The Effects of Initial Rehabilitation Exercise on Range of Mo-tion, Muscular Strength, and Muscle Pain after Surgery for Oste-ochondritis Dissecans of the Humeral Capitellum in Middle and High School Baseball Players
Background: This study evaluated the effects of a 4-week initial rehabilitation program in middle and high school baseball players who underwent removal of a loose body from osteochondritis dissecans of the capitellum humerus.
Methods: Middle and high school baseball players with osteochondritis dissecans of the capitellum humerus were enrolled in this study. Each had more than 3 yr of experience and had undergone arthroscopic removal of loose bodies from the same expert at Kim's Orthop Special Clinic in Seoul. The initial exercise rehabilitation program was based on a two-stage program. Body composition, range of motion of flexion and extension in the elbow and wrist joints, grip strength, and subjective pain scale were measured before and after rehabilitation. To assess the differences between groups, we used a two-way analysis of variance.
Results: The range of motion for flexion and extension of the elbow and wrist joints, grip strength, and score on the visual analog scale each were significantly improved following the 4-week program (P<0.001), had an interactive effect in time × group (P<0.001), and had significance between groups (P<0.05).
Conclusion: The 4-week initial rehabilitation exercise program might improve the overall range of motion of the elbow joint and has a positive therapeutic effect on grip strength and visual analog scores. However, future well-designed studies with more subjects and multicentric research groups are necessary for verification.
2. Can F (2004). Rehabilitation and return to sports in children. Acta Orthop Traumatol Turc, 38 Suppl 1:151-62.
3. Jennifer L, Jennifer WJ (2004). Overuse inju-ries in pediatric athletes. Curr Opin Pediatr, 16(1):47-50.
4. Robert CS, Athanasiou KA, Constantinides G, et al (1994). A Biomechanical analysis of articular cartilage of the human elbow and a potential relationship to oste-ochondritis dissecans. Clin Orthop Relat Res,(299(:305-312.
5. Masatoshi T, Motoyuki S, Toshikazu N, et al (1998). Early detection of osteochondritis dissecans of the capitellum in young baseball players-report of three cases. J Bone Joint Surg Am, 80(6):892-897.
6. Baker CL (1996). Arthroscopy of the elbow. Clinics in Sports Medicine, 15:261-281.
7. Ruch DS, Cory JW, Poehling GG (1998). The arthroscopic management of oste-ochondritis dissecans of the adolescent elbow. Arthroscopy: The Journal of Arthroscop-ic & Related Surgery, 14:797-803.
8. Grana WA, Rashikin A (1980). Pitcher's el-bow in adolescents. Am J Sports Med, 8(5):333-336.
9. Altchek DW, Andrews JR (2001). The Ath-lete's Elbow. Lippincott Williams & Wilkins.
10. Sölveborn S, Olerud C (1996). Radial epi-condylalgia (tennis elbow): measurement of range of motion of the wrist and the elbow. J Orthop Sports Phys Ther, 23(4):251-257.
11. Jensen MP, Chen C, Brugger AM (2003). Interpre-tation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postop-erative pain. J Pain, 4(7):407-414.
12. Pappas AM (1981). Osteochondrosis dis-secans, Clin Orthop Relat Res, (158):59-69.
13. Bauer M, Jonsson K, Josefsson PO (1992). Osteochondritis dessecans of the elbow. Clin Orthop Relat Res, (284):156-160.
14. Singer KM, Roy SP (1984). Osteochondro-sis of the humeral Capitellum. Am J Sports Med, 12(5):351-360.
15. Yadao MA, Field LD, Savoie FH (2004). Osteochondritis dissecans of the elbow. Instr Course Lect, 53:599-606.
16. McManama GB, Micheli LJ, Berry MV, et al (1985). The surgical treatment of oste-ochondritis of the capitellum. Am J Sports Med, 13(1):11-21.
17. Takeda H, Watarai K, Matsushita T, et al (2002). A surgical treatment for unstable osteochondritis dissecans lesions of the humeral capitellum in adolescent baseball players. Am J Sports Med, 30(5):713-717.
18. Gudas R, Kunigiskis G, Kalesinskas RJ (2002). Long-term follow-up of oste-ochondritis dissecans. Medicina (Kaunas), 38(3):284-288.
19. Stubbs MJ, Field LD, Savoie FH (2001), Os-teochondritis Dissecans of the Elbow. Clin Sports Med, 20(1):1-9.
20. Wilk KE, Arigo CA, Andrews JR, et al (1996). Rehabilitation following elbow surgery in the throwing athlete. Sports Medicine, 4:114-132.
21. Lachiewicz PF (2000). The role of continu-ous passive motion after total knee ar-throplasty. Clin Orthop Relat Res, (380):144-150.
22. Hsieh LF, Hongm CZ, Chern SH, et al (2010). Efficacy and side effects of diclo-fenac patch in treatment of patients with myofascial pain syndrome of the upper trapezius. J Pain Symptom Manage, 39(1):116-125.
23. Bergh L, Sjöström B, Odén A, et al (2000). An application of pain rating scales in geriatric patients. Aging (Milano), 12(5):380-387.
24. Bala SV, Forslind K, Månsson ME (2010). Self-reported outcomes during treatment with tumour necrosis factor alpha inhibi-tors in patients with rheumatoid arthritis. Musculoskeletal Care, 8(1):27-35.
25. Ohlund C, Lindström I, Areskoug B, et al (1994). Pain behavior in industrial sub-acute low back pain. Part I. Reliability: concurrent and predictive validity of pain behavior assessments. Pain, 58(2):201-209.
26. Furuta K, Ishihara S, Sato S, et al (2009). Development and verification of the Izumo Scale, new questionnaire for quality of life assessment of patients with gastro-intestinal symptoms. Nihon Shokakibyo Gakkai Zasshi, 106(10):1478-1487.
27. Krijnen MR, Lim L, Willems WJ (2003). Ar-throscopic treatment of osteochondritis dissecans of the capitellum: Report of 5 female athletes. Arthroscopy, 19(2):210-214.
|Issue||Vol 50 No 4 (2021)|
|Baseball players Humeral capitellum Muscular strength Osteochondritis dissecans Range of motion|
|Rights and permissions|
|This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.|