Lateral Epicondylitis (DTF)

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Begovic et al,. (2016) explains deep transverse frictions has often been used for conditions such as chronic lateral epicondylitis, iliotibial syndrome and patella tendinitis. Furthermore, DTF aids analgesia, hyperaemia and the breakdown of scar adhesions to ligaments, tendons and muscles. Coninck (2015) states that DTF should not be used on patients with the following conditions: local sepsis, rheumatoid tendinous lesions and skin disease.
Joseph et al,. (2012) Agrees that deep transverse frictions has beneficial effects are as followed: blood flow is increased, mechanoreceptor is stimulated, reduced pain, and the breakdown of scar adhesions. On the other hand, Brosseau (2002) explains that there is no significance to the effect DTF has on pain reduction or strength. Furthermore, deep transverse frictions is manually applied for the advantageous effects of removing damage and scaring caused by the inflammation phase, vascularity is increased to the treated area which in turn speeds up the rate of healing as more oxygen and nutrients can be
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(2012) reviews four difference case studies involving DTF, One randomised study applies DTF with corticosteroid injection to see if there is a significant difference in grip strength again lateral epicondylitis, the results prove there is a significant difference in improved maximum grip strength with injections compared to DTF. However, Joseph et al,. 2012) states that DTF alone showed overall advanced strength. Senbursa et al (2007) also uses a randomised study involving DTF in conjunction with exercises to treat supraspinatus impingement of the tendon, the study proves to be a success by increasing the strength and decreasing pain of the patients. Another advantageous study was carried out by Nagrale et al,. (2009), the study assessed DTF with electro laser therapy and concluded that the patients were able to complete a pain-free grip strength test and functional status once the treatment has been
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