Chronic medial and lateral epicondylitis: A comparison of pain, disability, and function
Archives of physical medicine and rehabilitation ,
v.83 no.3 ,
2002년, pp.317 - 321
Pienimäki, Tuomo T.
(Oulu Regional Institute of Occupational Health (Pienimä)
,
Siira, Pertti T.
(ki) and Department of Physical Medicine and Rehabilitation, Oulu University Hospital (Siira, Vanharanta), Oulu, Finland)
,
Vanharanta, Heikki
(Oulu Regional Institute of Occupational Health (Pienimä)
AbstractPienimäki 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. Objectives: To investigate pain, disability, and muscle function of the arm in medial epicondylitis and to compare the ...
AbstractPienimäki 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. Objectives: To investigate pain, disability, and muscle function of the arm in medial epicondylitis and to compare the results with those in chronic lateral epicondylitis. Design: Cross-sectional, case-control study. Setting: University hospital clinic admitting chronic hand patients. Participants: Twenty-five patients with chronic unilateral medial epicondylitis and 25 age- and gender-matched patients with chronic unilateral lateral epicondylitis. Interventions: Not applicable. Main Outcome Measures: Pain drawing (PD) and a pain questionnaire with 7 items of pain and disability on visual analog scale (VAS). Dolorimeter measurements of pressure pain thresholds (PPT) on 3 defined cubital points. The isometric grip strength and isokinetic performance of wrist and forearm at a radial velocity of 90°/s. Results: Patients with medial epicondylitis had significantly less pain under strain (6.7 vs 7.9cm on VAS, P =.03) and a smaller PD (1.9 vs 2.5, P =.02) than patients with lateral epicondylitis. The PPTs of medial epicondyles were 54% (P =.0000) lower in medial epicondylitis. In lateral epicondylitis, all 3 cubital points showed significant decreases in PPTs. The isometric grip strength (mean and maximal) decreased by 6.2% and 3.6%, compared with the patients' healthy arms (P =.03,.16) and by 11.4% and 8.9% (P =.008,.02), respectively, compared with the expected value; in lateral epicondylitis, the grip strength decreased by 11.8% and 10.6% (P =.005,.01) and by 15% and 14% (P =.003,.007), respectively, when compared with the expected grip strength. Peak torque and produced work in wrist flexion were significantly reduced by 13% and 17% (P =.005,.0001), respectively, in both diseases. In lateral epicondylitis, supination and pronation were also reduced by 10% and 15% (P =.03). Conclusions: In chronic medial epicondylitis, muscle function and pain measures showed a lesser impaired function of the arm than in chronic lateral epicondylitis. The results may be useful in rehabilitation and treatment of epicondylitis. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
AbstractPienimäki 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. Objectives: To investigate pain, disability, and muscle function of the arm in medial epicondylitis and to compare the results with those in chronic lateral epicondylitis. Design: Cross-sectional, case-control study. Setting: University hospital clinic admitting chronic hand patients. Participants: Twenty-five patients with chronic unilateral medial epicondylitis and 25 age- and gender-matched patients with chronic unilateral lateral epicondylitis. Interventions: Not applicable. Main Outcome Measures: Pain drawing (PD) and a pain questionnaire with 7 items of pain and disability on visual analog scale (VAS). Dolorimeter measurements of pressure pain thresholds (PPT) on 3 defined cubital points. The isometric grip strength and isokinetic performance of wrist and forearm at a radial velocity of 90°/s. Results: Patients with medial epicondylitis had significantly less pain under strain (6.7 vs 7.9cm on VAS, P =.03) and a smaller PD (1.9 vs 2.5, P =.02) than patients with lateral epicondylitis. The PPTs of medial epicondyles were 54% (P =.0000) lower in medial epicondylitis. In lateral epicondylitis, all 3 cubital points showed significant decreases in PPTs. The isometric grip strength (mean and maximal) decreased by 6.2% and 3.6%, compared with the patients' healthy arms (P =.03,.16) and by 11.4% and 8.9% (P =.008,.02), respectively, compared with the expected value; in lateral epicondylitis, the grip strength decreased by 11.8% and 10.6% (P =.005,.01) and by 15% and 14% (P =.003,.007), respectively, when compared with the expected grip strength. Peak torque and produced work in wrist flexion were significantly reduced by 13% and 17% (P =.005,.0001), respectively, in both diseases. In lateral epicondylitis, supination and pronation were also reduced by 10% and 15% (P =.03). Conclusions: In chronic medial epicondylitis, muscle function and pain measures showed a lesser impaired function of the arm than in chronic lateral epicondylitis. The results may be useful in rehabilitation and treatment of epicondylitis. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
주제어
참고문헌 (19)
J Bone Joint Surg Am Gabel 77 1065 1995 10.2106/00004623-199507000-00013 Operative treatment of medial epicondylitis. Influence of concomitant ulnar neuropathy at the elbow
Am J Ind Med Piligian 37 75 2000 10.1002/(SICI)1097-0274(200001)37:1<75::AID-AJIM7>3.0.CO;2-4 Evaluation and management of chronic workrelated musculoskeletal disorders of the distal upper extremity
Hand Clin Bennett 10 163 1994 10.1016/S0749-0712(21)01042-8 Lateral and medial epicondylitis
Pienimaki 1997 Chronic lateral epicondylitis: pain, function and treatment [thesis]
Eur J Phys Med Rehabil Pienimaki 7 171 1997 Muscle function of the hand, wrist and forearm in chronic lateral epicondylitis
Clin J Pain Fischer 2 207 1987 10.1097/00002508-198612000-00001 Pressure threshold measurement for diagnosis of myofascial pain and evaluation of treatment results
Eur J Phys Med Rehabil Pienimaki 8 1 3 1998 Pain questionnaire, pain drawing and pressure pain thresholds in chronic lateral epicondylitis
Br Osteopath J Burton 16 6 1984 Grip strength as an objective clinical assessment in tennis elbow
Br J Rheumatol Burton 23 310 1984 10.1093/rheumatology/23.4.310 Grip strength in tennis elbow
Br J Rheumatol Thurtle 23 154 1984 10.1093/rheumatology/23.2.154 Grip strength as a measure of response to treatment for lateral epicondylitis
Physiotherapy Pienimaki 82 9 522 1996 10.1016/S0031-9406(05)66275-X Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylitis
J Bone Joint Surg Am Kurvers 77 1374 1995 10.2106/00004623-199509000-00014 The results of operative treatment of medial epicondylitis
Davies 1987 Compendium of isokinetics in clinical usage and rehabilitation techniques
J Orthop Sports Phys Ther Feiring 11 298 1990 10.2519/jospt.1990.11.7.298 Test-retest reliability of the Biodex isokinetic dynamometer
J Orthop Sports Phys Ther Friedlander 14 220 1991 10.2519/jospt.1991.14.5.220 Isokinetic limb and trunk muscle performance testing: a short-term reliability
Phys Ther Durand 71 804 1991 10.1093/ptj/71.11.804 Intertrial reliability of work measurements recorded during concentric isokinetic knee extension and flexion in subjects with and without meniscal tears
J Bone Joint Surg Br Vangsness 73 409 1991 10.1302/0301-620X.73B3.1670439 Surgical treatment of medial epicondylitis
Br Med J Wadsworth 294 621 1987 10.1136/bmj.294.6572.621 Tennis elbow: conservative, surgical and manipulative treatment
Arch Phys Med Rehabil Mathiowetz 66 69 1985 Grip and pinch strength: normative data for adults
더보기
AI-Helper
※ AI-Helper는 부적절한 답변을 할 수 있습니다.