• Journal of Acupuncture Research
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• v.40 no.4
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• pp.382-388
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• 2023

The triangular fibrocartilage complex (TFCC) is crucial for stabilizing the ulnar side of the wrist but can be partially torn due to degenerative changes, falling, or sudden injuries. However, only a few studies have focused on the use of Korean medicine treatments for TFCC-related wrist pain. This case report presents the successful outcomes of integrated Korean medicine treatment in a patient with a partial TFCC tear. The diagnosis was confirmed via magnetic resonance imaging, which revealed the tear. Subsequently, the patient received integrated Korean medicine treatments. The assessment of the pain scale scores revealed a significant reduction in wrist pain and an improvement in daily life activities. Based on the findings of this study, integrated Korean medicine treatments have been proven to be an effective treatment option for patients with a partial TFCC tear. However, further research is needed to determine the potential benefits and mechanisms of these treatments in managing TFCC-related wrist pain.

• Physical Therapy Rehabilitation Science
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• v.10 no.3
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• pp.351-355
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• 2021

Objective: Carpal tunnel syndrome is one of the most common upper extremity compressive nerve disorders in modern people. Various conservative treatments such as taping, exercise, and electrotherapy have been applied to carpal tunnel syndrome and their effectiveness has been proven. This study aims to determine whether home exercise combined with taping is effective for pain and functional disability in patients with carpal tunnel syndrome. Design: Randomized controlled study Methods: 21 patients were recruited and were randomly divided into HEx+T (Home exercise+taping) group (n=10) and HEx (Home exercise) group (n=11). All participants performed Home exercise(tendon and neural gliding exercise) 5 times a week for 6 weeks. Additionally, subject in the HEx group, taping was applied over the wrist and forearm during the training period. Wrist pain was measured by VAS (Visual Analogue Scale). Functional disability was measured using a BCTSQ(The Boston Carpal Tunnel Syndrome Questionnaire). Results: Both the HEx+T group and the HEx group showed a significant improvement in wrist pain(p<0.05), and the HEx+T group showed a more significant decrease in pain than the HEx group(p<0.05). There was a significant improvement in both groups in functional disability (p<0.05), and the HEX+T group showed more improvement than the HEX group(p<0.05). Conclusions: This study suggests that home exercise combined with taping is effective for pain and functional disability in patients with carpal tunnel syndrome.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.15 no.1
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• pp.75-87
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• 2020

Objectives : This study aimed to evaluate the effectiveness of manual therapy for wrist pain. Methods : We searched electronic databases (PubMed, Embase, Cochrane, CAJ, KISS, RISS, NDSL, OASIS, and KMBASE) for randomized controlled trials for manual therapy as a treatment for wrist pain. Results : A total of 9 randomized controlled trials were selected and meta-analysis was conducted on 6 studies. Three studies with different design of the intervention/control group were excluded from the meta-analysis. A high risk of bias was observed for both performance bias and detection bias. Conclusions : Our systematic review verified the clinical effect of manual therapy on wrist pain. Based on the results of this study, it is expected that clinical studies on wrist diseases and high-level follow-up studies will be conducted.

• Journal of Biomedical Engineering Research
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• v.44 no.6
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• pp.482-487
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• 2023

The purpose of this study was to investigate changes in wrist extensor activity, pain, and grip strength before and after wearing a forearm strap in their 20s who complained of chronic lateral epicondylitis for more than 6 weeks. As a result of the study, there was an increase in wrist extensor activity on both the injured and non-injured sides after wearing the forearm strap, but this was not statistically significant. There was a statistically decrease in pain after wearing the forearm strap on the injured side, and a statistically significant increase in grip strength on both. After applying the forearm strap with pad, there was an increase in muscle activity of ECRB (extensor carpi radialis brevis) on both the injured and non-injured sides. This is thought to be due to the strap pad acting as a compressive force, reducing pain, and increasing muscle recruitment ability due to stability in wrist extension. However, considering that the number of study subjects is insufficient to generalize the results, additional supplementary research is deemed necessary.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.3
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• pp.79-87
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• 2020

PURPOSE: Physical therapists are always exposed to work-related musculoskeletal disorders. Although kinesio taping can support the joints and assist movement, studies of the effects of kinesio taping on these physical therapists are lacking. This study examined the effects of Kinesio-taping on pain, grip strength, range of motion and daily living skills in physical therapists with work-related musculoskeletal disorders. Pain was measured using a 100 mm VAS. The grip strength was measured using a handgrip dynamometer. The range of joint motion was measured using a goniometer. Living skills were measured by patient-rated wrist evaluation. METHODS: Twenty physical therapists with wrist pain (Kinesio taping: n = 10, Sham taping: n = 10) received taping for each group, and measured the pain, grip strength, range of motion and daily living skills before (Baseline) and after taping (Nine hours). RESULTS: All data were analyzed using Repeated Measure ANOVA (p < .05). In the Kinesio group, resting pain (-14.9), movement pain (-20.5), and daily living skills (-9.55) were improved significantly compared to the baseline (p < .05). The grip strength and range of motion were not changed (p > .05). The sham group showed no significant change in all variables (p > .05). CONCLUSION: Physical therapists with work-related musculoskeletal disorders of the wrist should apply kinesiotaping to improve the occupational tasks.

• Journal of Mechanical Science and Technology
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• v.17 no.12
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• pp.2004-2009
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• 2003

The purpose of this study is to define how wrist motion is affected by different postures and supporting devices and to discover functional range of wrist motion for keyboard typing. The range of wrist motion (ROM) needed for fourteen experienced typists to type on a computer keyboard was measured by flexible and biaxial electrogoniometers. The most frequent wrist motion during typing was in extended and ulnarly deviated positions in both wrists. Range of wrist motion was similar in both wrists. The average ROM for keyboard typing with the typists' own posture was about 39 in flexion/extension (FEM) and 29 in radial/ulnar deviation (RUD) in both wrists. The range of wrist motion was significantly reduced to 30 in FEM and 27 in RUD with use of either wrist or forearm supporting devices, which suggests that these devices might help to relieve fatigue, discomfort, or pain during and/or after typing. Results of this study will be of interest to clinicians and helpful to those who are professionally or non-professionally involved in typing.

• Physical Therapy Rehabilitation Science
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• v.5 no.4
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• pp.163-169
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• 2016

Objective: The purpose of this study was to investigate the effects of vibration resistance exercise (VRE) in patients with tennis elbow on strength, range of motion (ROM), function, pain and quality of life (QOL). Design: Randomized controlled trial. Methods: Twenty-seven participants were randomly assigned to either the VRE group (n=9), weight resistance exercise (WRE) group (n=9) or control group (n=9). Each group underwent hot compress for 15 minutes and electrotherapy for 15 minutes. The VRE group underwent exercises using a vibrating ball for 5 minutes. The WRE group underwent exercises using dumbbells for 5 minutes. All participants were evaluated on wrist extension strength using a hand-held dynamometer, grip strength level through an electric dynamometer, and ROM through a smartphone goniometer application before and after intervention. Patient-rated tennis elbow evaluation, Visual Analogue Scale and Short Form 8 were measured by questionnaires. Results: There were showed significant differences among the VRE, WRE and control group in wrist extensor muscle and hand grip strength, ROM, elbow function, pain and QOL after intervention (p<0.05). The VRE group showed a greater significant improvement in wrist extensor muscle strength and elbow function compared with the others (p<0.05). The VRE and the WRE groups had a more significant improvement in wrist extensor muscle and hand grip strength, ROM and pain compared with the control group (p<0.05). However, there were no significant differences in QOL among the three groups. Conclusions: Combining VRE with thermotherapy and electrotherapy appears to be more effective in improving wrist extension strength, ROM, elbow function, QOL in tennis elbow patients.

• Journal of the Korean Society of Clothing and Textiles
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• v.44 no.4
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• pp.739-748
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• 2020

In this study, a wrist protector was manufactured and designed using 3D printing technology to prevent wrist pain when riding a bicycle with a high forward-tilted saddle. The efficiency of the design was analyzed in objective and subjective evaluations. First, seven women in their twenties selected their most preferred design by subjective evaluation from among three 3D wrist protectors. Then electromyography (EMG) was measured and subjective sensations were evaluated while wearing and not wearing the preferred 3D wrist protector as selected by cyclists. Experimental results showed that a wrist-bending angle of 30 degrees was most favored. When the 3D wrist protector was worn, muscle activity was smaller at the flexor carpus radialis position than when the 3D wrist protector was not worn; muscle fatigue was also lower. In the subjective evaluation, the 3D wrist protector was more comfortable than no protector, and wrist fatigue was also lower. In addition, the wrist protector was rated positively for its design suitability, size adequacy, ease of operation, and fit; however, cyclists felt that a little more cushioning was needed.

• Journal of Acupuncture Research
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• v.22 no.6
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• pp.211-217
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• 2005

Objectives : This study was to evaluate the effects of acupuncture at Sang-Baek, Dong-Si acupuncture point, for the patients with sprain of the wrist pain(snuffbox region). Methods : To randomize, We tossed a coin, so 36 patients were divided into two. Group A of 19 persons was treated with common acupuncture treatment, and Group B of 17 persons was treated with acupuncture of Sang-Baek. We evaluated the treatment effect of each group by Visual Analogue Scale and Modified Mayo Wrist Score. Results : After 7days from the baseline, in VAS, Group A is $4.84{\pm}1.80$ and Group B is $3.35{\pm}2.06(P=0.038)$. In Wrist Score, Group A is $26.47{\pm}18.70$ and Group B is $44.64{\pm}27.76(P=0.034)$ Conclusion : We knew that acupuncture of Sang-Baek is more effective.

• Clinical Pain
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• v.20 no.1
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• pp.15-19
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• 2021

There are many wrist and hand diseases in which ultrasound can help in the diagnosis and treatment. Because many small structures are located, identifying anatomical locations and pathways is especially important. In De Quervain's syndrome, it is necessary to find tendon lesions located in the first compartment of the wrist. If injection therapy is required, administer the regimen accurately within the tendon sheath through ultrasound. In carpal tunnel syndrome, there are several methods to diagnose a disease by measuring cross-sectional area of the median nerve. Ultrasound has the advantage of administering injection therapy without damaging the nerve. Intersection syndrome can be diagnosed by observing swelling and hypoechoic appearances at the point where the tendons of the first compartment cross over the second compartment of the wrist. Ultrasound-guided injection is also safe and efficient. If there is a trigger finger lesion, the most representative findings is to observe a nodular hypoechoic thickening of the involved A1 pulley. When injection therapy is performed, it is effective to administer medication between pulley and flexor tendons as much as possible to reduce pressure on the attached structures.