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The Effect of Deep Friction Massage versus Stretching of Wrist Extensor Muscles in the Treatment of Patients with Tennis Elbow

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Open Journal of Therapy and Rehabilitation 2016年第1期4卷 48-54页

作者： Sahar Mahmoud Hassan ashraf ramadan hafez Hamada Eid Seif Shaji John Kachanathu Cairo University Hospital Cairo University Egypt Faculty of Physical Therapy Deraya University Alminya Algadida Egypt Collage of Applied Medical Sciences King Saud University Riyadh Saudi Arabia

Overuse injuries of the elbow and forearm are very common in athletes. This study was conducted to evaluate the effect of muscle stretching and deep friction massage with using wrist joint support during management of tennis elbow. This study included forty patients with tennis elbow divided into two equal groups: the first group with a mean age 38.1 ± 0.294 followed a physical therapy program in form of deep friction massage on the proximal attachment of wrist extensor muscles, the second group with a mean age 37.6 ± 0.253, submitted to stretching exercises of wrist extensors. Both of groups submitted to ultrasonic therapy with wrist splint during treatment period, three sessions per week for six weeks. Outcome measures were universal goniometer, visual analogue scale, and squeezing sphygmomanometer. The results showed that there was a significant improvement in ROM of wrist flexion and wrist extension, and handgrip in second group and it was more than in the first group while no significant difference in pain. This study showed that stretching exercise is more beneficial in the management of patients with tennis elbow.

关键词： Tennis Elbow Stretching Exercises of Wrist Extensors Ultrasonic Therapy and Deep Friction Massage Splinting

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The Effect of Longitudinal Stretching of Muscles and Nerve versus Deep Transverse Friction Massage in the Management of Patients with Carpal Tunnel Syndrome

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Open Journal of Therapy and Rehabilitation 2014年第4期2卷 199-206页

作者： ashraf ramadan hafez Aqeel Mohammed Alenazi Shaji John Kachanathu Abdulmohsen Meshari Alroumi Elham Saed Mohamed Cairo University Hospital Cairo University Cairo Egypt Physical Therapy and Rehabilitation Department College of Applied Medical Sciences Salman Bin Abdulaziz University Alkharj Saudi Arabia Collage of Applied Medical Sciences King Saud University Riyadh Saudi Arabia Physical Therapy Department College of Applied Medical Sciences Shaqra University Shaqra Saudi Arabia

Background and Purpose: Carpal tunnel syndrome (CTS) is a common source of hand numbness and pain. The goal of this study was to compare longitudinal stretching of muscles and nerve to deep transverse friction massage for decreasing pain and improving hand function in patients with chronic CTS. Subjects and Methods: Thirty patients, 25 to 40 years old, were included in this study and randomized into two groups: the first group (36.8 ± 0.262) followed a physical therapy program group receiving stretching of wrist and hand flexors in combination with ultrasound, strengthening exercises of wrist and hand flexors, and wrist splint, three sessions per week for 12 weeks;and the second group (35.9 ± 0.225) followed the physical therapy program of deep transverse friction massage on the carpal tunnel site at the wrist joint, with using ultrasonic therapy, strengthening exercises of wrist and hand flexors and wrist splint, three sessions per week for 12 weeks. Outcome measures were range of motion (ROM), pain using visual analog scale (VAS), and hand grip strength measured with a sphygmomanometer. Results: There was a significant difference in both groups in all outcome measures compared to baseline. Over stretching group showed significant difference at the end of study in terms of range of motion of wrist flexion, extension and strength of handgrip when compared to deep friction massage group P < 0.05. However, there is no significant difference between groups in pain. Discussion and Conclusion: This study showed that the effect of stretching exercises is more beneficial than deep transverse friction massage in the treatment of patients with CTS in decreasing the compression of the median nerve in the tunnel.

关键词： Carpal Tunnel Syndrome Median Nerve Stretching Exercises Ultrasonic Therapy Deep Transversefriction Massage Hand Weakness and Numbness

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