Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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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 (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Ha, Sung-Min (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Kim, Su-Jung (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Park, Kyue-Nam (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Kwon, Oh-Yun (Dept. of Physical Therapy, College of Health Science, Yonsei University/Dept. of Ergonomic Therapy, The Graduate School of Health and Environment, Yonsei University)
  • 정성대 (연세대학교 대학원 물리치료학과) ;
  • 하성민 (연세대학교 대학원 물리치료학과) ;
  • 김수정 (연세대학교 대학원 물리치료학과) ;
  • 박규남 (연세대학교 대학원 물리치료학과) ;
  • 권오윤 (연세대학교 보건과학대학 물리치료학과, 보건환경대학원 인간공학치료학과)
  • Received : 2011.12.26
  • Accepted : 2012.01.20
  • Published : 2012.02.19
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Abstract

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.

Keywords

References

  1. Abbott JH, Patla CE, Jensen RH. The initial effects of an elbow mobilization with movement technique on grip strength in subjects with lateral epicondylalgia. Man Ther. 2001;6(3):163-169. https://doi.org/10.1054/math.2001.0408
  2. Appell HJ. Muscular atrophy following immobilisation: A review. Sports Med. 1990;10(1):42-58. https://doi.org/10.2165/00007256-199010010-00005
  3. Bauer JA, Murray RD. Electromyographic patterns of individuals suffering from lateral tennis elbow. J Electromyogr Kinesiol. 1999;9(4):245-252. https://doi.org/10.1016/S1050-6411(98)00051-0
  4. Briggs CA, Elliott BG. Lateral epicondylitis. A review of structures associated with tennis elbow. Anat Clin. 1985;7(3):149-153. https://doi.org/10.1007/BF01654635
  5. Buchbinder R, Green S, Bell S, et al. Surgery for lateral elbow pain. Cochrane Database Syst Rev. 2002(1).
  6. Chan HL, Ng GY. Effect of counterforce forearm bracing on wrist extensor muscles performance. Am J Phys Med Rehabil. 2003;82(4):290-295.
  7. Chung B, Wiley JP. Effectiveness of extracorporeal shock wave therapy in the treatment of previously untreated lateral epicondylitis: A randomized controlled trial. Am J Sports Med. 2004;32(7):1660-1667. https://doi.org/10.1177/0363546503262806
  8. Cleary MA, Kimura IF, Sitler MR, et al. Temporal pattern of the repeated bout effect of eccentric exercise on delayed-onset muscle soreness. J Athl Train. 2002;37(1):32-36.
  9. Dimberg L. The prevalence and causation of tennis elbow (lateral humeral epicondylitis) in a population of workers in an engineering industry. Ergonomics. 1987;30(3):573-579. https://doi.org/10.1080/00140138708969746
  10. Drechsler WI, Knarr JF, Snyder-Mackler L. A comparison of two treatment regimens for lateral epicondylitis: A randomized trial of clinical interventions. J Sport Rehabil. 1997;6(3):226-234. https://doi.org/10.1123/jsr.6.3.226
  11. Erak S, Day R, Wang A. The role of supinator in the pathogenesis of chronic lateral elbow pain: A biomechanical study. J Hand Surg Br. 2004;29(5):461-464. https://doi.org/10.1016/j.jhsb.2004.06.001
  12. Fess EE. Grip Strength: Clinical assessment recommendations. 2nd ed. Chicago. American Society of Hand Therapists. 1992:41-45.
  13. Finsen L, Sogaard K, Graven-Nielsen T, et al. Activity patterns of wrist extensor muscles during wrist extensions and deviations. Muscle Nerve. 2005;31(2):242-251. https://doi.org/10.1002/mus.20237
  14. Gellman H. Tennis elbow (lateral epicondylitis). Orthop Clin North Am. 1992;23(1):75-82.
  15. High DM, Howley ET, Franks BD. The effects of static stretching and warm-up on prevention of delayed-onset muscle soreness. Res Q Exerc Sport. 1989;60(4):357-361. https://doi.org/10.1080/02701367.1989.10607463
  16. Hong QN, Durand MJ, Loisel P. Treatment of lateral epicondylitis: Where is the evidence? Joint Bone Spine. 2004;71(5):369-373. https://doi.org/10.1016/j.jbspin.2003.05.002
  17. Innes E. Handgrip strength testing: A review of the literature. Aust Occup Ther J. 1999;46(3):120-140. https://doi.org/10.1046/j.1440-1630.1999.00182.x
  18. Kochar M, Dogra A. Effectiveness of a specific physiotherapy regimen on patients with tennis elbow: Clinical study. Physiotherapy. 2002;88(6):333-341. https://doi.org/10.1016/S0031-9406(05)60746-8
  19. Kohia M, Brackle J, Byrd K, et al. Effectiveness of physical therapy treatments on lateral epicondylitis. J Sport Rehabil. 2008;17(2):119-136. https://doi.org/10.1123/jsr.17.2.119
  20. Kraushaar BS, Nirschl RP. Tendinosis of the elbow (tennis elbow): Clinical features and findings of histological, immunohistochemical, and electron microscopy studies. J Bone Joint Surg Am. 1999;81(2):259-278. https://doi.org/10.1302/0301-620X.81B2.9154
  21. Kroslak M, Murrell GAC. Tennis elbow counterforce bracing. Techniques in Shoulder and Elbow Surgery. 2007;8(2):75-79. https://doi.org/10.1097/BTE.0b013e318047c176
  22. Khamwong P, Nosaka K, Pirunsan U, Paungmali A. Reliability of muscle function and sensory perception measurements of the wrist extensors. Physiother Theory Pract. 2010;26(6):408-415. https://doi.org/10.3109/09593980903300470
  23. Lin YC, Tu YK, Chen SS, et al. Comparison between botulinum toxin and corticosteroid injection in the treatment of acute and subacute tennis elbow: A prospective, randomized, double- blind, active drug-controlled pilot study. Am J Phys Med Rehabil. 2010;89(8):653-659. https://doi.org/10.1097/PHM.0b013e3181cf564d
  24. Nagrale AV, Herd CR, Ganvir S, et al. Cyriax physiotherapy versus phonophoresis with supervised exercise in subjects with lateral epicondylalgia: A randomized clinical trial. J Man Manip Ther. 2009;17(3):171-178. https://doi.org/10.1179/jmt.2009.17.3.171
  25. Ng GY, Chan HL. The immediate effects of tension of counterforce forearm brace on neuromuscular performance of wrist extensor muscles in subjects with lateral humeral epicondylosis. J Orthop Sports Phys Ther. 2004;34(2):72-78. https://doi.org/10.2519/jospt.2004.34.2.72
  26. Nirschl RP, Pettrone FA. Tennis elbow. The surgical treatment of lateral epicondylitis. J Bone Joint Surg Am. 1979;61(6):832-839. https://doi.org/10.2106/00004623-197961060-00005
  27. Noteboom T, Cruver R, Keller J, et al. Tennis elbow: A review. J Orthop Sports Phys Ther. 1994;19(6):357-366. https://doi.org/10.2519/jospt.1994.19.6.357
  28. Osborne H. Stop injecting corticosteroid into patients with tennis elbow, they are much more likely to get better by themselves! J Sci Med Sport. 2010;13(4):380-381. https://doi.org/10.1016/j.jsams.2009.09.009
  29. Paungmali A, O'Leary S, Souvlis T, et al. Hypoalgesic and sympathoexcitatory effects of mobilization with movement for lateral epicondylalgia. Phys Ther. 2003;83(4):374-383.
  30. Phil P, Franck C, Lardner R. Assessment and Treatment of Muscle Imbalance: The Janda approach. Champaign, IL., Humen Kinetics. 2010: 209-210.
  31. Phillips BA, Lo SK, Mastaglia FL. Muscle force measured using "break" testing with a hand-held myometer in normal subjects aged 20 to 69 years. Arch Phys Med Rehabil. 2000;81(5):653-661.
  32. Pienimäki TT, Tarvainen TK, Siira PT, et al. Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylitis. Physiotherapy. 1996;82(9):522-530. https://doi.org/10.1016/S0031-9406(05)66275-X
  33. Power K, Behm D, Cahill F, et al. An acute bout of static stretching: Effects on force and jumping performance. Med Sci Sports Exerc. 2004;36(8):1389-1396. https://doi.org/10.1249/01.MSS.0000135775.51937.53
  34. Safran MR, Seaber AV, Garrett WE Jr. Warm-up and muscular injury prevention. An update. Sports Med. 1989;8(4):239-249. https://doi.org/10.2165/00007256-198908040-00004
  35. Sahrmann SA. Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines. St. Louis, Mosby Inc., 2011:197-198.
  36. Slater H, Thériault E, Ronningen BO, et al. Exercise-induced mechanical hypoalgesia in musculotendinous tissues of the lateral elbow. Man Ther. 2010;15(1):66-73. https://doi.org/10.1016/j.math.2009.07.002
  37. Smidt N, van der Windt DA, Assendelft WJ, Mourits AJ, Deville WL, de Winter AF, Bouter LM. Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis. Arch Phys Med Rehabil. 2002;83(8):1145-1150. https://doi.org/10.1053/apmr.2002.33728
  38. Smith CA. The warm-up procedure: To stretch or not to stretch. A brief review. J Orthop Sports Phys Ther. 1994;19(1):12-17. https://doi.org/10.2519/jospt.1994.19.1.12
  39. Stasinopoulos D, Johnson MI. 'Lateral elbow tendinopathy' is the most appropriate diagnostic term for the condition commonly referred-to as lateral epicondylitis. Med Hypotheses. 2006;67(6):1400-1402. https://doi.org/10.1016/j.mehy.2006.05.048
  40. Stasinopoulos D, Johnson MI. It may be time to modify the cyriax treatment of lateral epicondylitis. J Bodywork Mov Ther. 2007;11(1):64-67. https://doi.org/10.1016/j.jbmt.2006.03.005
  41. Stephens G. Lateral epicondylitis. J Man Manip Ther. 1995;3(2):50-58. https://doi.org/10.1179/jmt.1995.3.2.50
  42. Stratford PW, Levy DR, Gowland C. Evaluative properties of measures used to assess patients with lateral epicondylitis at the elbow. Physiother Can. 1993;45(3):160-164.
  43. Struijs PA, Damen PJ, Bakker EW, et al. Manipulation of the wrist for management of lateral epicondylitis: A randomized pilot study. Phys Ther. 2003;83(7):608-616.
  44. Svernlöv B, Adolfsson L. Non-operative treatment regime including eccentric training for lateral humeral epicondylalgia. Scand J Med Sci Sports. 2001;11(6):328-334. https://doi.org/10.1034/j.1600-0838.2001.110603.x
  45. Vicenzino B, Paungmali A, Buratowski S, et al. Specific manipulative therapy treatment for chronic lateral epicondylalgia produces uniquely characteristic hypoalgesia. Man Ther. 2001;6(4):205-212. https://doi.org/10.1054/math.2001.0411
  46. Wadsworth TG. Tennis elbow: Conservative, surgical, and manipulative treatment. Br Med J (Clin Res Ed). 1987;294(6572):621-624. https://doi.org/10.1136/bmj.294.6572.621
  47. Weerapong P, Hume PA, Kolt GS. The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Med. 2005;35(3):235-256. https://doi.org/10.2165/00007256-200535030-00004
  48. Yaxley GA, Jull GA. Adverse tension in the neural system. A preliminary study of tennis elbow. Aust J Physiother. 1993;39(1):15-22. https://doi.org/10.1016/S0004-9514(14)60465-7

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