Lucado Ann M, Day Joseph M, Vincent Joshua I, MacDermid Joy C, Fedorczyk Jane, Grewal Ruby, Martin Robroy L
J Orthop Sports Phys Ther. 2022 Dec;52(12):CPG1-CPG111. doi: 10.2519/jospt.2022.0302.
Although often described as a self-limiting condition and likely to resolve on its own, high recurrence rates and extended sick leave frame a need for effective non-surgical treatment for people with lateral elbow tendinopathy. The interrelationship of histological and structural changes to the tendon, the associated impairments in motor control, and potential changes in pain processing may all drive symptoms. This clinical practice guideline covers the epidemiology, functional anatomy and pathophysiology, risk factors, clinical course, prognosis, differential diagnosis, tests and measures, and interventions for managing lateral elbow tendinopathy in the physical therapy clinic. .
尽管外侧肘肌腱病常被描述为一种自限性疾病且可能自行缓解,但高复发率和长期病假表明,需要为患有外侧肘肌腱病的人提供有效的非手术治疗。肌腱的组织学和结构变化、相关的运动控制障碍以及疼痛处理的潜在变化之间的相互关系都可能导致症状。本临床实践指南涵盖了物理治疗诊所中外侧肘肌腱病的流行病学、功能解剖学和病理生理学、危险因素、临床过程、预后、鉴别诊断、检查和测量以及干预措施。