Title Page
Abstract
Contents
1. Introduction 12
1.1. Background and Necessity 12
1.2. Purpose 15
1.3. Hypothesis 16
2. Theoretical Background 17
2.1. Anatomy and Kinesiology 17
2.2. Lateral epicondylitis 22
2.3. Eccentric and stretching exercises 24
2.4. ESWT 26
3. Methods 30
3.1. Subjects 30
3.2. Process of the Research 30
3.3. Intervention 33
3.3.1. ESWT with ICT group (EIG) 33
3.3.2. Eccentric exercise group (EEG) 35
3.4. Assessment 37
3.4.1. Pain 37
3.4.2.Function 38
3.4.3. Grip strength 39
3.5. Statistical analysis 40
4. Results 41
4.1. General characteristics of subjects 41
4.2. Comparison of the pain between the two groups 42
4.3. Comparison of the function between the two groups 43
4.4. Comparison of pain-free grip strength between the two groups 44
5. Discussion 45
6. Conclusion 50
II. List of references 51
III. List of abbreviations 65
국문요약(Abstract of Korean) 68
VI. Appendix 70
Table 1. Protocol of eccentric exercise 36
Table 2. General characteristics of subject 41
Table 3. Effects on pain reduction in the VAS in the EIG and EEG 42
Table 4. Effects on function with the PRTEE in the EIG and EEG 43
Table 5. Effects on pain-free grip strength in the EIG and EEG 44
Figure 1. Elbow joint 18
Figure 2. Elbow joint ligament 19
Figure 3. Carrying angle (Neumann 2004) 20
Figure 4. Muscle mechanics of a strong grip (Neumann 2004) 21
Figure 5. Study design 32
Figure 6. Interferential current therapy 33
Figure 7. Swiss Piezoclast (EMS, Switzerland) 34
Figure 8. ESWT 34
Figure 9. Stretching exercise 35
Figure 10. Eccentric exercise 36
Figure 11. Visual analogue scale 37
Figure 12. Grip hand dynamometer 39
Figure 13. Pain-free grip strength position 39