Browse > Article
http://dx.doi.org/10.18857/jkpt.2022.34.4.140

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

Kim, Jong Won (Department of Physical Therapy, Daegu Catholic University)
Heo, tae jun (Pureun Cheong Neurology Clinic)
Park, Ji-Won (Department of Physical Therapy, Daegu Catholic University)
Publication Information
The Journal of Korean Physical Therapy / v.34, no.4, 2022 , pp. 140-148 More about this Journal
Abstract
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.
Keywords
Lateral epicondylalgia; Scapular; Thoracic vertebrae;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Vicenzino B, Wright A. Lateral epicondylalgia I: epidemiology, pathophysiology, aetiology and natural history. Physical Ther Rev. 1996;1:23-34.   DOI
2 Vicenzino B. Lateral epicondylalgia: a musculoskeletal physiotherapy perspective. Man Ther. 2003;8(2):66-79.   DOI
3 Jensen MP, Chen C, Brugger AM. Interpretation of visual analogue scale rating and change score: a reanalysis of two clinical trials of post operative pain. J Pain. 2003;4(7):407-14.   DOI
4 Alizadehkhaiyat O, Fisher AC, Kemp GJ et al. Upper limb muscle imbalance in tennis elbow: a functional and electromyographic assessment. J Orthop Res. 2007;25(12):1651-7.   DOI
5 Fani M, Ebrahimi S, Ghanbari A. Evaluation of scapular mobilization and comparison to pectoralis minor stretching in individuals with rounded shoulder posture: a randomized controlled trial. J Bodyw Mov Ther. 2020;24(4):367-72.   DOI
6 Esposito S, Philipson S. Spinal adjustment technique: the chiropractic art. 1st ed. New South Wales, S Philipson and S. Esposito, 2005:234-78.
7 Moodley M, Branco KC. Chiropractic manipulative therapy of the thoracic spine in combination with stretch and strengthening exercises, in improving postural kyphosis in woman. Health SA. 2016;21(1):303-8.
8 Tripp BL, Yochem EM, Uhl TL. Functional fatigue and upper extremity sensorimotor system acuity in baseball athletes. J Athl Train. 2007;42(1):90-8.
9 Lewis JS, Wright C, Green A. Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement. J Orthop Sports Phys Ther. 2005;35(2):72-87.   DOI
10 Borstad JD. Resting position variables at the shoulder: evidence to support a posture-impairment association. Phys Ther. 2006;86(4):549-57.   DOI
11 Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80(3):276-91.   DOI
12 Ucurum SG, Karabay D, Ozturk BB et al. Comparison of scapular position and upper extremity muscle strength in patients with and without lateral epicondylalgia: a case-control study. J Shoulder Elbow Surg. 2019;28(6):1111-9.   DOI
13 Myers TW. Anatomy trains: myofascial meridians for manual and movement therapists. 3rd ed. France, Elsevier Masson, 2013:161-84.
14 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):259-78.   DOI
15 Shiri R, Viikari-Juntura E. Lateral and medial epicondylitis: role of occupational factors. Best Pract Res Clin Rheumatol. 2011;25:43-57.   DOI
16 Micheal A, Scott C, Brian G. NASM essentials of corrective exercise training. 1st ed. Massachusetts, Jones & Bartlett Learning, 2013:355.
17 Day JM, Bush H, Nitz AJ et al. Scapular muscle performance in individuals with lateral epicondylalgia. J Orthop Sports Phys Ther. 2015;45(5):414-24.   DOI
18 Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med. 1998;26(2):325-37.   DOI
19 Alexander CM, Harrison PJ. Reflex connections from forearm and hand afferents to shoulder girdle muscles in humans. Exp Brain Res. 2003;148(3):277-82.   DOI
20 Bullock-Saxton J. Normal and abnormal postures in the sagittal plane and their relationship to low back pain. Physiother Pract. 1988;4(2):94-104.   DOI
21 Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech. 2003;18(5):369-79.   DOI
22 Mense S. Peripheral mechanism of muscle nociception and local muscle pain. J Musculoskelet Pain. 1993;1(1):133-70.   DOI
23 Fernandez-Carnero J, Fernandez-de-las-Penas C, de la Llave-Rincon AI et al. Bilateral myofascial trigger points in the forearm muscles in patients with chronic unilateral lateral epicondylalgia: a blinded, controlled study. Clin J Pain. 2008;24(9):802-7.   DOI
24 Jung SI, Lee NK, Kang KW et al. The effect of smartphone usage time on posture and respiratory function. J Phys Ther Sci. 2016;28(1):186-9.   DOI
25 Kebaetse M, McClure P, Pratt NA. Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics. Arch Phys Med Rehabil. 1999;80(8):945-50.   DOI
26 Fernandez-Carnero J, Fernandez-de-Las-Penas C, de la Llave-Rincon AI et al. Widespread mechanical pain hypersensitivity as sign of central sensitization in unilateral epicondylalgia: a blinded, controlled study. Clin J Pain. 2009;25(7):555-61.   DOI
27 Flores-Hernandez C, Eskinazi I, Hoenecke HR et al. Scapulothoracic rhythm affects glenohumeral joint force. JSES Open Access. 2019;3(2):77-82.   DOI
28 Surenkok O, Aytar A, Baltaci G. Acute effects of scapular mobilization in shoulder dysfunction: a double-blind randomized placebo-controlled trial. J Sport Rehabil. 2009;18(4):493-501.   DOI
29 Vicenzino B, Collins D, Wright A. The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia. Pain. 1996;68(1):69-74.   DOI
30 Ellenbecker TS, Nirschl R, Renstrom P. Current concepts in examination and treatment of elbow tendon injury. Sports Health. 2013;5(2):186-94.   DOI
31 Smidt N, Lewis M, Van der Windt DA et al. Lateral epicondylitis in general practice: course and prognostic indicators of outcome. J Rheumatol. 2006;33(10):2053-9.
32 Suzuki H, Swanik KA, Huxel KC et al. Alterations in upper extremity motion after scapular-muscle fatigue. J Sports Rehabil. 2006;15(1):71-88.   DOI
33 Lucado AM, Kolber MJ, Cheng MS et al. Upper extremity strength characteristics in female recreational tennis players with and without lateral epicondylalgia. J Orthop Sports Phys Ther. 2012;42(12):1025-31.   DOI
34 Fairbank SM, Corlett RJ. The role of the extensor digitorum communis muscle in lateral epicondylitis. J Hand Surg Br. 2002;27:405-9.   DOI
35 Aliaj K, Lawrence RL, Bo Foreman K et al. Kinematic coupling of the glenohumeral and scapulothoracic joints generates humeral axial rotation. J Biomech. 2022;136:111059.
36 De Smet L, Fabry G. Grip force reduction in patients with tennis elbow: influence of elbow position. J Hand Ther. 1997;10(3):229-31.   DOI
37 Mandalidis D, O'Brien M. Relationship between hand-grip isometric strength and isokinetic moment data of the shoulder stabilisers. J Bodyw Mov Ther. 2010;14(1):19-26.   DOI
38 Wall P, McMahon SB, Koltzenburg M. Wall and Melzack's textbook of pain. In: Meyer R, eds. Peripheral mechanisms of cutaneous nociception. New York, Churchill Livingstone, 2006:3-34.
39 Wright A, Thurnwald P, Smith J. An evaluation of mechanical ant thermal hyperalgesia in patients with lateral epicondylalgia. Pain Clin. 1992;5:221-7.
40 Pienimaki TT, Siira PT, Vanharanta H. Chronic medial and lateral epicondylitis: a comparison of pain, disability, and function. Arch Phys Med Rehabil. 2002;83:317-21.   DOI
41 Berglund KM, Persson BH, Denison E. Prevalence of pain and dysfunction in the cervical and thoracic spine in persons with and without lateral elbow pain. Manual Therapy. 2008;13(4):295-9.   DOI
42 Hwangbo PN, Hwangbo G, Park J et al. The effect of thoracic joint mobilization and self-stretching exercise on pulmonary functions of patients with chronic neck pain. J Phys Ther Sci. 2014 ;26(11):1783-6.   DOI
43 Shiri R, Viikari-Juntura E, Varonen H et al. Prevalence and determinants of lateral and medial epicondylitis: a population study. Am J Epidemiol. 2006;164(11):1065-74.   DOI
44 Maitland GD, Hengeveld E, Banks K. Maitland's peripheral manipulation. 1st ed. Oxford, Butterworth-Heinemann, 2005:336-8.
45 Pickar JG. Neurophysiological effects of spinal manipulation. Spine J. 2002;2(5):357-71.   DOI
46 Bisset L, Smidt N, Van der Windt DA et al. Conservative treatments for tennis elbow do subgroups of patients respond differently? Rheumatology. 2007;46(10):1601-5.   DOI
47 Putnam CA. Sequential motions of body segments in striking and throwing skills: descriptions and explanations. J Biomech. 1993;26(1):125-35.   DOI
48 Carol A. The mechanics and pathomechanics of human movement. 2nd ed. Philadelphia, Lippincott Williams & Wilkins, 2008:113.
49 Bhatt JB, Glaser R, Chavez A et al. Middle and lower trapezius strengthening for the management of lateral epicondylalgia: a case report. J Orthop Sports Phys Ther. 2013;43(11):841-7.   DOI
50 Phadke V, Camargo P, Ludewig P. Scapular and rotator cuff muscle activity during arm elevation: a review of normal function and alterations with shoulder impingement. Rev Bras Fisioter. 2009;13(1):1-9.   DOI
51 Erkan S, Yercan HS, Okcu G et al. The influence of sagittal cervical profile, gender and age on the thoracic kyphosis. Acta Orthop Belg. 2010;76(5):675-80.
52 Barrett E, O'Keeffe M, O'Sullivan K et al. Is thoracic spine posture associated with shoulder pain, range of motion and function? a systematic review. Man Ther. 2016;26:38-46.   DOI
53 Uhl TL, Kibler WB, Gecewich B et al. Evaluation of clinical assessment methods for scapular dyskinesis. Arthroscopy. 2009;25(11):1240-8.   DOI
54 DeFranca GG, Levine LJ. The T4 syndrome. J Manipulative Physiol Ther. 1995;18(1):34-7.
55 Graven-Nielsen T. Fundamentals of muscle pain, referred pain, and deep tissue hyperalgesia. Scand J Rheumatol Suppl. 2006;122:1-43.   DOI