• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.7 no.1
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• pp.103-112
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• 2012

Objectives : This study was performed to report the effect of oriental medical treatments on the 4 patients with lateral epicondylitis of the elbow. Methods : The 4 patients were treated by Bee Venom acupuncture, Dong-Qi acupuncture, acupuncture on tender points of the origin of the extensor carpi radialis and taping on the extensor carpi radialis. The state of patients was measured by visual analog scale(VAS), elbow range of motion(ROM) and patient's subjective symptom grade(PSSG). Results : After mean 9.5 times of treatments, the recovery of elbow ROM was measured and significant pain relief was seen as the average of VAS changed from 10 to 1.25 and average of PSSG changed from 2.75 to 0.5 grade. Conclusions : These results suggest that oriental medical treatments including Bee Venom acupuncture, Dong-Qi acupuncture, acupuncture, taping are effective to improve the lateral epicondylitis of the elbow.

• Journal of East-West Nursing Research
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• v.13 no.2
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• pp.160-169
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• 2007

Background: Hwa-Byung is known as a specific Korean cultural syndrome which corresponds to DSM-IV(MMPI). Some Korean women who have experienced heart aching anger(Hwa-Byung) complain physical pains as well as psychological problems. As for these physical pains, upper limb arthropathy(e.g. golf elbow pains, tennis elbow pains, or shoulder-joint pains) have not been paid attentions. In spite of not having done her excessive physical endeavor or exercise, some Korean middle aged women complain those arthropathy pains. And they go round orthopedics, pain clinics, and oriental medicine clinics. Purpose: This study was practiced in Severance Oriental Medicine Clinic. The oriental medicine doctor had a question about the major origin of upper limb pains which were not caused by excessive physical endeavor. To answer the question, this study has been practiced. In the process of interview with some those women, the major cause of those syndromes has been revealed as Hwa-Byung. The purpose of this study is to discover the meanings of the women's life who have been experienced Hwa-Byung with upper limb arthropathy. Results: These upper limb arthropathy can be explained by meridian theory. Shoulder-joint pain and golf elbow with Hwabyung can be explained by Heart meridian of hand-shoyin and the points of these pains are in the flow of this meridian. Tennis elbow with Hwabyung can be explained by Small intestine meridian of hand-taiyang and this point is in the flow of this meridian. The results of interview with 9 middle aged women was analyzed and interpreted according to Spradley's method of ethnography. The analysis revealed three core cultural themes : 1) There are certainly external cause to provoke Hwa-Byung. A patricentric family system, husband's playing around with another woman, cruel treatment by husband's family, or financial failure may be present anteriorly. 2) The chief existing condition is the discord between husband and wife. The stoppage of mutual communication, lacking in understanding, unfeeling, heartless, or unsympathetic is an major phenomenon of married life. So the important factor is not the sexual relations or problems but the discords of communication. 3) The feeling of anger, the sense of nihility, the desire to escape, and the effort to forgiveness coexist together. At a glance, they seemed to be a process. For example, anger seemed to present at first, then nihility seemed at second, then escape seemed at third, and then forgiveness seemed at last. But at point of visiting clinic to be treated, they are mixed up together as if in a jumble.

• Korean Journal of Applied Biomechanics
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• v.12 no.1
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• pp.221-231
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• 2002

The purpose of this study was to clarify the differences in service patterns of a forward and backward soft tennis players using 3D motion analyzer. Subjects were 4 forward players of $24.0\pm5.23$yrs and 4 backward players of $23.5\pm1.73$yrs. The results were as following: 1. There was no difference among each positions on swinging-time. The longest racket swinging-time was in the phase of takeback, the second one was in follow-through. The shortest one was in the phase of forward-swing so called force production phase, which had an influence on ball's velocity. 2. The racket speed on impact was 16.3m/s in forward subject and 19.53m/s in backward subject, when each velocity of balls was 44.6m/s, 52.9m/s. Although there was no significant difference along by positions, backward subject showed faster result. 3. The maximum speed of each performance was reached before the impact, and the speed at impact along by positions did not show any significant difference. The summation of velocity was measured in good order as following; hip, shoulder, elbow, wrist, top of racket. 4. In the angular velocity of all examine except one, the angular velocity of forearm was bigger than the one of racket top although there was no statistically significant difference between forward and backward subject. 5. The service grip of the forward players was shorter than that of backward players.

• Korean Journal of Applied Biomechanics
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• v.18 no.4
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• pp.151-159
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• 2008

In this research, kinematic comparative analysis was performed on strokes of abscission and spinal cord injured athletes who participated in 2008 Beijing Paralympics wheelchair table tennis games. Strokes of all situations were collected under real match-like conditions. Among those, three major forehand stroke motions and backhand stroke motions were drawn Data collected by 9 infrared cameras were expressed in angular motions using graphic program LabVIEW7.0. As a result, forehand stroke of spin handicap athlete from analyzed images, the rotations of the trunk happened with the rotations of shoulder and the flexion extensions of elbow nearly at the same time. According to these results, insufficient turning force or speed of rackets is recompensed using flexion. backhand stroke of spin handicap athlete from analyzed images, the rotations of the trunk, the flexion extensions of the elbow and the flexion extensions of the shoulder were lined up on the prolongations of ping-pong balls. Forehand stroke of abscission athletes was done by outward rotation of the arm using backswing and inner rotation. As for backhand stroke, backswing was made by inner rotation in the spin of shoulder and waist. And after the backswing, impact was formed in wide outer rotation towards the ball.

• Journal of Acupuncture Research
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• v.30 no.2
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• pp.25-30
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• 2013

Objectives : The Purpose of this study is to evaluate the effect of the deep thermo-conductive acupuncture therapy for the patients with lateral epicondylitis of the elbow. Methods : Thirteen patients with lateral epicondylitis were included from April 2011 to December 2012 and all the patients were treated with the deep thermo-conductive acupuncture therapy. Then we checked visual analog scale(VAS) scores of the patients at every hospital visit, and compared the differences for before and after treatment. We also divided them into 3 age groups(in 40s, 50s, 60s) and 4 groups of the duration of illness(~1 week, ~1month, ~6 months, 6 months ~), and compared the effects for 3 age groups as well as 4 groups of duration of illness. Results : 1. VAS scores had been changed significantly from $6.0769{\pm}1.5390$ to $3.3077{\pm}1.9207$(p=0.005). 2. No significant differences were found between 3 age groups(p=0.968) as well as 4 groups of the duration of illness(p=0.724). Conclusions : This study suggests that deep thermo-conductive acupuncture therapy is effective for healing of the lateral epicondylitis of elbow. But the age and the duration of illness seem to have no influence on results.

• Journal of Acupuncture Research
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• v.32 no.2
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• pp.209-216
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• 2015

Objectives : The objective of this study was to report two cases that patients with external epicondylitis were improved by based on 'eight vacuity' theory bloodletting therapy, acupuncture therapy and bee venom pharmacopuncture. Methods : In this study, patients were treated with bloodletting therapy, then acupuncture therapy and bee venom pharmacopuncture to Ashi point on eight vacuity of elbow in the patients without retention of needles. Subsequently, electroacupuncture and Dong-qi acupuncture treatment were implemented in order to strengthen the effect of acupuncture. In terms of evaluation methods, visual analog scale(VAS) score, range of motion(ROM), grip strength and physical examination were used to assess external epicondylitis-related symptoms. Results : VAS score decreased, ROM and grip strength were increased and physical examination was improved in all cases. Conclusions : It was suggested that the symptoms of intractable external epicondylitis could be improved by eight vacuity theory adopted bloodletting therapy, acupuncture therapy and bee venom pharmacopuncture.

• Clinics in Shoulder and Elbow
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• v.26 no.1
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• pp.49-54
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• 2023

Background: Lateral epicondylitis is an increasingly debilitating condition in working population. Evidence for conservative treatment modalities has been inconclusive. Percutaneous pie crusting of the common extensor origin at the lateral epicondyle at the time of local corticosteroid injection (CSI) has been proposed sparsely. The objective of this study was to analyze if concomitant CSI and pie-crusting of the common extensor origin provides better outcome than CSI alone in lateral epicondylitis. Methods: This case-control study on 236 patients was conducted at a single center between January 1, 2020, and May 31, 2022. Patients were divided into two groups (n=118 each) based on their preference. Group A underwent CSI alone and group B underwent pie crusting along with CSI. The clinical and functional outcomes of all patients were evaluated at 2, 4, 6, and 12-week post-procedure using the visual analog scale (VAS) and Nirschl score. The mean time for return to daily activities was also compared. Results: Both groups showed significant improvement in post-procedure outcome at successive follow-ups on intragroup longitudinal analysis (VAS: F=558.384 vs. F=1,529.618, Nirschl: F=791.468 vs. F=1,284.951). On intergroup analysis, VAS of group B was superior to that of group A; however, it was statistically significant (P<0.05) only from the 6-week follow-up onwards. Nirschl score of group B was significantly better throughout the period of follow-up (P<0.05). Group B returned to daily activities faster than Group A (6.2±0.44 weeks vs. 7.18±0.76 weeks). Conclusions: Concomitant pie crusting with CSI is recommended for lateral epicondylitis as it provides significantly better results than CSI alone.

• The Journal of Korea CHUNA Manual Medicine
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• v.3 no.1
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• pp.31-41
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• 2002

Objectives : To study that lateral epicondylitis(tennis elbow) is related with cervical spondylosis. Subjects : The study was composed of 25 patients of lateral epicondylitis(LEP group) and 25 normal control group(CON group). Method : Simple radiologic scale was compared such as cervical lordotic angle, grading for disc degeneration. Pavlov ratio and Intervertebral body Index Results : Cervical lordotic angle and disc degeneration is not significantly different. And Pavlov ratio and intervertebral body index is significantly decrease in the LEP group. Conclusion : The cervical spondylosis is related with ocuuring lateral epicondylitis.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.1 no.1
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• pp.85-97
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• 1995

Orthopaedic medicine was developed and published by James Cyriax, a British Orthopaedic Physician on 1929. Orthopaedic medicine is concerned with the diagnosis and treatment of soft tissue lesions. These disorders affect a substantial proportion of all patients in general and in particular, physiotherapy and sports clinics. In broad terms these disorders em trace conditions. such as arthritis. rheumatism. fibrositis. backache. lumbago, sciatica, frozen shoulder, tennis elbow, strained wrist, sprains, aches, inflanmation and sports injuries generally. The soft Moving tissues share one thing in common - they are all radiotranslucent and the tissues in question are the joint capsule, the ligaments, the fasciae, dural sheath. These structures can cause pain but none of them is visible on the radiograph. Dr. Cyriax divided all soft tissues into two basic types : 1) Contractile tissue, 2) Inert or noncontractile tissue. The mechanism of diagnosis is tension applied manually. The physician subjects each tissue about the incriminated joint to tension in turn which they call 'Selective tension' with Cyriax's assessment, a more definitive diagnosis can be obtained and proper treatment can be implemented.

• Journal of the Korean Society of Safety
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• v.29 no.1
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• pp.41-46
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• 2014

The design of a 7 degree of freedom motion capture device(MCD) has been presented. The newly designed MCD overcomes the shortcomings of the existing CADEN-7 exoskeleton robot by implementing various ergonomic design. To improve ease of operation, light-weight high-strength materials such as carbon pipes and engineering plastics were used to reduce weight of the MCD and arm-length adjustment mechanism was also added. The MCD showed consistent measurement results in designed experiments involving change of arm posture from nominal configuration to either elbow-side or arm-front configurations. Furthermore, captured motion in more natural tennis swing appeared to agree well with visual observations made.