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The effect of eccentric exercise in improving function or reducing pain in lateral epicondylitis is unclear
  1. Irene L C Heijnders,
  2. Chung-Wei Christine Lin
  1. Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
  1. Correspondence to Dr Chung-Wei Christine Lin, Musculoskeletal Division, The George Institute for Global Health, University of Sydney, PO Box M201, Missenden Road, Sydney, NSW 2000, Australia; clin{at}

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This section features a recent systematic review that is indexed on PEDro, the Physiotherapy Evidence Database ( PEDro is a free, web-based database of evidence relevant to physiotherapy.

▸ Cullinane F, Boocock M, Trevelyan F. Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review. Clin Rehabil 2014;28:3–19.


Lateral epicondylitis has an annual incidence up to 3% in the general population.1 Resistance exercise reduces pain intensity and improves grip strength in lateral epicondylitis.2 Eccentric exercise is successfully used in the rehabilitation of mid-portion Achilles and patellar tendon injuries and seems promising in the treatment of other tendinopathies such as lateral epicondylitis.3


This systematic review aimed to evaluate the effectiveness of eccentric exercise for lateral epicondylitis.

Searches and inclusion criteria

Electronic database searches of ProQuest, MEDLINE, AMED, Scopus, Web of Science and CINAHL were conducted. Randomised controlled studies and controlled clinical trials (non-randomised) were included if they were written in English. Previous, concurrent or comparative treatment with corticosteroid injections was an exclusion criterion. Owing to the high risk of bias in non-randomised trials, this commentary focuses on evidence from randomised controlled trials only.


Studies compared (1) …

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  • Contributors ILCH and C-WCL selected the systematic review. ILCH wrote the first draft of the manuscript. ILCH and C-WCL contributed to interpretation of the data and revision of the final manuscript.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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