🎾 Tennis - Elbow - Sample - Pages¶
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Tennis - Elbow - Sample - Pages — tài liệu 19 trang từ thư viện sách tennis.
Chủ đề chính: Shoulder
Tóm tắt nội dung (trích từ tài liệu gốc): About the authors Simeon Niel Asher BSc (Ost), BPhil, NAT qualified as an osteopath in England, in 1992. He is an acknowledged pioneer in the field of advanced trigger point therapy, and is credited with discovering the original Niel Asher technique for treating complex shoulder issues. He has since been involved in the development of numerous trigger point techniques that are used by manual therapists worldwide. Simeon is the author of the best selling "Concise Book of Trigger Points" and numerous other publications which have been translated into 18 languages. Simeon was named one of London'
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About the authors
Simeon Niel Asher BSc (Ost), BPhil, NAT qualified as an osteopath
in England, in 1992. He is an acknowledged pioneer in the
field of advanced trigger point therapy, and is credited with
discovering the original Niel Asher technique for treating complex
shoulder issues. He has since been involved in the development
of numerous trigger point techniques that are used by manual
therapists worldwide.
Simeon is the author of the best selling "Concise Book of Trigger
Points" and numerous other publications which have been
translated into 18 languages. Simeon was named one of London's
top ten osteopaths by the London Evening Standard, and has won
a number of CAM awards for his work in promoting self-help to
consumers.
Jonas Broome Dip C BSc (Hons) Ost, NAT is a personal trainer,
qualified in both sports training, coaching and Osteopathy. Jonas
qualified, at the European School of Osteopathy in 1992 and is
involved in injury prevention, treatment, and rehabilitation for
elite sports and athletics. Jonas worked together with Simeon
Niel Asher in the early 90`s as part of the team who developed
the original Niel Asher Technique for treating complex shoulder
conditions. Jonas currently lectures in Sweden, New Zealand and
England, in addition to treating, research, and writing.
Talia Tzadok BSc (Physiotherapy), NAT qualified as a
physiotherapist from Witwatersrand University, South Africa. Over
the last decade, Talia has been a vociferous proponent of self-help
education for manual therapy, with a special focus on the needs of
the retirement-age community.
Talia's experience includes working in an outpatient clinic in
a general hospital, orthopaedic clinic, and has consulted to
several retirement homes on professional and self-care for pain
relief and the treatment of musculoskeletal conditions. Talia
has completed a wide range of studies in kinesio tape therapy,
spinal manipulation, dry needling, intramuscular stimulation
and functional movement systems. Talia is currently involved in
treating, writing, research, and lectures for professional carers
who work with the aged.
Contents
About Us . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
What is Tennis Elbow?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Which muscles may be affected by Tennis Elbow? . . . . . . . . . . . . . . . . . . . 7
What are the symptoms of Tennis Elbow? . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Differential Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Trigger Point Treatment Program for Tennis Elbow. . . . . . . . . . . . . . . . . 10
Trigger Point Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Exercises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Taping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Your personal six week diary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Trigger Point Therapy - Treatment Assessment . . . . . . . . . . . . . . . . . . . . 38
Lifestyle changes to consider . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
More About Trigger Points and Trigger Point Therapy . . . . . . . . . . . . . . 43
Trigger Point Therapy - Frequently Asked Questions. . . . . . . . . . . . . . . . 48
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About Us
Niel Asher Healthcare was founded in 1997 and is now the leading online
publisher of educational material and other learning resources for manual
therapy.
We provide e-learning tools and services to medical and para-medical
practitioners, and information, advice and self-help solutions to patients,
using digital media.
We deliver continuous enhancements providing the most relevant
solutions for our customers. This commitment to excellence keeps us at
the forefront of this industry.
Disclaimer
This Trigger Point Workbook is intended to be used for information
purposes only and is not intended to be used for medical diagnosis or
treatment or to substitute for a medical diagnosis and/or treatment
rendered or prescribed by a physician or competent healthcare
professional.
This information is designed as educational material, but should not be
taken as a recommendation for treatment of any particular person or
patient. Always consult your physician or healthcare professional if you
think you need treatment. Your use of this information does not mean
that a doctor - patient relationship has been established between you
and the authors of this guide.
The authors represent that this information is formulated with a
reasonable standard of accuracy. Except for this representation, the
authors make no representations or warranties, express or implied,
including any implied warranty of merchantability or fitness for a
particular purpose, with respect to this information.
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This Trigger Point Workbook may be retained for personal or educational
use. Information should not be edited or modified. Any resale, or
redistribution of all or portions of the information is not permitted.
The content provided by Niel Asher Healthcare is for information
purposes only and is in no way intended to be a substitute for medical
consultation with a qualified professional. Although we carefully
review our content, Niel Asher Healthcare cannot guarantee nor take
responsibility for the medical accuracy of documents we publish.
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What is Tennis Elbow?
Lateral Epicondylopathy, or Tennis Elbow as it is commonly known, is the
term used to describe a painful condition of the outside elbow. This pain
usually occurs as a result of overuse of the tendons in your elbow, from
repetitive motions of the arm and wrist.
The body employs a range of muscles to move the wrist joint, many of
them start at the elbow. When the elbow is straight, the main muscle
which stabilizes the wrist is called the Extensor Carpi Radialis Bravis
(ECRB). Repeated or over-use of the ECRB makes it weaker and may
cause tiny microscopic tears to appear in the tendon at the point of
attachment to the outside of the elbow (lateral epicondyle). As a result,
you experience pain and tenderness. The location and orientation of the
ECRB, near bony bumps, increases the likelihood of damage from wear
and tear. When the elbow bends and straightens it can cause the muscle
to rub.
There are 3 zones where the ECRB can become injured
� where the tendon meets the bone
� where the muscle meets the tendon
� within the muscle itself
The amount of time it will take you to get better is very much connected
to which zone you have injured. Also, over time, the body often
compensates by using other muscles instead. In the case of the Tennis
Elbow - this is most often the Triceps muscle.
Although Tennis Elbow can occur as a result of a sudden injury it is
usually due to a slow build up of damage to or overload to the muscle and
tendon around the outer elbow region.
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Which Muscles May be Affected by Tennis Elbow?
TRICEPS LATERAL HEAD
Lateral Head
EXTENSOR CARPI RADIALIS BREVIS (ECRB)
"Trigger Point Map"
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What Are the Symptoms of Tennis Elbow?
In most cases, the pain develops slowly and gradually over weeks and
months in the elbow area. It is less common for the symptoms to occur
suddenly.
The pain can be anything from mild discomfort to severe, and it may
affect your sleep. It will increase when forcibly trying to stabilize or move
the wrist.
Your pain will feel worse when
� shaking hands
� using tools
� gripping objects e.g. cutlery, pen, computer mouse
� fully extending your arm
� turning a door knob
� lifting
Although Tennis Elbow is more likely to occur in your dominant arm, it can
in fact occur in either arm.
Who Is Prone to Tennis Elbow?
Evidence shows that only 1-3% of the population suffers from Tennis
Elbow.
Men between the ages of 30-50, tend to be the most affected. Those who
play tennis or other racquet sports on a regular basis are at a higher risk
(as high as 50%) of developing this condition, however in 95% of cases it
occurs in people who are not tennis players.
Anyone who participates in activities that require repetitive and vigorous
use of the forearm muscle, especially while gripping something, are
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TRICEPS BRACHII
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TRICEPS BRACHII
Along with its "little helper," anconeus, the triceps brachii assists
deceleration of flexion at the glenohumeral joint and the elbow joint. The
radial nerve can be irritated by contracture or spasm of the lateral aspect
of this muscle.
Myofascial trigger points in this muscle make it difficult to extend the arm
at the elbow. Patients typically complain that they cannot rest their elbow
on any surface, because of the level of sensitivity and pain.
Note Pain from these TrP's can sometimes also be felt in the neck and
upper trapezius.
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TRICEPS BRACHII
Referral pattern from TrPs in deep medial border
of right deep medial head.
Referral patterns from TrPs in the central portion area of the left long
head and from TrPs in the central portion of the right deep medial head.
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TRICEPS BRACHII
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TRICEPS BRACHII
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Lateral (Outer) Triceps
Use your tool as shown
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STRETCHING
Stretching the forearm flexors and extensor muscles enable the muscles
to be more relaxed and therefore reduce the amount of tension created at
the common tendon (the location where the muscle attaches itself to the
elbow bone)
Stretch 1: Extensor stretch (Partner Required)
1. Below is a stretch you can do with a friend or partner.
2. Keep the wrist loose and the elbow slightly bent.
3. Take the hand forwards with gentle increasing pressure until you
can feel the stretch in the area you worked on.
4. Hold it for a few breaths. Increase the stretch but do not bounce.
5. Come away slowly and carefully.
6. Follow pressure sessions by massaging the area with some cream,
oil or lotion in the direction of the muscle. You can use warmth or
heat-rub afterwards.
How Often?
Perform for 2-3 minutes, 3 to 4 times a day for up to six weeks.
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Stretch 1: Extensor stretch (Partner Required)
You can ask a partner or friend to help you with this
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Stretch 2: Extensor Stretch
The red indicates the muscle(s) being stretched
Technique
� Extend arm in front of you with your palm facing upwards
� Flex the hand so that your fingers point upwards
� With the opposite arm, pull fingers upwards for maximum stretch
How Often?
3 stretches holding each one for 20-30 seconds, twice daily
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EXTENSOR CARPI RADIALIS BREVIS (ECRB)
The use of kinesiology tape can help provide an accumulated off-
loading effect by lifting the tissue around trigger points. This is generally
recommended for use after and between treatments.
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