• Title/Summary/Keyword: Lateral epicondylalgia

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Scapulothoracic Mobilization for the Management of Lateral Epicondylalgia: a Case Report

  • Kim, Jong Won;Heo, tae jun;Park, Ji-Won
    • The Journal of Korean Physical Therapy
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    • v.34 no.4
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    • pp.140-148
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    • 2022
  • Purpose: The purpose of this study was to investigate the effects of the scapulothoracic mobilization on subject with lateral epicondylalgia. This was done through lateral slide scapular test, grip strength, visual analogue scale, glenohumeral joint external rotation range of motion. Methods: Before the experiment, Lateral slide scapular test, grip strength, visual analogue scale, glenohumeral joint external rotation range of motion were measured. Scapulothoracic joint mobilization was applied and then measurements were taken again to compared the changes. Results: After applying the scapulothoracic joint mobilization, lateral slide scapular test, grip strength, visual analogue scale, glenohumeral joint external rotation range of motion significantly improved. Conclusion: This study found that the scapulothoracic mobilization was effective in improving functional aspects and pain on subject with lateral epicondylalgia. The results suggest that the scapulothoracic joint mobilization is a significant considered intervention method that could be used for subject with lateral epicondylalgia.

Initial Effects of the Non-elastic Taping Technique on Grip Strength and EMG in Female with Lateral Epicondylalgia (테니스 엘보를 가진 성인 여성의 비탄력성 테이핑 후 악력과 근활성도의 초기 변화 연구)

  • Park, Jin-Hyun;Kim, Kyoung
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.4
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    • pp.525-533
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    • 2012
  • PURPOSE: The purpose of this study was to investigate initial effects of the non-elastic taping technique on grip strength and EMG in female with lateral epicondylalgia. METHODS: Twenty-two participants (mean age SD, $52.8{\pm}10.2$ years) with chronic lateral epicondylalgia (mean duration${\pm}$SD, $13.1{\pm}9.9$ months) participated in a placebo control study of an elbow taping technique. Outcome measures were pain-free grip and EMG taken before, immediately after application of tape. RESULTS: The experimental group were more significantly improved grip strength and muscle activity of forearm than control group. CONCLUSION: This study show that non-elastic taping technique is beneficial intervention for increase grip strength and EMG in female with lateral epicondylalgia.

Effects of Stretching Extensor Carpi Radialis With Proximal Functional Massage on Pain and Strength in Patients With Lateral Epicondylalgia (팔꿉관절 가쪽위관절 통증 환자에서 근위방향 기능적 마사지를 이용한 노쪽 손목 폄근 신장운동이 통증과 근력에 미치는 효과)

  • Choung, Sung-Dae;Ha, Sung-Min;Kim, Su-Jung;Park, Kyue-Nam;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.19 no.1
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    • pp.66-75
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    • 2012
  • The purpose of this study was to identify the effects of two types of stretching extensor carpi radialis on the visual analog scale (VAS), pressure-pain thresholds (PPTs), grip strength (GS), and strength of wrist extensor (SWE) in patients with lateral epicondylalgia. Sixteen patients with lateral epicondylalgia were recruited for this study and randomly assigned to two groups; the conventional stretching group (CS) and the stretching of proximal functional massage group (PFM); the VAS, PPTs, GS, and SWE were measured before and after the intervention. Over a period of stretching exercises were performed for five minutes per day, five days per week. The paired t-test and Wilcoxon signed-rank test were used to determine the statistical differences in the VAS, PPTs, GS, and SWE (pre- and post-test). The Independent t-test and Mann-Whitney U test were used to compare the effects of stretching exercises between the CS and PFM groups. The results of this study demonstrated that in the PFM group, the PPTs, GS, and SWE significantly increased, and the VAS decreased (p<.05). In the CS group, the VAS and GS increased significantly after the three-week intervention (p<.05). Pain was decreased and strength (GS and SWE) was increased in the PFM group, compared to the CS group (p<.05). The findings of this study indicate that PFM technique can be applied for decreasing pain and increasing the GS and SWE in patients with lateral epicondylalgia.

Effects of Multi-site and Single-site Functional Massage and Stretching on Pain, Tenderness Threshold and Grip Strength in Patients with Lateral Epicondylalgia (가쪽위관절융기 통증 환자에서 복합 부위와 단일 부위에 기능적 마사지와 스트레칭을 적용할 때 통증, 압통 역치와 악력에 미치는 영향)

  • Min-keun Jung;Jae-guk Jeon;Eui-joo Shin
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.3
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    • pp.13-22
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    • 2023
  • Background: The purpose of this study was to investigate the effects of functional massage and stretching, applied to the elbow and shoulder joints, on pain, tenderness threshold, and grip strength. Methods: A total of 29 individuals were assigned to a single site (n=15) or multiple sites (n=14). Pain measured through the visual analogue scale (VAS), tenderness threshold (TTH), and grip strength (GI) were measured before and four weeks after the intervention. Results: After four weeks of treatment, visual analogue scale significantly decreased in both groups (p<.05), and the tenderness threshold and grip strength significantly increased in both groups (p<.05). There was also a significant difference between the two groups (p<.05). Conclusion: The reduction of visual analogue scale and the increase in the tenderness threshold and grip strength were more significant in the multi-site treatment group than in the single-site treatment group.

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Pragmatic Combinations of Acupuncture Points for Lateral Epicondylalgia are Unreliable in the Physiotherapy Setting

  • Alvim, Danielle T.;Ferreira, Arthur S.
    • Journal of Acupuncture & Meridian Studies
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    • v.11 no.6
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    • pp.367-374
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    • 2018
  • This study describes the reliability of pragmatic combinations of acupuncture points for lateral epicondylalgia (LE) as prescribed by physiotherapists who were experts in acupuncture. Raters (n = 14; 33-59 years) independently prescribed acupuncture points for 30 simulated human patients with LE who were surveyed via a printed questionnaire. The frequency and cooccurrence of acupuncture points prescribed for patients with lateral epicondylitis were assessed. Absolute agreement and Light's kappa (${\kappa}_{Light}$) with 95% confidence interval (CI) were used to quantify the interrater agreement. Raters prescribed 103 unique acupuncture points in different combinations with a median (min-max) of 5 (0-11) acupuncture points. The most prescribed acupuncture point was LI-11 (297 of 420; 71%), and the most common cooccurring acupuncture points were LI-11 and LI-4 (160 of 420; 38%). The absolute agreement for prescribing the acupuncture points ranged from 70% (point GB-20) to 0% (points LI-10, SP-6, LI-11, GB-34, LI-12, and LI-4). Point LR-3 showed the highest interrater reliability for prescribing the acupuncture points [${\kappa}_{Light}=0.112$, 95% CI = (0.055-0.194)], whereas point LI-4 showed the lowest reliability [${\kappa}_{Light}=-0.003$, 95% CI = (-0.024 to 0.024)]. These findings suggest that pragmatic prescriptions of acupuncture points for LE are unreliable among physiotherapists who are experts in acupuncture. Explicit, high-level evidence-based rules for prescribing and teaching combinations of acupuncture points for LE are warranted.