title: Effects of the forearm support band on wrist extensor muscle fatigue.
abstract: METHODS
  A crossover experimental design with repeated measures.
  
  
  OBJECTIVE
  To determine whether the forearm support band alters wrist extensor muscle fatigue.
  
  
  BACKGROUND
  Fatigue of the wrist extensor muscles is thought to be a contributing factor in the development of lateral epicondylitis. The forearm support band is purported to reduce or prevent symptoms of lateral epicondylitis but the mechanism of action is unknown.
  
  
  METHODS
  Fifty unimpaired subjects (36 men, 14 women; mean age = 29 +/- 6 years) were tested with and without a forearm support band before and after a fatiguing bout of exercise. Peak wrist extension isometric force, peak isometric grip force, and median power spectral frequency for wrist extensor electromyographic activity were measured before and after exercise and with and without the forearm support band. A 2 x 2 repeated measures multivariate analysis of variance was used to analyze the data, followed by univariate analysis of variance and Tukey's multiple comparison tests.
  
  
  RESULTS
  Peak wrist extension isometric force, peak grip isometric force, and median power spectral frequency were all reduced after exercise. However, there was a significant reduction in peak grip isometric force and peak wrist extension isometric force values for the with-forearm support band condition (grip force 28%, wrist extension force 26%) compared to the without-forearm support band condition (grip force 18%, wrist extension force 15%).
  
  
  CONCLUSIONS
  Wearing the forearm support band increased the rate of fatigue in unimpaired individuals. Our findings do not support the premise that wearing the forearm support band reduces muscle fatigue in the wrist extensors.
authors.affiliation: US Army, Ft Riley, Kan., USA. pauli_101@hotmail.com
authors.forename: P T
authors.initials: PT
authors.lastname: Knebel
authors.forename: D W
authors.initials: DW
authors.lastname: Avery
authors.forename: T L
authors.initials: TL
authors.lastname: Gebhardt
authors.forename: S L
authors.initials: SL
authors.lastname: Koppenhaver
authors.forename: S C
authors.initials: SC
authors.lastname: Allison
authors.forename: J M
authors.initials: JM
authors.lastname: Bryan
authors.forename: A
authors.initials: A
authors.lastname: Kelly
mesh_terms: D000704:Analysis of Variance; D018592:Cross-Over Studies; D004576:Electromyography; D005069:Evaluation Studies as Topic; D005260:Female; D005542:Forearm; D018737:Hand Strength; D006801:Humans; D007537:Isometric Contraction; D008297:Male; D015999:Multivariate Analysis; D018763:Muscle Fatigue / Q000502:physiology*; D018482:Muscle, Skeletal / Q000502:physiology*; D009989:Orthotic Devices; D013716:Tennis Elbow / Q000503:physiopathology / Q000534:rehabilitation*; D014953:Wrist / Q000502:physiology*