골퍼의 주관절 외측상과염에 대한 재활 및 예방 운동 프로그램 효과 = The Effects of Rehabilitation and Preventive Exercise Programs on Lateral Epicondylitis of the Elbow Joint in Golfers

국문 초록 (Abstract)

[목적] 이 연구의 목적은 주관절 외측상과에 통증과 염증으로 나타나는 근골격계 외측상과염에 대한 재활운동의 효과를 조사하고, 이를 바탕으로 고도화된 재활운동 프로그램을 제시하는 것이었다. [방법] 이를 위해 외측상과염 부상과 재활운동과 관련된 문헌을 검토하였으며, 국내외 데이터베이스를 사용하여 문헌조사를 실시하였다. [결과] 연구결과, 골프 외측상과염 재활운동에는 등척성운동, 신전성 수축운동, 유연성운동, 기능성 및 종목특이적 운동을 포함한 다양한 운동이 수행되었다. 이러한 운동은 통증 감소, 운동 범위 개선, 근력 증가, 스포츠 또는 일상 활동으로의 성공적인 복귀를 촉진할 수 있는 것으로 검토되었다. [결론] 본 연구를 통해 확인된 바와 같이, 골프 외측상과염에 대한 효과적인 재활 및 부상 예방은 다양한 운동 방법을 포괄하는 맞춤형 운동 프로그램의 지속적인 수행에 달려있다. 이러한 프로그램은 등척성운동, 신전성 수축운동, 유연성운동, 그리고 기능성 및 종목특이적 운동 등을 포함하여야 하며, 각 단계별로 적절하게 선택되어야 한다.

다국어 초록 (Multilingual Abstract)

[Purpose] The purpose of this study was to investigate the effect of rehabilitation exercise on musculoskeletal lateral epicondylitis, which is manifested by pain and inflammation in the lateral epicondyle of the elbow joint, and to present basic data for a rehabilitation exercise program. [Method] To derive the results, literature related to lateral epicondylitis injuries and rehabilitation exercises was reviewed, and a literature search was conducted using domestic and overseas databases. [Result] As a result of the study, various exercises including isometric exercise, extensor contraction exercise, flexibility exercise, and functional and event-specific exercise were performed for golf lateral epicondylitis rehabilitation exercise. These rehabilitation exercises have been reviewed as being able to reduce pain, improve range of motion, increase muscle strength, and promote successful return to sports or daily activities. [Conclusion] As confirmed through this study, effective rehabilitation and injury prevention for golfer's lateral epicondylitis hinges on the consistent execution of a customized exercise program that encompasses various methods. This program should include isometric exercises, eccentric contraction exercises, flexibility exercises, as well as functional and sport-specific exercises, each appropriately selected according to the stage.

참고문헌 (Reference)

1 김주영 ; 성동준 ; 이주형, "Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application" 한국운동재활학회 13 (13): 12-22, 2017

2 Gluck, G. S., "The lumbar spine and low back pain in golf : A literature review of swing biomechanics and injury prevention" 8 (8): 778-788, 2008

3 Gluck, G. S., "The lumbar spine and low back pain in golf : A literature review of swing biomechanics and injury prevention" 8 (8): 778-788, 2008

4 Stroyan, M., "The functional anatomy of the elbow complex" 17 (17): 279-288, 1993

5 Gladdines, S., "The effectiveness of a golf injury prevention program(GRIPP intervention)compared to the usual warm-up in Dutch golfers : Protocol design of a randomized controlled trial" 14 : 144-, 2022

6 Nirschl, R. P., "Tennis elbow. The surgical treatment of lateral epicondylitis" 61 (61): 832-839, 1979

7 Noteboom, T., "Tennis elbow : A review" 19 (19): 357-366, 1994

8 Rio, E., "Tendon neuroplastic training : changing the way we think about tendon rehabilitation : A narrative review" 50 (50): 209-215, 2016

9 McNeal, J. R., "Stretching for performance enhancement" 5 (5): 141-146, 2006

10 De Haan, J., "Stability of the elbow joint : Relevant anatomy and clinical implications of in vitro biomechanical studies" 5 : 168-176, 2011

11 Sugimoto, K., "Recent developments in the treatment of ankle and subtalar instability" 11 : 687-696, 2017

12 Schiffke-Juhász, B., "Proprioceptive elbow training reduces pain and improves function in painful lateral epicondylitis-a prospective trial" 16 (16): 468-, 2021

13 Fitts, R. H., "Muscle mechanics : Adaptations with exercise-training" 24 : 427-473, 1996

14 Meira, E. P., "Minimizing injuries and enhancing performance in golf through training programs" 2 (2): 337-344, 2010

15 Metz J. P., "Managing golf injuries : technique and equipment changes that aid treatment" 27 (27): 41-56, 1999

16 Karanasios, S., "Low-load resistance training with blood flow restriction is effective for managing lateral elbow tendinopathy : A randomized, sham-controlled trial" 52 (52): 803-825, 2022

17 Yuill, E. A., "Lateral epicondylosis and calcific tendonitis in a golfer : A case report and literature review" 55 (55): 325-332, 2011

18 Cullinane, F. L., "Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review" 28 (28): 3-19, 2014

19 Kanwar, K. D., "Injury risk-factor differences between two golf swing styles: A biomechanical analysis of the lumbar spine, hip and knee" 1-22, 2021

20 Evans, K., "Improving performance in golf : Current research and implications from a clinical perspective" 19 (19): 381-389, 2015

21 Kiel, J., "Golfers elbow" StatPearls Publishing

22 Bourgain, M., "Golf swing biomechanics: A systematic review and methodological recommendations for kinematics" 10 (10): 91-, 2022

23 Pacheco, M. M., "Functional vs. strength training in adults : Specific needs define the best intervention" 8 (8): 34-, 2013

24 Keogh, J. W., "Evidence for biomechanics and motor learning research improving golf performance" 11 (11): 288-309, 2012

25 Hume, P. A., "Epicondylar injury in sport: epidemiology, type, mechanisms, assessment, management and prevention" 36 (36): 151-170, 2006

26 Stockard, A. R., "Elbow injuries in golf" 101 (101): 509-516, 2001

27 Lee, J. C., "Effects of special composite stretching on the swing of amateur golf players" 27 (27): 1049-1051, 2015

28 Chen, Z., "Effectiveness of eccentric strengthening in the treatment of lateral elbow tendinopathy : A systematic review with meta-analysis" 34 (34): 18-28, 2021

29 Raman, J., "Effectiveness of different methods of resistance exercises in lateral epicondylosis-A systematic review" 25 (25): 5-26, 2012

30 Dorf, E. R., "Effect of elbow position on grip strength in the evaluation of lateral epicondylitis" 32 (32): 882-886, 2007

31 Murtaugh, B., "Eccentric training for the treatment of tendinopathies" 12 (12): 175-182, 2013

32 Couppé, C., "Eccentric or concentric exercises for the treatment of tendinopathies" 45 (45): 853-863, 2015

33 Jayaseelan, D. J., "Eccentric exercise for achilles tendinopathy : A narrative review and clinical decision-making considerations" 4 (4): 34-, 2019

34 Moran, K. A., "Dynamic stretching and golf swing performance" 30 (30): 113-118, 2009

35 Page, P., "Current concepts in muscle stretching for exercise and rehabilitation" 7 (7): 109-119, 2012

36 Levine, J. W., "Clinically relevant injury patterns after an anterior cruciate ligament injury provide insight into injury mechanisms" 41 (41): 385-395, 2013

37 Martinez-Silvestrini, J. A., "Chronic lateral epicondylitis : Comparative effectiveness of a home exercise program including stretching alone versus stretching supplemented with eccentric or concentric strengthening" 18 (18): 411-420, 2005

38 Abe, Y., "Changes in availability and usage of electrophysical agents by physical therapists : A 5 year longitudinal follow-up study" 33 (33): 870-875, 2021

39 Van de Wouw, A., "Advocating a holistic approach for sport injury prevention and rehabilitation" 57 (57): 895-896, 2023

40 Day, J. M., "A comprehensive rehabilitation program for treating lateral elbow tendinopathy" 14 (14): 818-829, 2019