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...
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.
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.
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문제 정의
Although the previous studies report a positive influence of oscillatory motion, the vibration stimulus was applied to the whole body rather than a local area for certain muscles, and the effect is limited to being seen in the lower extremity rather than the upper extremity. Studies where the effects of applying local oscillation stimulation on the upper extremity for a musculoskeletal problem are insufficient Therefore, the purpose of this study was to evaluate the effect of applying localized vibrational motion on the upper extremity on wrist muscle strength, joint range of motion, function, pain, and quality of life in patients with tennis elbow.
The purpose of this study was to investigate the effects of applying vibration resistance movement on elbow muscle strength, range of motion, pain levels, and quality of life in patients with tennis elbow. After four weeks of intervention, greater changes in elbow muscle strength and function were observed in the VRE group compared to the WRE group.
제안 방법
This study included the VRE, WRE, and control groups with intervention conducted three times a week for four weeks. The subjects in the control group received for 15 minutes and interferential current electrical therapy for 15 minutes.
The subjects in the control group received for 15 minutes and interferential current electrical therapy for 15 minutes. After the subjects in the VRE and WRE received therapy for 30 minutes, they had exercised for an addition of 5 minutes.
The form includes 8 items including questions about general health, physical functioning, physical role limitations, pain, vitality, social function, mental, and emotional role limitations with higher scores indicating a higher quality of life. The reliability of the assessment has a Cronbach’s value of 0.
, Armonk, NY, USA) was used for data analysis. The general characteristics of subjects were described using the mean and standard deviation values, and the Shapiro-Wilks test was performed in order to verify the normality of the subjects.
The results showed that it is possible for application of vibration stimuli to clinically improve muscle strength, joint range of motion, elbow function and elbow pain in patients with tennis elbow. For this study, the Powerball was used to provide VRE, which is considered to be simple, does not require the use of heavy dumbbells, and is possible to overcome the disadvantages of using dumbbells for resistance exercises.
대상 데이터
This study included subjects who were diagnosed with tennis elbow and were admitted and receiving physical therapy from the A rehabilitation center in Daejeon.
A total of twenty-seven participants were included in the study with 9 subjects in the VRE group, 9 subjects in the WRE group, and 9 subjects in the control group. There was no significant difference in gender, age, height, weight, side of dominance, between the three groups (p>0.
데이터처리
The paired t-test was used to compare between two groups before and after intervention and a one-way ANOVA was used to compare the differences in the amount of change between each group. The significance level was set at α=0.
성능/효과
There was a significant difference in wrist extensor strength, hand-grip strength, wrist range of motion, functional ability of the elbow, pain levels and quality of life between each group before and after intervention, there was a significant difference (p<0.05).
The VRE and WRE group showed a significant improvement in the change values of extensor muscle strength, hand grip, wrist range of motion, and pain levels compared to the control group (p<0.05).
The purpose of this study was to investigate the effects of applying vibration resistance movement on elbow muscle strength, range of motion, pain levels, and quality of life in patients with tennis elbow. After four weeks of intervention, greater changes in elbow muscle strength and function were observed in the VRE group compared to the WRE group. In this study, elbow muscle strength, function, pain levels were significantly improved post intervention in the VRE, WRE, and control group subjects.
The short form 8, which is used to assess quality of life, showed that there were significant improvements in the WRE, WRE, and control group, but no significant difference in between groups. There were decreased levels of pain in which it was related to the ability to control pain in all three groups, and thus having contributed to the changes in quality of life.
The results of this study showed that application of VRE had an effect on muscle strength, joint range of motion, pain and quality of life in those with tennis elbow. The results showed that it is possible for application of vibration stimuli to clinically improve muscle strength, joint range of motion, elbow function and elbow pain in patients with tennis elbow.
The results of this study showed that application of VRE had an effect on muscle strength, joint range of motion, pain and quality of life in those with tennis elbow. The results showed that it is possible for application of vibration stimuli to clinically improve muscle strength, joint range of motion, elbow function and elbow pain in patients with tennis elbow. For this study, the Powerball was used to provide VRE, which is considered to be simple, does not require the use of heavy dumbbells, and is possible to overcome the disadvantages of using dumbbells for resistance exercises.
후속연구
Also, since the vibration resistance was only applied in a circular motion on the wrist, movement effects on various directions are not known. Therefore, further studies that will investigate the effects of applying VREs using a variety of methods are needed.
참고문헌 (42)
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