Archives of Hand and Microsurgery

The Korean Society for Surgery of the Hand (대한수부외과학회)
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Comparison of Wrist Extension Stretching Exercise and a Wait-and-see Policy for Treatment of Lateral Epicondylitis

외측 상과염에서 수근부 신전 스트레칭과 단순 경과 관찰의 결과 비교

  • Lee, Hyuk-Jin (Department of Orthopedic Surgery, Seoul National University Hospital) ;
  • Chung, Moon-Sang (Department of Orthopedic Surgery, S Seoul Hospital) ;
  • Kim, Sae-Hoon (Department of Orthopedic Surgery, Seoul National University Hospital) ;
  • Kim, Ji-Hyeung (Department of Orthopedic Surgery, Seoul National University Hospital) ;
  • Baek, Goo-Hyun (Department of Orthopedic Surgery, Seoul National University Hospital)
  • 이혁진 (서울대학교 의과대학 정형외과학교실) ;
  • 정문상 (S서울병원 정형외과) ;
  • 김세훈 (서울대학교 의과대학 정형외과학교실) ;
  • 김지형 (서울대학교 의과대학 정형외과학교실) ;
  • 백구현 (서울대학교 의과대학 정형외과학교실)
  • Published : 2011.06.30
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Abstract

Purpose: The aim of this study was to evaluate the effects of the wrist stretching exercise on the results of treatment for lateral epicondylitis by comparing with wait-and-see policy. Materials and Methods: The patients who had lateral elbow pain associated with a lateral epicondyltitis were divided into wrist extension stretching exercise group (group 1) and wait-and-see policy group (group 2). Group 1 pateitns were educated to perform the wrist stretching exercise; maintenance of the position with the elbow extended, the forearm pronated, and the wrist flexed for more than 1 minute, more than 50 times per day. Group 2 patients were educated that they reduced the activities that provoked pain. The end point of follow-up was when symptoms were disappeared completely. Results: Two hundred twenty seven patients were enrolled into this study. One hundred forty eight patients were allocated to group 1, 79 patients to group 2. The mean duration of follow-up of group 1 was 10.2 weeks and group 2 was 22.6 weeks. The median survival time from symptom onset to the time of resolution was 8.0 weeks in group 1, 16.0 weeks in group 2. Conclusion: This study suggests that wrist stretching exercise may be more effective than the wait-and-see policy in the patients with a lateral epicondylitis. The wrist stretching exercise can be recommended as the treatment of lateral epicondylitis.

목적: 외측 상과염의 치료 방법의 하나인 수근 관절 신전 스트레칭 운동의 효과를 알아보기 위해서 단순 경과 관찰의 치료 효과와 비교해 보고자 하였다. 대상 및 방법: 2004년부터 2009년까지 외래를 방문한 환자 중 조건에 부합하는 환자를 대상으로 하여 두개의 그룹으로 나누었다. 그룹 1은 이완된 주관절을 신전하고 전완부를 회내전한 상태에서 수근관절을 굴곡하여 약 1분간 유지하는 신전 스트레칭 운동을 하루 50회 이상 하도록 교육하였다. 그룹 2는 이환된 팔의 증상을 악화시키는 동작을 자제하도록 교육하고 단순 경과 관찰만 하였다. 양 군 모두 적절한 약물 치료를 같이 실시하였다. 외래 경과 관찰 중 증상이 호전되면 외래 관찰을 종료하였다. 결과: 227명의 환자가 참여하였고 그룹 1은 148명, 그룹 2는 79명이었다. 외래 경과 관찰 기간은 그룹 1이 평균 10.2주, 그룹 2가 평균 22.6주였다. 생존 곡선상 중위수는 그룹 1이 8.0주, 그룹 2가 16.0주였으며 로그순위법 검정에서 유의한 차이가 있었다. 결론: 외측 상과염의 치료에 있어서 수근 관절의 신전 스트레칭 운동은 휴식 및 단순경과 관찰에 비하여 단기적인 치료 효과는 우수하였다. 따라서 수근 관절 스트레칭 운동을 외측 상과염의 치료 방법으로 추천해 볼 수 있다.

Keywords

References

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