Is active rowing time associated with lateral epicondylitis symptoms in rowers?

Öz

Purpose: We aimed to investigate the relationship between active rowing time, pain, function, and strength in rowers.

Methods: Forty volunteer rowers from Turkish National Rowing Team participated in the study. Rowers’ gross and fine grip strength, muscle strength, and symptoms of lateral epicondylitis was evaluated by the same physiotherapist.

Results: The mean age was 21.4±4.3 year of rowers. The mean results of right gross grip was 91.3±25.2 kgf, left gross grip 89.7±18.0 kgf, right fine grip 24.6±5.2 kgf, left fine grip 23.0±4.6 kgf. The manual muscle testing results were for extensor carpi radialis longus on right 5.0±0.0, on left 4.9±0.3, extensor carpi radialis brevis on right 5.0±0.0, on left 4.9±0.3, extensor pollicis longus on right 5.0±0.0, on left 4.9±0.3, extensor digitorum communis on right 4.6±0.5, on left 4.3±0.7. The Patient-Rated Tennis Elbow Evaluation pain subscale score was 10.5±6.2, function subscale score was 7.9±3.4 and total score was 18.4±8.6 points. There was statistically significant relationship between grip, muscle strength and “Patient-Rated Tennis Elbow Evaluation” scores (p>0.05).

Conclusion: There was no statistically significant relationship between lateral epicondylitis symptoms, grip strength and muscle testing in rowers. The reason for this, we conclude that the number of cases was low and active rowing times of the cases are not uniformly distributed. Reducing symptoms with equipment modifications is recommended as protective rehabilitation.

Anahtar Kelimeler

• Pain,Tennis Elbow,Muscle Strength,Upper Extremity,Athletes

Kürekçilerde kürek çekme süresi lateral epikondilit semptomları ile ilişkili midir?

Öz

Amaç: Çalışmamızda kürekçilerde kürek çekme süresi ile ağrı, fonksiyon ve kuvvet ile ilişkili semptomları araştırmayı amaçladık.

Yöntem: Türkiye Ulusal Kürek Takımında yer alan 40 gönüllü kürekçi çalışmaya dahil edildi. Kürekçilerin, kaba ve ince kavrama kuvvetleri, kas kuvvetleri ve lateral epikondilit ile ilişkili semptomları aynı fizyoterapist tarafından değerlendirildi.

Bulgular: Kürekçilerin ortalama yaşları 21,4±4,3 yıl idi. Değerlendirme sonuçlarına göre kavrama ve kas testi ortalamaları, sağ kaba kavrama 91,3±25,2 kgf, sol kaba kavrama 89,7±18,0 kgf, sağ ince kavrama 24,6±5,2 kgf, sol ince kavrama 23,02±4,64 kgf idi. Manuel kas testi sonuçlarında, extansor carpi radialis longus için sağ 5,0±0,0, sol 4,9±0,3, extansor carpi radialis brevis için sağ 5,0±0,0, sol 4,9±0,3, extensor pollicis longus için sağ 5,0±0,0, sol 4,9±0,3, extensor digitorum communis için sağ 4,6±0,5, sol 4,3±0,7 idi. “Patient-Rated Tennis Elbow Evaluation”in iki alt başlığından ağrı 10,5±6,2, fonksiyon 7,9±3,4 ve total skoru 18,4±8,6 olarak bulundu. Çalışmamızın sonuçlarına göre kürekçilerin, kavrama kuvveti, kas testi ve “Patient-Rated Tennis Elbow Evaluation” sonuçları arasında istatistiksel olarak anlamlı ilişki bulunmadı (p>0,05).

Sonuç: Kürekçilerde lateral epikondilit semptomları, kas gücü ve kavrama kuvvetleri arasında ilişki bulunmadı. Bunun nedeninin, olgu sayısının az olması ve olguların kürek çekme sürelerinin homojen dağılmaması olduğu görüşündeyiz. Ekipman modifikasyonlarıyla semptomların azaltılması koruyucu rehabilitasyon olarak önerilir.

Anahtar Kelimeler

• Ağrı,Tenisçi Dirseği,Kas Kuvveti,Üst Ekstremite,Sporcular

Kaynakça

1. 1. Piek JP, Bayman GB, Barrett NC. The relationship between fine and gross motor ability, self-perceptions and self-worth in children and adolescents. Hum Mov Sci. 2006;25:65-75.
2. 2. Rumball JS, Lebrun CM, Di Ciacca SR, et al. Rowing injuries. Sports Med. 2005;35:537-555.
3. 3. Rehak DC. Pronator syndrome. Clin Sports Med. 2001;20:531-540.
4. 4. Williams JGP. Surgical management of traumatic non-infective tenosynovitis of the wrist extensors. J Bone Joint Surg. 1977;59:408-410.
5. 5. Smidt N, van der Windt DA, Assendelft WJ, et al. Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis. Arch Phys Med Rehabil. 2002;83:1145-1150.
6. 6. Pitzer ME, Seidenberg PH, Bader DA. Elbow tendinopathy. Med Clin N Am. 2014;98:833-849.
7. 7. Alizadehkhaiyat O, Fisher AC, Kemp GJ, et al. Shoulder muscle activation and fatigue during a controlled forceful hand grip task. J Electromyogr Kines. 2011;21:478-482.
8. 8. Clarkson HM. Musculoskeletal Assessment: Joint Range Of Motion And Manual Muscle Strength. Baltimore: Maryland; 2000.

9. 9. Mathiowetz V, Wiemer DM, Federman SM. Grip and pinch strength: norms for 6-to 19-year-olds. Am J Occup Ther. 1986;40:705-711.
10. 10. Cuthbert SC, Goodheart GJ. On the reliability and validity of manual muscle testing: a literature review. Chiropr Osteopath. 2007;15:4.
11. 11. Altan L, Ercan İ, Konur S. Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatol Int. 2010;30:1049-1054.
12. 12. Aicale R, Tarantino D, Maffulli N. Overuse injuries in sport: a comprehensive overview. J Orthop Surg Res. 2018;13:309.
13. 13. Bhargava AS, Eapen C, Kumar SP. Grip strength measurements at two different wrist extension positions in chronic lateral epicondylitis-comparison of involved vs. uninvolved side in athletes and non athletes: a case-control study. Sports Med Arthr Reh Ther Tech. 2010;2:22.
14. 14. Masini BD, Dickens JF, Owens BD. Tennis Elbow In Athletes: More Than Just Tennis? New York: Springer; 2015.
15. 15. Evans JP, Smith CD, Fine NF, et al. Clinical rating systems in elbow research-a systematic review exploring trends and distributions of use. J Shoulder Elb Surg. 2018;27:e98-e106.
16. 16. Alizadehkhaiyat O, Fisher AC, Kemp GJ, et al. Upper limb muscle imbalance in tennis elbow: a functional and electromyographic assessment. J Orthop Res 2007;25:1651-1657.
17. 17. Brummel J, Baker CL, Hopkins R, et al. Epicondylitis. Sports Med Arthrosc. 2014;22(3):e1-e6.
18. 18. Bisset LM, Vicenzino B. Physiotherapy management of lateral epicondylalgia. J Physiother. 2015;61:174-181.
19. 19. Chourasia AO, Buhr KA, Rabago DP, et al. Relationships between biomechanics, tendon pathology, and function in individuals with lateral epicondylosis. J Orthop Sports Phys Ther. 2013;43:368-378.
20. 20. Fieseler G, Molitor T, Irlenbusch L, et al. Intrarater reliability of goniometry and hand-held dynamometry for shoulder and elbow examinations in female team handball athletes and asymptomatic volunteers. Arch Orthop Traum Su. 2015;135:1719-1726.