The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
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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 (Dept. of Physical Therapy, Dongguk University International Hospital In Ilsan) ;
  • Yoo, Tae-geun (The Association of Corrective Exercise Specialist in Korea)
  • 안승원 (동국대학교 일산병원 물리치료실) ;
  • 유태근 (대한교정운동전문가협회)
  • Received : 2017.04.06
  • Accepted : 2017.05.12
  • Published : 2017.06.30
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Abstract

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.

Keywords

References

  1. 국가통계포털. Disease statistics of health insurance statistics in statistical database. 2014.
  2. 김동야, 김현, 전재국. 경추 도수교정과 멀리건기법이 주관절 외측상과염의 통증과 기능에 미치는 영향. 대한정형도수물리치료학회지 2016:22(1)59-64
  3. 민경옥. 전기치료학. 현문사. 1993.
  4. 손영하, 안중국. 연부조직 유동성 기술. 대학서림. 1992.
  5. 양성화, 박현식, 신영일. 멀리건 테이핑과 다이아몬드 테이핑이 외측상과염 환자의 통증, 악력, 기능수행능력에 미치는 영향. 대한정형도수치료학회지. 2013;19(2)47-54.
  6. Ajimsha M, Chithra S, Thulasyammal RP. Effectiveness of myofascial release in the management of lateral epicondylitis in computer professionals. Archives of physical medicine and rehabilitation. 2012;93(4):604-609. https://doi.org/10.1016/j.apmr.2011.10.012
  7. Arendt-Nielsen LP, Svensson. Referred muscle pain : basic and clinical findings. Clin J Pain. 2001;17(1):11-19. https://doi.org/10.1097/00002508-200103000-00003
  8. Bailey LB, Shanley E, Hawkins R, et al. Mechanisms of shoulder range of motion deficits in asymptomatic baseball players. The American journal of sports medicine. 2015;43(11):2783-2793. https://doi.org/10.1177/0363546515602446
  9. Barnes JF. Myofascial release: the search for excellence. 10th ed. Paoli, PA: Rehabilitation Services Inc. 1990.
  10. Bernhang AM. The many causes of tennis elbos. NY State Med. 1979;79:1363-1366.
  11. Bernier JN, Perrin DH. Effect of coordination training on proprioception of the functionally unstable ankle. The Journal of orthopaedic and sports physical therapy. 1998;27(4):264-275. https://doi.org/10.2519/jospt.1998.27.4.264
  12. Binder AI, Hazleman BL. Lateral humeral epicondylitisa study of natural history and the effect of conservative therapy. Br J Rheumatol. 1983;22(2):73-76. https://doi.org/10.1093/rheumatology/22.2.73
  13. Blanchette MA, Normand MC. Augmented soft tissue mobilization vs natural history in the treatment of lateral epicondylitis : A pilot study. Journal of manipulative and physiological therapeutics. 2011;34(2):123-130. https://doi.org/10.1016/j.jmpt.2010.12.001
  14. Fernndez-Carnero J, Fernndez-de-las-Peas C, Cleland JA. Immediate hypoalgesic and motor effects after a single cervical spine manipulation in subjects with lateral epicondylalgia. Journal of Manipulative and Physiological Therapeutics. 2008;31(9):675-681. https://doi.org/10.1016/j.jmpt.2008.10.005
  15. Ge H, Nie H, Madeleine P, et al. Contribution of the local and referred pain from active myofascial trigger points in fibromyalgia syndrome. Pain. 2009;147:233-240. https://doi.org/10.1016/j.pain.2009.09.019
  16. Gellman, H. Tennis Elbow(Lateral Epicondylitis). Orthop Clinic Nam. 1992;23:75-82.
  17. Graven-Nielsen T, Lund H, Arendt-Nielsen L, et al. Inhibition of maximal voluntary contraction force by experimental muscle pain: a centrally mediated mechanism. Muscle Nerve. 2002;26:708-712. https://doi.org/10.1002/mus.10225
  18. Gunduz R, Malas FU, Borman P, et al. Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis. Clinical rheumatology. 2012;31(5):807-812. https://doi.org/10.1007/s10067-012-1939-y
  19. Hammer WI, Pfefer MT. Treatment of a case of subacute lumbar compartment syndrome using the graston technique. Journal of Manipulative and Physiological Therapeutics. 2005;28(3):199-204. https://doi.org/10.1016/j.jmpt.2005.02.010
  20. Heyse-Moore RE. Resistent Tennis Elbow. J Hand Surg. 1984;9(B):64-66. https://doi.org/10.1016/0266-7681(84)90018-4
  21. Hong Q, 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
  22. Hurley MV, Scott DL. Improvements in quadriceps sensorimotor function and disability of patients with knee osteoarthritis following a clinically practicable exercise regime. British journal of rheumatology. 1998;37(11):1181-1187. https://doi.org/10.1093/rheumatology/37.11.1181
  23. Irrgang JJ. Modern trends in anterior cruciate ligament rehabilitation: nonoperative and postoperative management. Clinics in Sports Medicine. 1993;12(4):797-813.
  24. Keizer S, Rutten H, Pilot P, et al. Botulinum toxin injection versus surgical treatment for tennis elbow : A randomized pilot study. Clinical orthopaedics and related research. 2002;401:125-131. https://doi.org/10.1097/00003086-200208000-00015
  25. Khabie V, Schwartz MC, Rokito AS, et al. The effect of intraarticular anesthesia and elastic bandage on elbow proprioception. Journal of shoulder & Elbow Surgery. 1998;7(5):501-504. https://doi.org/10.1016/S1058-2746(98)90202-6
  26. Knobloch K, Martin-Schmitt S, Gosling T, et al. Prospective proprioceptive and coordinative training for injury reduction in elite female soccer. Sportverletz Sportschaden. 2005;19(3):123-129. https://doi.org/10.1055/s-2005-858345
  27. Labelle H, Guibert R, Joncas J, et al. Lack of scientific evidence for the treatment of lateral epicondylitis of the elbow. An attempted meta-analysis. J Bone Joint Surg Br. 1992;74(5):646-651. https://doi.org/10.2106/00004623-199274050-00003
  28. Looney B, Srokose T, Fernandez-de-las-Penas C, et al. Graston instrument soft tissue mobilization and home stretching for the management of plantar heel pain: A case series. Journal of Manipulative and Physiological Therapeutics. 2011;34(2):138-142. https://doi.org/10.1016/j.jmpt.2010.12.003
  29. Lutz Graumann. BLACKROLL Master Trainer Summit at Germany. 2015.
  30. Macdermid JC. Update: The Patient-rated Forearm Evaluation Questionnaire is now the Patient-rated Tennis Elbow Evaluation. J Hand Ther. 2005;18(4):407-410. https://doi.org/10.1197/j.jht.2005.07.002
  31. Mani L, Gerr F. Work-related upper extremity musculoskeletal disorders. Prim Care Clin Office Pract. 2000;27:845-864. https://doi.org/10.1016/S0095-4543(05)70180-9
  32. Martinez-Silvestrini JA, Newcomer KL, Gay RE, et al. Chronic lateral epicondylitis : Comparative effectiveness of a home exercise program including stretching alone versus stretching supplemented with eccentric or concentric strengthening. Journal of Hand Therapy. 2005;18(4):411-420. https://doi.org/10.1197/j.jht.2005.07.007
  33. Mathiowetz V, Weber K, Volland G, et al. Reliability and validity of grip and pinch strength evaluation. J Hand Surg (Am). 1984;9(2):222-226. https://doi.org/10.1016/S0363-5023(84)80146-X
  34. Moritani, T. Neuromuscular adaptations during the acquisition of muscle strength, power and motor tasks. Journal of Biomechanics. 1993;26(1):95-107.
  35. Newcomer KL, Martinez-Silvestrini JA, Schaefer MP, et al. Sensitivity of the patient-rated forearm evaluation questionnaire in lateral epicondylitis. J hand Ther. 2005;18(4):400-406. https://doi.org/10.1197/j.jht.2005.07.001
  36. Nirchi RP, Petterone FA. Tennis Elbow. The surgical treatment of lateral epicondylitis. J Bone Joint Surge, 1979;61(A):832-839. https://doi.org/10.2106/00004623-197961060-00005
  37. Nirschl RP, Ashman ES. Elbow tendinopathy : tennis elbow. Clinics in sports medicine. 2003;22(4):813-836. https://doi.org/10.1016/S0278-5919(03)00051-6
  38. Norris CM. Sports Injuries: Diagnosis and Management(3rd ed). Gutterworth Heinemann. 2005;412-427.
  39. Pagorek S. Effect of manual mobilization with movementon pain and strength in adults with chronic lateral epicondylitis. Journal of sport rehabilitation. 2009;18(3):448-457. https://doi.org/10.1123/jsr.18.3.448
  40. Papa JA. Two cases of work-related lateral epicondylopathy treated with Graston $Technique^{(R)}$ and conservative rehabilitation. The Journal of the Canadian Chiropractic Association. 2012;56(3):192-200.
  41. Pischinger A. Matrix and matrix regulation: Basis for a holistic theory in medicine. Brussels: Haug International. 1991.
  42. Schleip R. Fascial plasticity-a new neurobiological explanation: part I. J Bodyw Mov Therap 2003;7:11-19 https://doi.org/10.1016/S1360-8592(02)00067-0
  43. Sevier TL, Stegink-Jansen CW. Astym treatment vs. eccentric exercise for lateral elbow tendinopathy: a randomized controlled clinical trial. Peer J. 2015;3:967-993. https://doi.org/10.7717/peerj.967
  44. Shiri R, Viikari-Juntura E. Lateral and medial epicondylitis: role of occupational factors. Best Pract Res Clin Rheumatol. 2011;25(1):43-57. https://doi.org/10.1016/j.berh.2011.01.013
  45. Smidt N, Windt DA, Assendelft WJ, et al. Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis. Archives of Physical Medicine and Rehabilitation. 2002;83(8):1145-1150. https://doi.org/10.1053/apmr.2002.33728
  46. Svernlov B, Adolfsson, L. Non-operative treatment regime including eccentric training for lateral humeral epicondylalgia. Scandinavian journal of medicine & science in sports. 2001;11(6):328-334. https://doi.org/10.1034/j.1600-0838.2001.110603.x
  47. Thomson KR, Milkesky AE, Bahamonde RE, et al. Effects of physical training on proprioception in older women. Journal of Musculoskeletal & Neuronal Interactions. 2003;3(3):223-231.
  48. Voight ML, Hardin JA, Blackburn TA, et al. The effects of muscle fatigue on and the relationship of arm dominance to shoulder proprioception The Journal of orthopaedic and sports physical therapy. 1996;23(6):348-352. https://doi.org/10.2519/jospt.1996.23.6.348
  49. Wagner DR, Tatsugawa K, Parker D, et al. Reliability and utility of a visual an alog scale for the assessment of acute mountain sickness. High Alt Med Biol. 2007;8(1):27-31. https://doi.org/10.1089/ham.2006.0814
  50. Wall JL. Tennis Elbow. Induster Med Surg, 1960;29:173-178.