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Springerplus. 2016 Oct 5;5(1):1718. eCollection 2016.

Multimodal approach to rehabilitation of the patients with lateral epicondylosis: a case series.

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Laboratory of Assesment and Rehabilitation of the Locomotor Apparatus (LARAL), Federal University of Santa Catarina, Campus Araranguá, Rua Pedro João Pereira, 150, Florianópolis, SC CEP 88905-120 Brazil.
Rehabilitation and Functional Performance, University of São Paulo, São Paulo, SP Brazil.
Municipal Institute of Higher Education Catanduva, São Paulo, Brazil.



The objective of this study was to evaluate the effectiveness of mobilization with movement and kinesiotherapy in the treatment of patients with lateral epicondylosis.


This cases series included eight volunteers who had chronic lateral epicondylosis. The patients were treated with stretching, massage deep transverse at the lateral epicondyle and mobilization with movement associated with eccentric exercise. The mobilization with movement that consisted of a force of lateral glide of the proximal forearm. We performed twelve sessions, twice a week for 45 min/session. All patients underwent an evaluation with a visual analog scale and functional assessment through questionnaires patient-rated tennis elbow evaluation (PRTEE) and disabilities of the arm, shoulder and hand (DASH), before and after the treatment. Data were analyzed by student's t test (p < 0.05).


The results showed statistical differences in pain symptoms before and after treatment, in the analysis and functional assessment through both questionnaires comparing the pre and post treatment.


The data obtained in this study demonstrates improvement of the function and pain status of the sample investigated.


Evaluation; Musculoskeletal manipulations; Rehabilitation; Tennis elbow

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