• 대한물리의학회지
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• 제9권1호
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• pp.25-33
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• 2014

PURPOSE: The purpose of this was to translate Patient-Rated Tennis Elbow Evaluation(PRTEE) into Korean and identify the reliability and validity of a Korean version of PRTEE. METHODS: The subjects of this study were 32 patients diagnosed with lateral epicondylitis. The subjects were surveyed using a Korean version of PRTEE three times: at the first visit, one week after, and two weeks after. This questionnaire consisted of 15 questions including 5 questions about pain and 10 questions about functions. Intraclass correlation coefficients were used to measure reliability and Cronbach's alpha coefficients were used to assess internal consistency. In addition, the validity of the survey results was examined by correlating a visual analogue scale with the outcome of holding without pain. RESULTS: Test-retest reliability of Korea version PRTEE was good total ICC= .962 (CI=.922-,982). Cronbach's alpha value for PRTEE was found to be .955 and it was statistically significant (p<.05). The positive correlation between PRTEE and VAS was moderate to high (r=.753, P=.00) and statistically significant. There was also a low significant negative correlation between PRTEE and PFG (r=-.362, P=.042). CONCLUSION: The Korean version of PRTEE had reliability and validity. Therefore, it is a useful measure to evaluate the conditions of patients with lateral epicondylitis.

• Physical Therapy Rehabilitation Science
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• 제5권4호
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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.

• 대한정형도수물리치료학회지
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• 제22권1호
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• pp.59-64
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• 2016

Background: This study was to investigate the effect of cervical HVLA technique and mulligan MWM technique on patients with lateral epicondylitis. Methods: 36 participants were randomly allocated to the two groups; group I involved high velocity low amplitude (HVLA) cervical mobilization technique, mulligan mobilizations with movement (MWM) technique (n=18). group II mulligan MWM (n=18). Patient attended for three times a week for six weeks. Results: The change of visual analogue scale (VAS) was statistically and significantly decreased in both of the group I and the group II. The change of patients rated tennis elbow evaluation (PRTEE) was statistically and significantly decreased in both of the group I and the group II. The change of pressure pain threshold (PPT) was statistically and significantly increased in both of the group I and the group II. Nevertheless, There is no statistical differences between group I and group II. Conclusion: After experiment, pressure pain threshold and visual analogue scale, patients rated tennis elbow evaluation were improved in both group. But Cervical HVLA group does not showed the change better than mulligan MWM group.

• 대한정형도수물리치료학회지
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• 제19권2호
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• pp.47-54
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• 2013

Background: Lateral epicondylitis is the most common complaint with complex etiological and pathophysiological factors on the lateral side of elbow. Taping techniques commonly used for lateral epicondylitis. The purpose of this study was to investigate the effects of mobilization with movement taping and diamond taping on the pain, grip strength and functional activity in patients with lateral epicondylitis Methods: Twenty patients with lateral epicondylitis (mobilization with movement taping group: n=10, diamond taping group: n=10) were recruited. They were evaluated pre-treatment, after 1weeks, and after 3weeks, using visual analog scale, pain free grip strength test, patient-rated tennis elbow evaluation. Results: Analysis showed statistcally significant improvement in all time in both groups. and The mean improvement in pre-1weeks visual analog scale was significantly greater in the Diamond taping group than that in the mobilization with movement taping group. and the mean improvement in pre-1weeks pain free grip strength test was significantly greater in the mobilization with movement taping than that in the diamond taping group. Conclusion: Taping technique to patients with lateral epicondylitis can help improve pain, grip strength, functional activity and initial taping technique can be selected depending on the patient's condition and the desired goal.

• 한방재활의학과학회지
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• 제27권2호
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• pp.101-108
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• 2017

We researched 3 patients diagnosed as Lateral epicondylitis (Tennis elbow). We considered it as tendinosis including irregular collagen fiber's pattern. So, acupuncture therapy and musculotendinous releasing manual therapy were used to treat the patients. We measured their pain and functional disorder by visual analogue scale (VAS), Patient-Rated Tennis Elbow Evaluation (PRTEE), and a dynamometer before and after treatment. As a result, VAS and PRTEE significantly reduced and grasping power was also improved. Therefore, we conclude that the acupuncture therapy with musculotendinous releasing manual therapy is an effective way to treat Lateral epicondylitis. But there are limits on this study due to insufficient number of cases, absence of control group and absence of follow-up after last treatment. Further studies will be needed.

• Clinics in Shoulder and Elbow
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• 제25권1호
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• pp.57-64
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• 2022

Background: There are various conservative treatment options for lateral epicondylitis (LE). The aim is to evaluate pain, daily functioning, and complications after ultrasound-standardized autologous blood injections in patients with LE. Methods: For this prospective cohort study, consecutive patients (>18 years) diagnosed with LE were included. Autologous blood was injected using a medical device containing an injection disposable with 12 small needles (Instant Tennis Elbow Cure [ITEC]) device. Patient-Rated Tennis Elbow Evaluation (PRTEE), subjective elbow score (SES), palpation and provocation pain, satisfaction, and complications of treatment were measured at baseline and two months after treatment. Paired t-tests and Fisher's exact tests were used for calculating the difference between pre- and post-treatment outcomes. Results: Fifty-five elbows were analyzed. Mean time between pre- and post-treatment was 11.1 weeks (standard deviation [SD], 8.9 weeks). The mean PRTEE score decreased from 68.2 (SD, 15.7) before surgery to 53.2 (SD, 25.9; p<0.001) after. The mean SES improved from 36.9 (SD, 20.8) to 51.7 (SD, 27.4; p<0.001). Despite this improvement, only 44.7% of patients showed relevant clinical improvement in PRTEE, and 37.3% showed significant clinical improvement based on SES. Four patients reported a complication and the injection disposable failed three times. Conclusions: Ultrasound-standardized autologous blood injection using the ITEC device is not an effective tool in reducing symptoms related to LE. This study showed that only half of all patients experienced a positive effect. In this heterogeneous cohort of patients, we showed no added value of ultrasound standardization.

• PNF and Movement
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• 제18권1호
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• pp.117-126
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• 2020

Purpose: The purpose of this study was to investigate the effects of extracorporeal shock-wave therapy (ESWT) on pain, grip strength, and upper-extremity function in patients diagnosed with lateral epicondylitis and to provide an effective intervention method for lateral epicondylitis. Methods: Twenty patients with lateral epicondylitis were randomly assigned to the ESWT group (n = 10) and the stretching exercise group (n = 10). Interventions in both groups were performed six times twice a week for three weeks. The visible analog scale (VAS) was used to measure pain change. A dynamometer was used to measure grip strength (GS). Patient-rated tennis elbow evaluation (PRTEE) was used to measure the upper-extremity function. Results: There were significant differences in pain, grip strength, and upper-extremity function in both groups before and after intervention (p < 0.05). There were also significant differences in pain, grip strength, and upper-extremity function between the groups after intervention (p < 0.05). Conclusion: This study showed very positive improvement in pain, grip strength, and upper-extremity function after ESWT in patients with lateral epicondylitis. Therefore, ESWT can be recommended for patients with lateral epicondylitis.

• 대한정형도수물리치료학회지
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• 제23권1호
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• pp.15-22
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• 2017

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.

• Clinics in Shoulder and Elbow
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• 제13권1호
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• pp.58-63
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• 2010

목적: 주관절 외상과염은 주관절 동통을 유발하는 대표적인 질환 중 하나로 이에 대한 치료 방법은 여러 문헌에서 보고 된 바 있다. 본원에서는 외상과염에 대한 혈소판 풍부 혈장 (Platelet-Rich-Plsma) 주입 치료를 시행한 후 그 임상적 결과를 평가해 보고자 하였다. 대상 및 방법: 2009년 1월부터 2009년 12월까지 본원에서 외상과염으로 진단받은 환자 15명 (남자 5명, 여자 10명)을 대상으로 하였으며, 평균 연령은 43.5세 였다. 모든 환자는 타 병원에서 1년 이상의 물리치료, 약물치료 등의 보존적 치료를 시행 받았으나, 증상호전을 보이지 않아 수술적 치료를 고려하는 환자였다. 대상 환자는 주관절 외상과에 경피적 혈소판 풍부 혈장 농축액 3cc를 1회 주입하였으며, 치료효과의 판정은 휴식 시와 작업 시의 visual analogue scale (VAS), The Patient-Rated Tennis Elbow Evaluation (PRTEE)를 시술 후 4, 12주 후 측정하고 치료 전후를 비교평가 하였다. 결과: 치료 4주, 12주 단기 추시에서 휴식시 통증의 VAS 평균 값은 치료 전 4.6에서 치료 4주째 2.5 12주째 1.8로 개선 되었고, 작업시 통증의 경우 치료 전 7.8에서 치료 4주째 6.2 치료 12주째 4.25로 개선 되었다. PRTEE score 평균 값은 치료 전 60.13에서 치료 4주째 46.12, 12주째 24.6으로 개선 되었다. 결론: 보존적 치료에 반응을 보이지 않는 불응성 주관절 외상과염의 치료에 있어 혈소판 풍부 혈장 주입을 이용한 치료는 효과적인 치료법이며, 수술적 치료를 시행 전 고려 되어야 한다고 사료 된다.