• Title/Summary/Keyword: Lateral epicondylitis

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The Effect of CI Technique in PNF and Sport Taping on Pain and Grip Strength in Patients with Lateral Epicondylitis (PNF의 CI기법과 스포츠테이핑이 팔꿉관절 가쪽위관절염 환자의 통증과 악력에 미치는 영향)

  • Song, Myung-Soo;Kim, Beom-Ryong;Kang, Mi-Gyeong
    • PNF and Movement
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    • v.14 no.1
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    • pp.33-39
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    • 2016
  • Purpose: The purpose of the present study was to examine the effects of the simultaneous application of the combination of isotonics (CI) in proprioceptive neuromuscular facilitation (PNF) and sport taping on the pain and grip strength of patients diagnosed with lateral epicondylitis among H badminton club members and to provide intervention methods for lateral epicondylitis. Methods: The subjects included 10 patients diagnosed with lateral epicondylitis. The CI technique in PNF as well as sport taping were applied to the subjects five times per week for two weeks. The visible analogue scale (VAS) was used to measure decreasing changes in pain, and a grip dynamometer was used to measure grip strength (GS). Paired sample t-tests were conducted to compare values measured before and after the experiment in order to determine differences. Results: The intensities of pain of the experimental groups changed significantly between the times before and after the experiment (p<0.05), and grip strength also changed significantly from the time before after the experiment (p<0.05). Conclusion: When the CI technique of PNF as well as sport taping were applied to patients with lateral epicondylitis, the patients showed significant improvements in pain and grip strength. Since the intervention had quite positive effects on the subjects that complained of lateral epicondylitis by reducing their pain and increasing their grip strength, studies of efficient exercise interventions will be continuously conducted to propose the development of intervention programs.

Effect of Acupotomy Therapy on Lateral Epicondylitis Diagnosed by Ultrasonography (초음파 진단을 통한 주관절 외상과염의 침도 치료 임상 증례 보고)

  • Lim, Na-Ra;Lim, Jin-Young;Kim, Dong-Woung;Lee, Jong-Deok;Kim, Sung-Chul
    • Journal of Pharmacopuncture
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    • v.14 no.2
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    • pp.53-59
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    • 2011
  • Purpose: This observation was to report the clinical effects of acupotomy in treating lateral epicondylitis. Methods: Three patients diagnosed with lateral epicondylitis were treated with acupotomy. Two were male and one was female. The improvement of symptom were evaluated by visual analog scale (VAS) and self-consciousness symptoms of Cozen test. Results: After one treatments, patient's chief complaint and the pain near the lateral epicondyle while cozen test were notably improved. Conclusions : This study demonstrates that oriental medical treatment with acuputomy therapy has significant effect in improving symptoms of lateral epicondylitis. As though we had not wide experienced in this treatment, more research is needed.

Effect of Wrist Extensor Strength and Pain on Extracorporeal Shock Wave Therapy of the Lateral Epicondylitis (체외충격파치료가 주관절 외측상과염 환자의 손목 신전근의 근력과 통증에 미치는 영향)

  • Cho, Nam-Jung;Park, Jang-Sung;Cho, Woon-Su
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.6 no.1
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    • pp.57-68
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    • 2008
  • Purpose : The purpose of this study was to assess the effectiveness of Extracorporea Shock-wave therapy(ESWT) on the pain and improvement of wrist extensor strength which is one of the available medical treatment in patients with lateral epicondylitis. Object and Methods : The subjects of this study were consisted of 15 patients with lateral epicondylitis, These medical treatments was conducted total 6 time for 3 weeks. In the ESWT application group. To investigate the effectiveness of the treatment after ESWT treatment, Pain was measured by visual analogue scale(VAS) which is divided into 10 ranks and wrist extensor strength was measured by Aneroid phygmomanometer Results : 1. It was showed that VAS and wrist extensor strength before treatment and after two treatment(1 week) were no significant differences(p<0.05). 2. It was showed that VAS and wrist extensor strength before treatment and after four treatment(2 week) were significant differences(p<0.05). 3. It was showed that VAS and wrist extensor strength before treatment and after six treatment(3 week) were significant differences(p<0.05). Conclusion : We think that ESWT for the patients with lateral epicondylitis. is effective to wrist extensor strength and decrease of pain.

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상완골 외상과염 환자에 대한 오공약침 치험 2례

  • Park, Jang-Woo;Hwang, Jae-Pil;Kang, Jun-Hyuk;Kim, Hyun-Su;Heo, Dong-Seok;Yoon, Il-Ji;Oh, Min-Seok
    • Journal of Pharmacopuncture
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    • v.9 no.3 s.21
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    • pp.155-160
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    • 2006
  • Objective : The purpose of this study is to examine if scolopendrid acuacupucture may be effective to the lateral epicondylitis. Methods : Using scolopendrid aquacupucture, we injected a small dose of it to the affected area and operated 2 pre and post treatment test; VAS(visual analogue scale), PPT(pressure pain threshold). Results : The scolopendrid aquacupucture treatment led to improvement in the pain and symptom of lateral epicondylitis by all efficacy measures. After scolopendrid aquacupucture treatment, there was improvement in VAS, PPT. Conclusion :This results suggest that scolopendrid aquacupucture is good method for treatment of lateral epicondylitis, so we suggest the possibility to use this new remedy for the lateral epicondylitis.

Research Trends in Pharmacopuncture Treatment for Lateral Epicondylitis

  • Yoo, Jae Hee;Ko, Hong Je;Jeong, Sang Jun;Kim, Min Wook;Kim, Soo Hyun;Kim, Seon Woo;Jang, Seung Won;Shin, Jeong Cheol
    • Journal of Acupuncture Research
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    • v.37 no.1
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    • pp.35-41
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    • 2020
  • The aim of this study was to examine pharmacopuncture treatment for lateral epicondylitis, and to contribute to developing a standardized treatment regimen by reviewing trends in clinical trials. Five randomized controlled trials, 1 case-control study, and 8 cohort studies published after 1999, that involved pharmacopuncture for lateral epicondylitis, were selected from Korean and international online databases (n = 8). The type of pharmacopuncture, dose, frequency, efficacy, and adverse events were analyzed. Seven types of pharmacopuncture were used, namely Bee Venom, Illicium henryi Diels, Akebiae Caulis, Angelicae sinensis Diels, Ligusticum chuanxiong Hort, Hominis Placenta, and Salviae Miltiorrhizae Radix. Dose, treatment duration, and treatment frequency varied widely. One study assessed the treatment efficacy according to frequency. Nine studies lacked data on adverse events. The quality of 5 randomized controlled trials was low. Although pharmacopuncture treatment appeared to be effective for lateral epicondylitis, it was difficult to standardize the regimen for lateral epicondylitis.

Role of concomitant percutaneous pie crusting and local corticosteroid injection in lateral epicondylitis: a prospective, case control study

  • Amyn M. Rajani;Anmol RS Mittal;Vishal Kulkarni;Khushi Rajani;Kashish Rajani
    • Clinics in Shoulder and Elbow
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    • v.26 no.1
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    • pp.49-54
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    • 2023
  • Background: Lateral epicondylitis is an increasingly debilitating condition in working population. Evidence for conservative treatment modalities has been inconclusive. Percutaneous pie crusting of the common extensor origin at the lateral epicondyle at the time of local corticosteroid injection (CSI) has been proposed sparsely. The objective of this study was to analyze if concomitant CSI and pie-crusting of the common extensor origin provides better outcome than CSI alone in lateral epicondylitis. Methods: This case-control study on 236 patients was conducted at a single center between January 1, 2020, and May 31, 2022. Patients were divided into two groups (n=118 each) based on their preference. Group A underwent CSI alone and group B underwent pie crusting along with CSI. The clinical and functional outcomes of all patients were evaluated at 2, 4, 6, and 12-week post-procedure using the visual analog scale (VAS) and Nirschl score. The mean time for return to daily activities was also compared. Results: Both groups showed significant improvement in post-procedure outcome at successive follow-ups on intragroup longitudinal analysis (VAS: F=558.384 vs. F=1,529.618, Nirschl: F=791.468 vs. F=1,284.951). On intergroup analysis, VAS of group B was superior to that of group A; however, it was statistically significant (P<0.05) only from the 6-week follow-up onwards. Nirschl score of group B was significantly better throughout the period of follow-up (P<0.05). Group B returned to daily activities faster than Group A (6.2±0.44 weeks vs. 7.18±0.76 weeks). Conclusions: Concomitant pie crusting with CSI is recommended for lateral epicondylitis as it provides significantly better results than CSI alone.

Lateral Epicondylitis: Current Concept

  • Jeon, In-Ho;Kekatpure, Aashay Laxmikant;Sun, Ji-Ho;Shim, Kyeong-Bo;Choi, Sung-Hoon;Lim, Sung-Joon;Chun, Jae-Myeung
    • Clinics in Shoulder and Elbow
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    • v.17 no.3
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    • pp.138-144
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    • 2014
  • Lateral epicondylitis is one of the most common causes of elbow pain and has been known to be caused by degeneration of the extensor carpi radialis brevis (ECRB). Nonoperative treatment should be tried first in all patients, because it has been deemed highly successful; however only few prospective studies suggest that symptoms frequently was completely resolved. Operative treatment is indicated for recalcitrant pain after failed conservative treatment, which involves excision of the pathologic portion of the ECRB and results in a high degree of subjective relief and functional restoration. We will review the pathology of the lateral epicondylitis and operative and nonoperative treatment of lateral epicondylitis.

The Effect of Soft Tissue Mobilization Using Prop on the Pain, Grip Strength, Functional Activity and Proprioception in Patients with Lateral Epicondylitis (소도구를 활용한 연부조직가동술이 주관절 외측상과염 환자에게 통증과 악력, 기능, 고유수용성감각에 미치는 영향)

  • Ahn, Seung-won;Yoo, Tae-geun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.23 no.1
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    • pp.15-22
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    • 2017
  • Background: The purpose of this study was to investigate into the effect of soft tissue mobilization using prop on the pain, grip strength and functional activity in patients with lateral epicondylitis. Methods: Fifteen patients with lateral epicondylitis were recruited. Before treatment, they were evaluated using visual analogue scale (VAS), grip strength, test, patient-rated tennis elbow evaluation (PRTEE), proprioception, and were reevaluated after six weeks of treatment. Results: As a result of comparing all participants before and after the experiment, the grip strength increased significantly (p<.05). And the VAS, PRTEE, and proprioception decreased significantly (p<.05). Conclusion: According to the results above, soft tissue mobilization using prop can help improve pain, grip strength, PRTEE and proprioception. Also, soft tissue mobilization using Blackroll's Twister technique was able to select interventions depending on the patient's condition and the desired goal.

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The Clinical Report on 3 Cases of Lateral Epicondylitis Treated with Musculotendinous Releasing Manual Therapy after Acupuncture Treatment (침치료 후 근건이완수기요법을 적용한 주관절 외상과염 환자 치험 3례)

  • Park, Jaewon;Park, Seohyun;Moon, Sori;Song, Miyoung;Keum, Dongho
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.2
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    • pp.101-108
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    • 2017
  • We researched 3 patients diagnosed as Lateral epicondylitis (Tennis elbow). We considered it as tendinosis including irregular collagen fiber's pattern. So, acupuncture therapy and musculotendinous releasing manual therapy were used to treat the patients. We measured their pain and functional disorder by visual analogue scale (VAS), Patient-Rated Tennis Elbow Evaluation (PRTEE), and a dynamometer before and after treatment. As a result, VAS and PRTEE significantly reduced and grasping power was also improved. Therefore, we conclude that the acupuncture therapy with musculotendinous releasing manual therapy is an effective way to treat Lateral epicondylitis. But there are limits on this study due to insufficient number of cases, absence of control group and absence of follow-up after last treatment. Further studies will be needed.

A Case Study of 13 Patients with Lateral Epicondylitis of Elbow Using Deep Thermo-conductive Acupuncture Therapy (심부가열침술을 이용한 주관절 외상과염 환자 치험 13례)

  • Kim, Chae Weon;Park, Hae In;Lee, Yong Hyun;Lee, Kwang Ho
    • Journal of Acupuncture Research
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    • v.30 no.2
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    • pp.25-30
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    • 2013
  • Objectives : The Purpose of this study is to evaluate the effect of the deep thermo-conductive acupuncture therapy for the patients with lateral epicondylitis of the elbow. Methods : Thirteen patients with lateral epicondylitis were included from April 2011 to December 2012 and all the patients were treated with the deep thermo-conductive acupuncture therapy. Then we checked visual analog scale(VAS) scores of the patients at every hospital visit, and compared the differences for before and after treatment. We also divided them into 3 age groups(in 40s, 50s, 60s) and 4 groups of the duration of illness(~1 week, ~1month, ~6 months, 6 months ~), and compared the effects for 3 age groups as well as 4 groups of duration of illness. Results : 1. VAS scores had been changed significantly from $6.0769{\pm}1.5390$ to $3.3077{\pm}1.9207$(p=0.005). 2. No significant differences were found between 3 age groups(p=0.968) as well as 4 groups of the duration of illness(p=0.724). Conclusions : This study suggests that deep thermo-conductive acupuncture therapy is effective for healing of the lateral epicondylitis of elbow. But the age and the duration of illness seem to have no influence on results.