• Journal of Korean Physical Therapy Science
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• v.10 no.1
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• pp.122-129
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• 2003

In this study, a group of 25 patients between the ages of $22{\sim}55$ received acupuncture treatments for tennis elbow. The variance has some high value. 1. The distribution of an age group in 22 to 55 and the average age of men is $40.9{\pm}9.3$ and the average age of women is $39.5{\pm}3.6$. Total average age is $40.4{\pm}8.4$. 2. Before the acupuncture treatments the average pain degree for the group is $4.72{\pm}0.6$ and after treatments, it is $2.36{\pm}1.6$. Statistically, the variance has some high value. 3. There were statistically significant difference in the pain degree before and after the acupuncture treatment according to the age. By these results, acupuncture treatments will be useful to the first-line treatment for tennis elbow.

• Journal of Acupuncture Research
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• v.36 no.4
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• pp.211-219
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• 2019

This review analyzed randomized controlled trials and case reports to identify the effectiveness, and level of evidence showing that acupuncture treatment aids the recovery of patients with tennis elbow. A literature search was performed between $1^{st}$ to $10^{th}$ September, 2019 which used PubMed, the Cochrane library, the Korean databases Oriental Medicine Advanced Searching Integrated System, Korean Studies Information Service System to retrieve Korean and international studies. Amongst the 243 articles retrieved there were 9 randomized controlled trials and 18 case reports. The level of evidence for the recovery of patients with tennis elbow, for efficacy and safety of acupuncture was low. It was observed that the studies had a high risk of bias, missing acupuncture details, multiple combinations of treatments rather than a single treatment, insufficient indicators of assessment, and lacked robustness. Compliance with international standards such as using consolidated standards of reporting trials, will improve the quality of evidence.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 1999.03a
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• pp.31-31
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• 1999

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2002.03a
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• pp.117-117
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• 2002

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2008.11a
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• pp.127-136
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• 2008

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2002.03a
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• pp.132-139
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• 2002

• Journal of the Korean Society of Physical Medicine
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• v.9 no.1
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• pp.25-33
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• 2014

PURPOSE: The purpose of this was to translate Patient-Rated Tennis Elbow Evaluation(PRTEE) into Korean and identify the reliability and validity of a Korean version of PRTEE. METHODS: The subjects of this study were 32 patients diagnosed with lateral epicondylitis. The subjects were surveyed using a Korean version of PRTEE three times: at the first visit, one week after, and two weeks after. This questionnaire consisted of 15 questions including 5 questions about pain and 10 questions about functions. Intraclass correlation coefficients were used to measure reliability and Cronbach's alpha coefficients were used to assess internal consistency. In addition, the validity of the survey results was examined by correlating a visual analogue scale with the outcome of holding without pain. RESULTS: Test-retest reliability of Korea version PRTEE was good total ICC= .962 (CI=.922-,982). Cronbach's alpha value for PRTEE was found to be .955 and it was statistically significant (p<.05). The positive correlation between PRTEE and VAS was moderate to high (r=.753, P=.00) and statistically significant. There was also a low significant negative correlation between PRTEE and PFG (r=-.362, P=.042). CONCLUSION: The Korean version of PRTEE had reliability and validity. Therefore, it is a useful measure to evaluate the conditions of patients with lateral epicondylitis.

• Clinics in Shoulder and Elbow
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• v.25 no.1
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• pp.57-64
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• 2022

Background: There are various conservative treatment options for lateral epicondylitis (LE). The aim is to evaluate pain, daily functioning, and complications after ultrasound-standardized autologous blood injections in patients with LE. Methods: For this prospective cohort study, consecutive patients (>18 years) diagnosed with LE were included. Autologous blood was injected using a medical device containing an injection disposable with 12 small needles (Instant Tennis Elbow Cure [ITEC]) device. Patient-Rated Tennis Elbow Evaluation (PRTEE), subjective elbow score (SES), palpation and provocation pain, satisfaction, and complications of treatment were measured at baseline and two months after treatment. Paired t-tests and Fisher's exact tests were used for calculating the difference between pre- and post-treatment outcomes. Results: Fifty-five elbows were analyzed. Mean time between pre- and post-treatment was 11.1 weeks (standard deviation [SD], 8.9 weeks). The mean PRTEE score decreased from 68.2 (SD, 15.7) before surgery to 53.2 (SD, 25.9; p<0.001) after. The mean SES improved from 36.9 (SD, 20.8) to 51.7 (SD, 27.4; p<0.001). Despite this improvement, only 44.7% of patients showed relevant clinical improvement in PRTEE, and 37.3% showed significant clinical improvement based on SES. Four patients reported a complication and the injection disposable failed three times. Conclusions: Ultrasound-standardized autologous blood injection using the ITEC device is not an effective tool in reducing symptoms related to LE. This study showed that only half of all patients experienced a positive effect. In this heterogeneous cohort of patients, we showed no added value of ultrasound standardization.

• 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.

• Clinics in Shoulder and Elbow
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• v.22 no.4
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• pp.227-234
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• 2019

Lateral epicondylitis, also known as 'tennis elbow', is a degenerative rather than inflammatory tendinopathy, causing chronic recalcitrant pain in elbow joints. Although most patients with lateral epicondylitis resolve spontaneously or with standard conservative management, few refractory lateral epicondylitis are candidates for alternative non-operative and operative modalities. Other than standard conservative treatments including rest, analgesics, non-steroidal anti-inflammatory medications, orthosis and physical therapies, nonoperative treatments encompass interventional therapies include different types of injections, such as corticosteroid, lidocaine, autologous blood, platelet-rich plasma, and botulinum toxin, which are available for both short-term and long-term outcomes in pain resolution and functional improvement. In addition, newly emerging biologic enhancement products such as bone marrow aspirate concentrate and autologous tenocyte injectates are also under clinical use and investigations. Despite all non-operative therapeutic trials, persistent debilitating pain in patients with lateral epicondylitis for more than 6 months are candidates for surgical treatment, which include open, percutaneous, and arthroscopic approaches. This review addresses the current updates on emerging non-operative injection therapies as well as arthroscopic intervention in lateral epicondylitis.