침치료 후 근건이완수기요법을 적용한 주관절 외상과염 환자치험 3례 = The Clinical Report on 3 Cases of Lateral Epicondylitis Treated with Musculotendinous Releasing Manual Therapy after Acupuncture Treatment

다국어 초록 (Multilingual Abstract)

We researched 3 patients diagnosed as Lateral epicondylitis (Tennis elbow). We considered it as tendinosis including irregular collagen fiber`s pattern. So, acupuncture therapy and musculotendinous releasing manual therapy were used to treat the patients. We measured their pain and functional disorder by visual analogue scale (VAS), Patient-Rated Tennis Elbow Evaluation (PRTEE), and a dynamometer before and after treatment. As a result, VAS and PRTEE significantly reduced and grasping power was also improved. Therefore, we conclude that the acupuncture therapy with musculotendinous releasing manual therapy is an effective way to treat Lateral epicondylitis. But there are limits on this study due to insufficient number of cases, absence of control group and absence of follow-up after last treatment. Further studies will be needed. (J Korean Med Rehabil 2017;27(2):101-108)

참고문헌 (Reference)

1 심성윤, "통증평가도구에 관한 고찰" 경락경혈학회 24 (24): 77-97, 2007

2 임나라, "초음파 진단을 통한 주관절 외상과염의 침도 치료 임상 증례 보고" 대한약침학회 14 (14): 53-60, 2011

3 신대철, "주관절 외측상과염 환자에 대한 八虛 이론에 근거한 복합침구치료 치험 2례" 대한침구의학회 32 (32): 209-216, 2015

4 김채원, "심부가열침술을 이용한 주관절 외상과염 환자 치험 13례" 대한침구의학회 30 (30): 25-30, 2013

5 최주영, "소염약침 병행 한방치료를 시행한 상완골 외측상과염 환자 2례에 대한 증례보고" 한의학연구소 20 (20): 153-160, 2011

6 이채칠, "불응성 주관절 외상과염에 대한 혈소판 풍부 혈장 주입 치료의 임상적 결과" 대한견주관절학회 13 (13): 58-63, 2010

7 이동률, "국어판 환자 평정 주관절 외측상과염 평가서의 신뢰도와 타당도" 대한물리의학회 9 (9): 25-33, 2014

8 김상엽, "고유수용성감각 증진 훈련에 따른 산업체 만성 외측상과염 환자의 통증 및 관절위치 감각의 변화" 한국디지털정책학회 11 (11): 285-292, 2013

9 Bernhang AM, "The many causes of tennis elbow" 1363-1366, 1979

10 Kim HS, "The Domestic Trends of Acupuncture Treatment on Lateral Epicondylitis : A literature review" 25 (25): 1-13, 2016

11 An GH, "The Comparative Study on the Bee-Venom Therapy and Common Acupuncture Therapy for the Lateral Epicondylitis(Tennis Elbow)" 13 (13): 267-276, 2004

12 Rockwood CA, "Tennis elbow" 53 : 430-436, 1960

13 Kim YH, "Radiologic changes of lateral epicondylitis(tennis elbow)" 11 (11): 163-167, 2006

14 Poltawski L, "Measuring clinically important change with the Patient-rated Tennis Elbow Evaluation" 16 (16): 52-57, 2011

15 Calfee RP, "Management of lateral epicondylitis; current concepts" 16 (16): 19-29, 2008

16 Smidt N, "Lateral epicondylitis in general practice : course and prognostic indicators of outcome" 33 : 2053-2059, 2006

17 Uhm BK, "Lateral Epicondylitis of the Elbow by Oriental Medical Treatments : 4 Cases Report" 7 (7): 103-112, 2012

18 Gev Bhabra, "Lateral Elbow Tendinopathy" 4 (4): 1-10, 2016

19 Jeong SG, "Lateral" 8 (8): 81-87, 2005

20 Kim MK, "A clinical cases Study of Elbow pain and Dysfunction in Patients diagnosed as Tennis elbow" 18 (18): 113-118, 2009

21 Ludwig Ombregt, "A System of Orthopaedic Medicine" 2015