{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:01:58Z","timestamp":1792800118266,"version":"4.5.0"},"reference-count":54,"publisher":"BMJ","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2009,8,28]]},"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Home and supervised exercise programmes consisting of stretching and eccentric exercises have been recommended for the management of lateral elbow tendinopathy (LET). No studies have examined their comparative efficacy effectiveness.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>In this study, whether a home exercise programme is more successful than a supervised exercise programme in treating patients with LET was investigated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Patients with unilateral LET for at least 4 weeks were included in this trial. They were sequentially allocated to receive either a home exercise programme or a supervised exercise programme five times a week for 12 weeks. The exercise programme consisted of slow progressive eccentric exercises of wrist extensors and static stretching of the extensor carpi radialis brevis tendon. Outcome measures were pain, using a visual analogue scale, and function, using a visual analogue scale and the pain-free grip strength. Patients were evaluated at baseline, at the end of treatment (week 12), and 3 months (week 24) after the end of treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>70 patients met the inclusion criteria. At the end of treatment, there was a decline in pain and a rise in function in both groups compared with baseline (p&lt;0.0005, paired t test). There were significant differences in the reduction of pain and the improvement of function between the groups at the end of treatment and at the 3-month follow up; the supervised exercise programme produced the largest effect (p&lt;0.0005, independent t test).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Supervised exercise programme is superior to home exercise programme to reduce pain and improve function in patients with LET at the end of the treatment and at the follow-up. Further research is needed to confirm our results.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bjsm.2008.049759","type":"journal-article","created":{"date-parts":[[2009,11,3]],"date-time":"2009-11-03T23:12:47Z","timestamp":1257289967000},"page":"579-583","source":"Crossref","is-referenced-by-count":45,"title":["Comparison of effects of a home exercise programme and a supervised exercise programme for the management of lateral elbow tendinopathy"],"prefix":"10.1136","volume":"44","author":[{"given":"D","family":"Stasinopoulos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Stasinopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Pantelis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Stasinopoulou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2009,11,3]]},"reference":[{"key":"2025080112144291000_44.8.579.1","first-page":"129","article-title":"Lateral epicondylalgia: diagnosis, treatment and evaluation","volume":"5","author":"Haker","year":"1993","journal-title":"Crit Rev Phys Rehabil Med"},{"key":"2025080112144291000_44.8.579.2","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1179\/ptr.1996.1.1.23","article-title":"Lateral epicondylalgia. I. Epidemiology, pathophysiology, aetiology and natural history","volume":"1","author":"Vicenzino","year":"1996","journal-title":"Phys Ther Rev"},{"key":"2025080112144291000_44.8.579.3","doi-asserted-by":"crossref","first-page":"1399","DOI":"10.1016\/j.mehy.2006.05.048","article-title":"Lateral elbow tendinopathy is the most appropriate diagnostic term for the condition commonly referred to as lateral epicondylitis","volume":"67","author":"Stasinopoulos","year":"2006","journal-title":"Med Hypotheses"},{"key":"2025080112144291000_44.8.579.4","first-page":"327","article-title":"Tennis elbow","volume":"7410","author":"Assendelft","year":"2003","journal-title":"BMJ"},{"key":"2025080112144291000_44.8.579.5","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.81B2.9154"},{"key":"2025080112144291000_44.8.579.6","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/BF00180221","article-title":"Tennis elbow: anatomical, epidemiological and therapeutic aspects","volume":"18","author":"Verhaar","year":"1994","journal-title":"Int Orthop"},{"key":"2025080112144291000_44.8.579.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(03)00480-5"},{"key":"2025080112144291000_44.8.579.8","doi-asserted-by":"crossref","first-page":"357","DOI":"10.2519\/jospt.1994.19.6.357","article-title":"Tennis elbow: a review","volume":"19","author":"Noteboom","year":"1994","journal-title":"J Orthop Sports Phys Ther"},{"key":"2025080112144291000_44.8.579.9","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/S0278-5919(20)30133-2","article-title":"Medial and lateral epicondylitis in the athlete","volume":"15","author":"Plancher","year":"1996","journal-title":"Clin Sports Med"},{"key":"2025080112144291000_44.8.579.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(05)70269-6"},{"key":"2025080112144291000_44.8.579.11","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1197\/j.jht.2004.02.011","article-title":"Rehabilitations for patients with lateral epicondylitis a systematic review","volume":"17","author":"Trudel","year":"2004","journal-title":"J Hand Ther"},{"key":"2025080112144291000_44.8.579.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2003.05.002"},{"key":"2025080112144291000_44.8.579.13","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1179\/ptr.2000.5.2.117","article-title":"Methods utilized in treating lateral epicondylitis","volume":"5","author":"Selvier","year":"2000","journal-title":"Phys Ther Rev"},{"key":"2025080112144291000_44.8.579.14","doi-asserted-by":"crossref","unstructured":"Stasinopoulos D Johnson MI . Physiotherapy and tennis elbow\/lateral epicondylitis. BMJ. 2004 Sept 6. http:\/\/bmj.com\/cgi\/eletters\/327\/7410\/329#73306 (Accessed 1 Jun 2009)","DOI":"10.1136\/bmj.327.7410.329"},{"key":"2025080112144291000_44.8.579.15","doi-asserted-by":"publisher","DOI":"10.1080\/07853890310004138"},{"key":"2025080112144291000_44.8.579.16","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh247"},{"key":"2025080112144291000_44.8.579.17","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2004.015545"},{"key":"2025080112144291000_44.8.579.18","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1302\/0301-620X.74B5.1388172","article-title":"Lack of scientific evidence for the treatment of lateral epicondylitis of the elbow: an attempted meta-analysis","volume":"74","author":"Labelle","year":"1992","journal-title":"J Bone Joint Surg"},{"key":"2025080112144291000_44.8.579.19","doi-asserted-by":"publisher","DOI":"10.1080\/07853890310004138"},{"key":"2025080112144291000_44.8.579.20","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2004.016170"},{"key":"2025080112144291000_44.8.579.21","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1179\/ptr.1997.2.1.39","article-title":"Lateral epicondylalgia. II. Therapeutic management","volume":"2","author":"Wright","year":"1997","journal-title":"Phys Ther Rev"},{"key":"2025080112144291000_44.8.579.22","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2005.020909"},{"key":"2025080112144291000_44.8.579.23","doi-asserted-by":"publisher","DOI":"10.1191\/0269215506cr921oa"},{"key":"2025080112144291000_44.8.579.24","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2003.000053"},{"key":"2025080112144291000_44.8.579.25","doi-asserted-by":"publisher","DOI":"10.1191\/0269215504cr757oa"},{"key":"2025080112144291000_44.8.579.26","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2005.018630"},{"key":"2025080112144291000_44.8.579.27","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2003.010587"},{"key":"2025080112144291000_44.8.579.28","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.01181"},{"key":"2025080112144291000_44.8.579.29","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1177\/03635465980260030301","article-title":"Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis","volume":"26","author":"H","year":"1998","journal-title":"Am J Sports Med"},{"key":"2025080112144291000_44.8.579.30","doi-asserted-by":"publisher","DOI":"10.1007\/s001670000148"},{"key":"2025080112144291000_44.8.579.31","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-199204000-00006"},{"key":"2025080112144291000_44.8.579.32","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2001.000284"},{"key":"2025080112144291000_44.8.579.33","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2004.378.x"},{"key":"2025080112144291000_44.8.579.34","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2001.110402.x"},{"key":"2025080112144291000_44.8.579.35","unstructured":"Stasinopoulos D Johnson MI . Treatment\/management for tendinopathy. Rapid response to Khan et al (2002) article Time to abandon the \u00e2\u0080\u0098tendinitis\u00e2\u0080\u0099 myth. BMJ 2004 Sep 22."},{"key":"2025080112144291000_44.8.579.36","first-page":"438","article-title":"Rebox: an adjunct in physical medicine?","volume":"74","author":"Johannsen","year":"1993","journal-title":"Arch Phys Med Rehabil"},{"key":"2025080112144291000_44.8.579.37","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(10)61481-2"},{"key":"2025080112144291000_44.8.579.38","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(05)66275-X"},{"key":"2025080112144291000_44.8.579.39","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(96)03221-6"},{"key":"2025080112144291000_44.8.579.40","first-page":"250","article-title":"Extensor carpi radialis tendonitis: a validation of selected outcome measures","volume":"39","author":"Stratford","year":"1987","journal-title":"Physiother Can"},{"key":"2025080112144291000_44.8.579.41","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.35.1.60"},{"key":"2025080112144291000_44.8.579.42","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1093\/ptj\/69.3.211","article-title":"Evaluation of eccentric exercise in treatment of patellar tendinitis","volume":"69","author":"Jensen","year":"1989","journal-title":"Phys Ther"},{"key":"2025080112144291000_44.8.579.43","doi-asserted-by":"crossref","first-page":"347","DOI":"10.2165\/00007256-199724050-00006","article-title":"Rehabilitation of tendon injuries in sport","volume":"24","author":"Hawary","year":"1997","journal-title":"Sports Med"},{"key":"2025080112144291000_44.8.579.44","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7338.626"},{"key":"2025080112144291000_44.8.579.45","doi-asserted-by":"crossref","first-page":"38","DOI":"10.3810\/psm.2000.05.890","article-title":"Overuse tendinosis, not tendinitis: a new paradigm for a difficult clinical problem","volume":"28","author":"Khan","year":"2000","journal-title":"Phys Sportsmed"},{"key":"2025080112144291000_44.8.579.46","doi-asserted-by":"publisher","DOI":"10.1007\/s001670000189"},{"key":"2025080112144291000_44.8.579.47","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/S0934-8832(89)80019-8","article-title":"Anisotropic and biomechanical properties of tendons modified by exercise and denervation: aggregation and macromolecular order in collagen bundles","volume":"9","author":"Vilarta","year":"1989","journal-title":"Matrix"},{"key":"2025080112144291000_44.8.579.48","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1123\/jsr.6.3.226","article-title":"A comparison of two treatment regimens for lateral epicondylitis: a randomised trial of clinical interventions","volume":"6","author":"Drechsler","year":"1997","journal-title":"J Sport Rehabil"},{"key":"2025080112144291000_44.8.579.49","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(05)60746-8"},{"key":"2025080112144291000_44.8.579.50","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)07811-X"},{"key":"2025080112144291000_44.8.579.51","doi-asserted-by":"publisher","DOI":"10.1177\/0095399703258714"},{"key":"2025080112144291000_44.8.579.52","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1093\/ptj\/83.7.608","article-title":"Manipulation of the wrist for the management of lateral epicondylitis: a randomised pilot study","volume":"83","author":"Struijs","year":"2003","journal-title":"Phys Ther"},{"key":"2025080112144291000_44.8.579.53","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2001.110603.x"},{"key":"2025080112144291000_44.8.579.54","first-page":"35","article-title":"A prospective pilot study of a multidisciplinary home training programme for lateral epicondylitis","volume":"50","author":"Nilsson","year":"2007","journal-title":"Musculoskeletal Care"}],"container-title":["British Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bjsm.2008.049759","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T19:14:50Z","timestamp":1754075690000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjsm.bmj.com\/lookup\/doi\/10.1136\/bjsm.2008.049759"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,11,3]]},"references-count":54,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2010,6,14]]},"published-print":{"date-parts":[[2010,6]]}},"alternative-id":["10.1136\/bjsm.2008.049759"],"URL":"https:\/\/doi.org\/10.1136\/bjsm.2008.049759","relation":{},"ISSN":["0306-3674","1473-0480"],"issn-type":[{"value":"0306-3674","type":"print"},{"value":"1473-0480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,11,3]]}}}