Comparing Plyometric and TheraBand FlexBar Exercises for Tennis Elbow Relief

Tennis elbow, or lateral epicondylitis, is a common condition characterized by pain and inflammation in the arm, often caused by repetitive motions or overuse of the tendon connecting the elbow joint to the forearm muscle.

Managing this discomfort can be challenging, but recent research has shed light on effective treatment methods.

Here are the findings from a study comparing the effectiveness of plyometric exercises combined with ultrasound therapy versus TheraBand FlexBar exercises combined with ultrasound therapy in alleviating tennis elbow pain.


Lateral epicondylitis affects 1%–3% of the population and can significantly impede daily activities and sports participation. The condition originates from overuse, leading to pain and tenderness on the outer elbow, particularly affecting the extensor carpi radialis brevis (ECRB) tendon. Effective treatment aims to manage pain, preserve mobility, and strengthen muscles.


This study involved 30 participants, aged 20–40, divided into two groups:

  • Group A: Received plyometric exercises with ultrasound therapy.
  • Group B: Received TheraBand FlexBar exercises with ultrasound therapy.

Both groups underwent a six-week treatment program. The effectiveness of these interventions was measured using the Patient-Rated Tennis Elbow Evaluation (PRTEE) and the Visual Analog Scale (VAS).


The results were significant:

  • Group A showed a substantial reduction in pain and improvement in function compared to Group B, with a p-value of less than 0.001.
  • Conclusion: Plyometric exercises combined with ultrasound therapy were more effective than TheraBand FlexBar exercises combined with ultrasound in reducing pain and improving functionality.


The findings suggest that plyometric exercises, when combined with ultrasound therapy, provide superior outcomes for tennis elbow patients. Plyometric exercises involve forceful and rapid movements that enhance the stretch-shortening cycle (SSC) in muscles, leading to improved muscle function and reduced pain. Ultrasound therapy aids in reducing inflammation and accelerating tendon healing, further contributing to pain relief and improved grip strength.

Previous studies support the efficacy of plyometric exercises in reducing symptoms and local inflammation, making them a valuable addition to tennis elbow treatment plans. The combination of these exercises with ultrasound therapy offers a promising approach to managing this condition.

Limitations and Future Scope

The study had a small sample size and included participants within a specific age bracket, which may limit the generalizability of the findings. Future research with a larger and more diverse sample is needed to provide more robust results and better represent the broader population of tennis elbow patients.


For individuals struggling with tennis elbow, incorporating plyometric exercises with ultrasound therapy can significantly reduce pain and improve functional capacity. This combination has proven to be more effective than TheraBand FlexBar exercises with ultrasound, offering a preferred treatment option for managing lateral epicondylitis. Always consult with a healthcare professional before starting any new treatment regimen to ensure it is appropriate for your specific condition.

By understanding the science behind these interventions, patients can make informed decisions about their pain management strategies, leading to improved outcomes and a better quality of life.

G M, S N, K K, et al. (June 02, 2024) Efficacy of Plyometric and TheraBand FlexBar Exercises in Tennis Elbow Patients: A Comparative Study. Cureus 16(6): e61525. doi:10.7759/cureus.61525

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