Risk factors of tennis elbow patients attended at two selected organizations in Dhaka

Abstract

Purpose: The purpose of the study was to identify the risk factors of development of Tennis Elbow for the patient attended at CRP and Bangladesh Tennis Federation. Objectives: To find out the risk factors associated with development of Tennis Elbow; to explore the socio-demographic information of the affected group; to determine vulnerable age group of Tennis Elbow and to assemble the association between Tennis Elbow and possible exposure (Overuse of hand, behavior of pain, smoking, recurrent injury, weight lifting by hand, Types of pain). Methodology: A hospital based unmatched (1:1) case- control study was carried out to complete the objectives of the study. Thirty participants with Tennis Elbow were identified from musculoskeletal unit of CRP and Tennis Federation as case and another thirty healthy people were selected as control. The data was collected by using a structural questionnaire by face to face interview. Data were analyzed through SPSS 16 version. Results: A total60 participants with Tennis Elbow the mean age of the participants was 41.75 (±12.54) years and minimum age was 24 years and maximum age was 70 years. Among case the mean age of the participants was 40.97 (±13.95) years and control group was 40.53(±11.18). The frequency of Tennis Elbow was highest in between the 24-39 Years that is 50% (n=15). A total of 60 participants 16 (26.67%) of the cases were male and 14 (23.33%) were female whereas 20 (33.33%) of the controls were male and 10 (16.67%) were female.6.7% of the affected respondents have at least some primary education. 21.67% (n=13) cases and 30 % (n=18) control were lived in urban area and 28.33% (n=17) case and 20% (n=12) control were from rural area. The factors significantly associated with the development of Tennis Elbow were overuse hand (OR 5.6875; 95%CI, 1.59-20.33), Weight lifting by hand(OR 1.643;95%CI, 1.52-5.12), Recurrent Injury (OR 18.308; 95%CI, 3.67-91.22), Smoking (OR 3;95%CI, 1.05-8.6).Conclusion:The important way for prevention of Tennis Elbow including the modification of over use of hand and weight lifting for reduce risk factors and it is also important to take comprehensive preventive measures like sports by modification of the working position and correction the hand during playing and the daily living activities.