Kuipers, I. (Ireen) (2017) Understanding lateral epicondylalgia : Prevalence, associated factors and the development of a patient-‐ reported outcome measure. thesis, Medicine.
Full text available on request.Abstract
BACKGROUND– Lateral epicondylalgia (LE) or tennis elbow is an overuse tendinopathy that results in functional disability in work, sports and daily living. There is no consensus on the best treatment or outcome measures used to test the efficacy of treatments and a lack of uniformity in the diagnostic criteria used for the inclusion of participants. An improved understanding of the condition, the population and the outcome measures that are used for LE is required. OBJECTIVES – The first objective was to determine the prevalence of LE in a Real Tennis population and to investigate potential associated factors. The second objective was to investigate the experiences with LE from clinician’s perspectives and with these results complete the first step in developing a patient-reported outcome measure for LE (VISA-E). METHODS – To collect the epidemiological data, Real Tennis players of all ages and both sexes were encouraged to fill in the “Real Tennis Injury Questionnaire”. SPSS was used to analyse the data and to test for group differences between players that reported LE and those that did not. Qualitative focus group methods were used to investigate the experiences with LE from clinician’s perspectives. There were three focus groups with a total of seven clinicians. Interpretative Phenomenological Analysis (IPA) was used to analyse the transcripts. The information that emerged from the focus groups was used to generate a first draft of the VISA-E questionnaire. RESULTS- One hundred twenty-eight Real Tennis players completed the questionnaire, which showed a lifetime prevalence of 17.2% for LE in this population. No statistically significant association between LE and age, playing handicap, weekly hours of singles and doubles, weekly hours of other physical activity and warm-up activity were found. The only significant difference between players that reported LE and those that did not, was found in the total number of injuries that players reported other than elbow injuries, which was four times as high in the LE group. The results of the focus groups gave insight into the experiences of the clinicians around three main topics: diagnostic criteria, aggravating factors and patient-reported outcome measures. A first draft of the VISA-E, consisting of 28 questions, was generated. CONCLUSION- This study contributes to a better understanding of LE and completed the first steps in the development of a patient-reported outcome measure for this condition. Further research is needed to better understand difference groups of patients with elbow pain and to finish the development of the VISA-E.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Supervisor and Groningen and The Netherlands and Dr. Inge van den Akker-‐Scheek and Orthopaedics and Exercise and Medicine Research and Centre and & and Sports Medicine Center and University Medical Center and Groningen |
| Supervisor name: | Rio, dr. Ebonie and Docking, Dr. Sean and Cook, Professor Jill and la Trobe Sport and Exercise Medicine Research Center and Melbourne Australia |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:58 |
| Last Modified: | 25 Jun 2020 10:58 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1815 |
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