Journal of Biomedical Engineering Research (대한의용생체공학회:의공학회지)

The Korean Society of Medical and Biological Engineering (대한의용생체공학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Forearm Strap on Wrist Extensor Activity, Grip Strength, and Pain in Patients with Chronic Lateral Epicondylitis

만성 가쪽위관절융기염 환자에서 아래팔 스트랩 적용이 손목폄근 활성도, 악력 및 통증에 미치는 영향

  • Hyun Ju Lee (Department of Physical Therapy, Konyang University) ;
  • Ha Yeon Koo (Department of Physical Therapy, Konyang University) ;
  • Seo Jun Shin (Department of Physical Therapy, Konyang University) ;
  • Da Hui Kim (Department of Physical Therapy, Konyang University) ;
  • Ki Sik Tae (Department of Biomedical Engineering, Konyang University)
  • 이현주 (건양대학교 물리치료학과) ;
  • 구하연 (건양대학교 물리치료학과) ;
  • 신서준 (건양대학교 물리치료학과) ;
  • 김다희 (건양대학교 물리치료학과) ;
  • 태기식 (건양대학교 의공학과)
  • Received : 2023.12.11
  • Accepted : 2023.12.27
  • Published : 2023.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

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.

Keywords

References

  1. Stegink-Jansen CW Jung B, Somerson JS. Translation of Runge's 1973 publication "on the etiology and treatment of writer's cramp": the first description of "tennis elbow". Clin Anat. 2022;35(3):316-322.l  https://doi.org/10.1002/ca.23830
  2. Lenoir H, Mares O, Carlier Y. Management of lateral epicondylitis. Orthop Traumatol Surg Res. 2019;105(8S):241-246.  https://doi.org/10.1016/j.otsr.2019.09.004
  3. 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
  4. Fedorczyk JM. Tennis elbow: blending Basic Science with Clinical Practice. J Hand Ther. 2006;19(2):146-153.  https://doi.org/10.1197/j.jht.2006.02.016
  5. Savoie FH 3rd, VanSice W, O'Brien MJ. Arthroscopic tennis elbow release. J Shoulder Elbow Surg. 2010;19(2):31-36.  https://doi.org/10.1016/j.jse.2009.12.016
  6. Wadsworth C, Nielsen DH, Burns LT, Krull JD, Thompson CG. Effect of the counterforce armband on wrist extension and grip strength and pain in subjects with tennis elbow. J Orthop Sports Phys Ther. 1989;11(5):192-197.  https://doi.org/10.2519/jospt.1989.11.5.192
  7. Bisset L, Coombes B, Vicenzino B. Tennis elbow. BMJ. Clin Evid. 2011;27:1117. 
  8. Andersen LL, Holtermann A, Jorgensen MB, Sjogaard G. Rapid muscle activation and force capacity in conditions of chronic musculoskeletal pain. Clin Biomech. 2008;23(10):1237-1242.  https://doi.org/10.1016/j.clinbiomech.2008.08.002
  9. Gupta GK, Rani S, Shekhar D, Sahoo UK, Shekhar S. Comparative study to evaluate efficacy of prolotherapy using 25% dextrose and local corticosteroid injection in tennis elbow. J Family Med Prim Care. 2022;11(10):6345-6349.  https://doi.org/10.4103/jfmpc.jfmpc_116_22
  10. Hume PA, Reid D. Edwards T. Epicondylar injury in sport. Sports Med. 2006;36(2):151-170.  https://doi.org/10.2165/00007256-200636020-00005
  11. Chan HL, Ng GY. Effect of counterforce forearm bracing on wrist extensor muscles performance. Am J Phys Med Rehabil. 2003;82(4):290-295.  https://doi.org/10.1097/01.PHM.0000057223.04648.39
  12. Stonecipher DR, Catlin PA. The effect of a forearm strap on wrist extensor strength. J Orthop Sports Phys Ther. 1984;6(3):184-189.  https://doi.org/10.2519/jospt.1984.6.3.184
  13. Shamsoddini A, Hollisaz MT, Hafezi R, Amanellahi A. Immediate effects of counterforce forearm brace on grip strength and wrist extension force in patients with lateral epicondylosis. Hong Kong J Occup Ther. 2010;20(1):8-12.  https://doi.org/10.1016/S1569-1861(10)70052-8
  14. Saremi H, Chamani V, Vahab-Kashani R. A newly designed tennis elbow orthosis with a traditional tennis elbow strap in patients with lateral epicondylitis. Trauma Mon. 2016;21(3):e35993. 
  15. Burton AK. Grip strength and forearm straps in tennis elbow. Br J Sports Med. 1985;19(1):37-38.  https://doi.org/10.1136/bjsm.19.1.37
  16. Yoon DY. Effect on muscle activity, blood flow and grip of wrist muscles according to the width and elasticity of tennis elbow strap aids. 2018. 
  17. Jafarian FS Demneh ES, Tyson SF. The immediate effect of orthotic management on grip strength of patients with lateral epicondylosis. J Orthop Sports Phys Ther. 2009;39(6):484-489.  https://doi.org/10.2519/jospt.2009.2988
  18. Yoon JJ, Bae H. Change in electromyographic activity of wrist extensor by cylindrical brace. Yonsei Med J. 2013;54(1):220-224.  https://doi.org/10.3349/ymj.2013.54.1.220
  19. Simes SE, Miller K, Elfar JC, Hammert WC. Non-surgical treatment of lateral epicondylitis: a systemic review of randomized controlled trials. Hand. 2014;9(4):419-446.  https://doi.org/10.1007/s11552-014-9642-x
  20. Sadeghi-DemnehE, Jafarian F. The immediate effects of orthoses on pain in people with lateral epicondylalgia. Pain Res Treat. 2013;353597. doi:10.1155/2013/353597. 
  21. Saroja G, Antony Leo Aseer P, Venkata Sai PM. Diagnostic accuracy of provocative tests in lateral epicondylitis. Int J Physiother Res. 2014;2(6):815-823.  https://doi.org/10.16965/ijpr.2014.699
  22. Saremi H, Chamani V, Vahab-Kashani R. A newly designed tennis elbow orthosis with a traditional tennis elbow strap in patients with lateral epicondylitis. Trauma Mon. 2016;21(3):e35993. 
  23. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. Oct 2000;10(5):361-374.  https://doi.org/10.1016/S1050-6411(00)00027-4
  24. Huang L, Liu Y, Lin T, Hou L, Song Q, Ge N, Yue J. Reliability and validity of two hand dynamometers when used by community-dwelling adults aged over 50 years. BMC Geriatr. 2022;22(1):580. 
  25. Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2018;26(11):851-856.  https://doi.org/10.2147/JPR.S158847
  26. Williamson A Hoggart B. Pain: a review of three commonly used pain rating scales. J Clin Nurs. 2005;14(7):798-804.  https://doi.org/10.1111/j.1365-2702.2005.01121.x
  27. Cyganska AK, Tomaszewski P, Cabak A. Pain threshold in selected trigger points of superficial muscles of the back in young adults. PeerJ. 2022;1(10):e12780.