography.

Thesis (M.Tech.: Chiropractic)- Dept. of Chiropractic, Durban Institute of Technology, 2002. 113 leaves / Lateral epicondylitis is the most common cause of chronic lateral elbow pain in adults (Bowen et al. 2001:642). No uniform treatment regime is available for lateral epicondylitis, although most authors do agree that treatment should begin with a conservative approach before progressing to more complex and invasive therapies (Kamien 1990:174). The purpose of this study was to investigate the relative effectiveness of dry needling myofascial trigger points of the forearm extensor muscles as an adjunct to cross friction massage, in the treatment of lateral epicondylitis.

Thesis (M.Tech.:Chiropractic)- Dept. of Chiropractic, Durban Institute of Technology, 2006. xiii, 84 leaves, Annexures A-J. / Many studies have been done investigating the role that muscle imbalances play in causing injury to the body, for example the knee and the shoulder. It has been found that keeping muscle balances around a joint play an important role in protecting the soft tissue structures. There is a need to further investigate the effect of muscle imbalances in the upper limb. Additionally, according to the literature, as yet no effective treatment protocol or a specific cause has been found for lateral epicondylitis making it a troubling condition for practitioners to treat and a disabling condition for patients to live with. Therefore, this research aimed at investigating whether muscle imbalances are associated with the aetiology of lateral epicondylitis. If an association was found, people involved in predisposing activities could improve the imbalance to avoid the condition, thereby minimizing time spent away from work and sport. Also, a more effective and efficient management protocol for the painful condition could be attained. The objectives of this study included: 1) assessing the peak torque (using the Cybex Orthotron II) and muscle activity (using surface electromyography) of the wrist flexor and extensor muscle groups of asymptomatic subjects; 2) assessing the peak torque (using the Cybex Orthotron II) and muscle activity (using surface electromyography) of the wrist flexor and extensor muscle groups of symptomatic subjects and 3) to integrate this information, compare the two groups and subgroups and statistically analyse the difference between them.

A dissertation presented in partial compliance with the requirements of the Masters Degree in Technology: Chiropractic, Durban Institute of Technology, 2006. xiii, 84 leaves, Annexures A-J. / Many studies have been done investigating the role that muscle imbalances play in causing injury to the body, for example the knee and the shoulder. It has been found that keeping muscle balances around a joint play an important role in protecting the soft tissue structures. There is a need to further investigate the effect of muscle imbalances in the upper limb. Additionally, according to the literature, as yet no effective treatment protocol or a specific cause has been found for lateral epicondylitis making it a troubling condition for practitioners to treat and a disabling condition for patients to live with. Therefore, this research aimed at investigating whether muscle imbalances are associated with the aetiology of lateral epicondylitis. If an association was found, people involved in predisposing activities could improve the imbalance to avoid the condition, thereby minimizing time spent away from work and sport. Also, a more effective and efficient management protocol for the painful condition could be attained. The objectives of this study included: 1) assessing the peak torque (using the Cybex Orthotron II) and muscle activity (using surface electromyography) of the wrist flexor and extensor muscle groups of asymptomatic subjects; 2) assessing the peak torque (using the Cybex Orthotron II) and muscle activity (using surface electromyography) of the wrist flexor and extensor muscle groups of symptomatic subjects and 3) to integrate this information, compare the two groups and subgroups and statistically analyse the difference between them. / M

A dissertation proposal presented in the partial fulfilment of the requirement for the Master's Degree in Technology: Chiropractic, Technikon Natal, 2001. / The purpose of this investigation was to perform a placebo controlled, randomised clinical study to determine the efficacy of manipulative therapy of the elbow, based on motion palpation findings, in the treatment of lateral epicondylitis . Forty patients participated in the study, all of who underwent a case history, physical examination, and elbow regional examination. They were then randomly assigned to one of the two groups, so that twenty patients received manipulative therapy of the elbow, and the remainder of the patients received detuned ultrasound. All patients received 6 treatments over a 3-week period, with subjective and objective data being collected before the first, third and sixth treatments. The short-form McGill pain questionnaire and the NRS101 questionnaire where used to monitor each patients subjective response, while algometer and dynamometer readings were taken to provide objective data. Motion palpation of the symptomatic elbow was performed on all patients before treatments 1,3, and 6. Examination of the statistical data reveals that there was no significant difference in improvement between the two groups, ie. manipulative therapy of the elbow was found to be no more / M

A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine. / A detailed pre‐operative examination of a child’s neurovascular status following pediatric elbow fractures is critical to the assessment of these injuries. Without proper documentation of the preoperative exam, apparent postoperative changes in the neurovascular examination may be difficult to determine, and may dictate different treatment strategies. The reported incidence of neurologic (11.3%) and vascular (0.3‐4.6%) injury associated with supracondylar fractures underscores the importance of the preoperative exam. The purpose of this prospective study was to determine how frequently a complete neurovascular exam could be completed in children with elbow fractures. A detailed, specific elbow fracture History and Physical form was developed for prospective use on all pediatric elbow fractures in a tertiary care pediatric trauma hospital from 2013 through 2014. Specific neurovascular exam criteria were documented in an easily used checklist form. Demographic data collected included age, BMI, mechanism of injury, fracture type, comorbidities, pre‐operative pain management, and the operative procedure performed. There were 163 patients meeting the inclusion criteria. Attempted neurovascular (NV) exam was documented in 146 of these patients (89.6%). A clinically reliable, complete NV exam was possible in 104 patients (71.2%). In the remainder of the children, the clinician could not determine at least one aspect of the neurovascular exam. A significant correlation was found between age of the subject and ability to obtain a complete exam, with younger children less than age 5 being more likely to have incomplete information on the NV exam (p<0.000001). Gender, BMI, fracture type, pre‐assessment pain control, and potential language barriers had no effect on whether or not the exam was complete. Although a complete and detailed neurovascular examination is considered necessary when evaluating pediatric elbow fractures, over a fourth of our patients (29%) were unable to reliably participate in a full preoperative neurovascular exam. Younger children (less than 5 years of age) were less likely to participate in a complete neurovascular assessment. Neurovascular examinations in the setting of elbow fractures in children less than five years of age were unreliable and incomplete.