• Journal of Haehwa Medicine
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• v.18 no.2
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• pp.113-118
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• 2009

Objective: There is a case reports on treatment of elbow pain and dysfunction in patients diagnosed as Tennis elbow. We report the Bee venom Acupunure Theraphy about under using elbow pain and dysfunction in patients diagnosed as Tennis elbow got a good remedial value. Methods : The patients diagnosed as Tennis elbow and treated mainly with Bee venom Acupunture Therapy. Results & Conclusions : Symptoms of the patient such as elbow pain and dysfunction were improved after above treatments. So, it is suggested that oriental medical treatment(Bee venom) are effective on Tennis elbow.

• The Korean Journal of Pain
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• v.7 no.1
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• pp.34-38
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• 1994

The common disorder called tennis elbow exhibits typical clinical characteristics, i.e. painful condition at the lateral aspect of elbow joint on resisted wrist extension. However an exact cause for this painful condition has not yet been established. Many observers believe that the usual lesion of tennis elbow is a partial rupture of the extensor tendon at the tenoperiosteal juction on the lateral epicondyle of humerus. However the mechanism of the tendon rupture has never been explained. Conservative treatments on the tender area have been the most common therapeutic modalities for pain relief of tennis elbow. Based on my clinical experiences and anatomical studies, I discerned that tennis elbow is a periostitis of lateral epicondyle of humerus secondary to spastic contraction of muscular belly of extensor carpi radialis after over-stretched injury. Therefore, spasmolytic treatment on the extensor carpi radialis muscle provided a favorable result for permanent relief for tennis elbow pain.

• Clinics in Shoulder and Elbow
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• v.7 no.1
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• pp.35-40
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• 2004

Purpose: The aim of this study was to investigate effects of calcific lesion on shockwave therapy of the tennis elbow. Materials and Methods: twenty-four patients with refractory tennis elbow were treated with shock waves. The patients were evaluated by assessment of pain using visual analog scale (VAS) and simple elbow test (SET). Comparision of clinical outcomes for the patients with and without calcification in the extensor tendon and/or cortical irregularity of lateral condyle was tried to determine if this could be a possible prognostic factor in clinical settings. Overall clinical outcomes were evaluated by Roles and Maudsley score at 12 months after ESWT. Results: Significant improvement of symptoms were observed in 20 (83 %) patients at 12 months follow up according to Roles and Maudesley scores. The patients with calcification and/or cortical irregularity improved significantly better, when compared to the patients without calcification and/or cortical irregularity at follow up. Conclusion: This study suggests that shock waves therapy could be considered as effective and noninvasive treatment modality for refractory tennis elbow. Also calcific deposit in extensor tendon and/or cortical irregularity of the lateral epicondyle was seem to be good prognostic factor for shock wave therapy for tennis elbow

• Journal of Haehwa Medicine
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• v.13 no.1
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• pp.261-267
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• 2004

As mentioned above, I have acquired some valuable results about medical treatments with acupuncture for "Tennis elbow" after studying oriental medical books. 1. In "HungTiNeiChing", there was called "joo-ryun" and "joo-mang" related to "Tennis elbow". 2. The medriens which remedy for 'tennis elbow' are as follow : 'Soo-yangmyoung', 'Soo-soyang', 'Soo-taeeum', 'Soo-gueleum', 'Chok-taeyang', 'Soo-taeyang' and 'Soo-soeum' in the order of frequency of use. 3. The acupuncture points which remady for 'tennis elbow' are as follow : 'Gok-ji', 'Soo-sam-ri', 'Joo-ryo', 'Hap-gok' and 'Woe-kwan' in the order of frequency of use. 4. Medical treatment with acupuncture is based on occuring area of pain and path of 'Kyoung-Rak'.

• Physical Therapy Korea
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• v.10 no.3
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• pp.91-107
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• 2003

We processed meta-analysis to test if the effects of laser therapy and mobilization techniques are evidence-based practice for treating tennis elbow. By researching and collecting the results of previous studies on tennis elbow, we inquired into the difference in the effects of each treatment methods on pain, grip strength, and ROM. A total of 10 international and domestic articles on the treatments of tennis elbow were selected for this study, including 7 articles on the effect of laser therapy and 3 on mobilization techniques. According to the qualitative meta-analysis, all 7 of the articles on laser therapy and 1 of the mobilization technique were double-blinded and randomized the subjects, and all of the 10 studies were designed in a high quality research, using statistics. The results of the studies on laser therapy showed in terms of statistical significance: 4 out of 7 did not decrease pain after therapy, and 3 out of 5 did not increase grip strength after therapy. In the studies on the effects of mobilization technique, both the 2 studies significantly increased grip strength after therapy. For other studies which measured ROM and tension, the mobilization therapy increased ROM significantly, and decreased tension significantly. The results of our study are shown in a diverse form in terms of the effects of different therapy techniques. This is related to the accuracy of the measurement tools for assessments and diagnoses. Further qualitative studies on the evidence-based practice and researches on tennis elbow are needed.

• Journal of Korean Physical Therapy Science
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• v.21 no.1
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• pp.53-58
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• 2014

Background : The purpose of this study is to identify the level of positive influence on the pain and the gripping power in patients with tennis elbow by comparing the TENS treatment method and the kinesio taping therapy with good accessibility among the kinesio taping therapy and electrical therapy. Methods : Targeting the patients diagnosed with tennis elbow, the subjects were categorized in groups of four, each of electrical therapy group and kinesio tape therapy group where the degree of pain reduction through VAS before and after the treatment of each group and the measurement of the degree of gripping power increase using the gripping power measurement tool as well as the pain reduction changes and gripping power increase before and after the treatment between the two groups were compared. Result : As a result, the electrical therapy group and the kinesio tape group were able to obtain the results of pain reduction and gripping power increase through VAS before and after the treatment, but for all pain reduction and gripping power increase, it had no statistically significant changes(p>.05). In addition, in the changes of pain reduction and changes of gripping power increase before and after the treatment, there were no statistically significant differences between the electrical therapy group and the kinesio tape group(p>.05). Conclusion : Based on the results so far, it is thought that the kinesio taping therapy can positively influence the pain reduction of patients with tennis elbow and increase of gripping power.

• Journal of the Korean Physical Therapy Association
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• v.6 no.1
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• pp.65-70
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• 1985

• Physical Therapy Rehabilitation Science
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• v.5 no.4
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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.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 1995.05a
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• pp.22-22
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• 1995

One hundred and forty-eight cases of tennis elbow were treated by conservative managements firstly such as rest, medication, immobilization, physical therapy and local steroid injection, from Jan. 1985 to Jun. 1994 at Department of Orthopaedic Surgery, National Medical Center. Among the 148 cases, 16 cases who failed conservative managements, were treated with Nirschl & Pettrone operation. The results were summarized as follows, 1. Among the 148 cases, 110 cases$(74\%)$ were female, and 61 cases$(41.2\%)$ were in the age group 41 to 50, and mean age was 42.3 2. Ninety-nine cases were housewives and only 15 cases were related to sports. 3. The results 116cases$(78\%)$, of conservative treatment were excellent and good 10 fair and failure in 32 cases$(22\%)$, by Nirschl and Peettrone assessment. 4. Among the 16 cases who were treated with Nirschl and Pettrone operation, excellent result was obtained 10 7cases, good in 3 cases, fair in 4cases and failure in 2 cases. 5. Recurrence was developed in 18 cases$(12.2\%)$, and we obtained excellent & good result in 17 cases with both conservative and operative treatment. Above results suggest that the term, tennis elbow is a misnomer because it occurs more commonly in non-athletes such as housewives than in tennis players. So it seems to be a occupational disease rather than sports injury. Now, we propose eliminate of the term, elbow and substitute with terminology that described the true understanding and therapeutic orientation of it.

• Journal of The Korean Society of Integrative Medicine
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• v.3 no.2
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• pp.1-8
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• 2015

Purpose: This study was conducted to know the evidence case to assessment about literatures of extensor carpi radialis therapeutic strategy of tennis elbow about dysfunction wrist extension with anatomy, biomechanic and function. Method: Patient was received the physical therapy program with medication for two weeks. Physical therapy program consists of strengthening exercise, stretching exercise and extracopereal shock wave therapy. Results: Patients could do computer and house works at three weeks significant with improved pain. The amounts used repetitive muscle was reduced slowly over a period of a day or two days for wrist moving. Wrist flexor strengthening exercise and could reduced the wrist extensor injury. Conclusion: Clinicians certainly realized biomechanic effects and anatomy of extensor carpiradialis and elbow joint.