Lateral Epicondylalgia - Evaluation and Conservative Management

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Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 1:

The following interventions have been soundly supported in the literature as having effective results to address pain with LE except for:

A) Wrist Orthosis use

B) Modalities

C) Soft tissue/friction massage

D) Elbow strap

2 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 2:

LE affects which of the following structures:

A) Extensor carpi brevis

B) Flexor carpi ulnaris

C) Middle trapezius

D) Lateral collateral ligament

3 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 3:

Cozen’sTest is used to assist with diagnosis lateral epicondylalgia by identifying what?

A) Limited full passive wrist extension

B) Passive motion of only the wrist in all planes

C) Pain with palpation over the medial epicondyle

D) Pain with resisted wrist extension

4 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 4:

The therapist should consider which of the following when determining treatment interventions?

A) Collaboration with the patient in addressing needs and desires for daily tasks

B) Using the data from a variety of assessments including patient reported outcomes

C) A combination of the treatment interventions based on the evaluation and the best available evidence

D) All of the above

5 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 5:

The Numeric Pain Rating Scale and the Visual Analog Scale are examples of ____________ .

A) Valid and reliable tools

B) Levels of patient participation

C) Assessments that are therapist rated

D) Functional measures

6 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 6:

One functional concern with using an elbow strap for LE is _______________ .

A) May relieve pain associated with LE by distributing the pressure generated by the extensor musculature

B) Attempts at functional use of the extremity may be inhibited if the strap is placed proximal to the lateral epicondyle

C) The strap my not be aesthetically pleasing to the patient

D) Use of the strap may be beneficial for those with chronic LE

7 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 7:

One way to strengthen the extensor muscles that is well supported in the literature includes which of the following ____________ .

A) Isokinetic

B) Concentric extensor strengthening

C) Eccentric extensor strengthening

D) Repetitive gripping with therapy

8 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 8:

All of the following musculature MAY be involved with LE except.

A) Extensor Digiti Minimi

B) Extensor Carpi Ulnaris

C) Extensor Carpi Radialis Longus

D) Extensor Carpi Radialis Brevis

9 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 9:

When assessing the client with acute LE, which of the following is an immediate suggestion for for intervention?

A) Work habit modification

B) Activities of daily living and use of adaptive equipment

C) Strengthening

D) Rest of the area

10 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 10:

The patient who is unable to fully achieve full passive wrist flexion without pain is exhibiting a positive ______________.

A) Mill’s sign

B) Unstable elbow

C) Cozen’s sign

D) Maudsley’s sign

11 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 11:

All are contributing factors to LE except:

A) Overuse of the wrist and forearm during daily tasks

B) Overworked Flexor Carpi Radialis

C) Repetitive tasks such as gripping

D) Decreased proprioception

12 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 12:

Which of the following can be said about LE:

A) Increased prevalence with age groups 30-50

B) Smoking increases risk

C) More advanced stages demonstrate poorer prognosis

D) All of the above

13 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 13:

Which of the following is not a self-reported measures _____________ .

A) Dynamometer

B) DASH

C) Patient Specific Functional Scale

D) Visual Analog Scale

14 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 14:

Taping may have a role in all of the following except:

A) Increased blood flow

B) Increased lymphatic circulation

C) Improving strength

D) Providing proprioceptive input

15 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 15:

The purpose of manual therapy includes all except:

A) Strengthening the common extensor musculature

B) Provide joint alignment

C) Decrease pain

D) Increase soft tissue balance

16 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 16:

Patient education should include which of the following:

A) Ergonomics training

B) Home modalities for pain control

C) The importance of responding to symptoms with rest and time

D) All of the above

17 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 17:

Which of the following are appropriate conservative measures that can implemented by the therapist:

A) Immobilization

B) Plasma Rich Platelet introduction

C) Steroid injection

D) Medication prescription

18 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 18:

All are well supported modalities for addressing pain except:

A) Low level laser therapy

B) Ice

C) Electrotherapy

D) Therapeutic ultrasound

19 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 19:

This is common disorder in a small percentage of those with LE and Maudsley’s test is also positive with this:

A) Radial tunnel syndrome

B) Weakness of the first Dorsal Interosseous

C) Carpal tunnel syndrome

D) Ulnar nerve entrapment

20 / 20

Lateral Epicondylalgia (LE) - Evaluation and Conservative Management

Question 20:

What is the best approach to treat LE according to the literature:

A) Orthosis to be worn during loading activities

B) Manual therapy

C) A multifaceted approach be used to address all limitations noted

D) Strengthening in the acute stage

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