To analyze the influence of scapular stabilizers on chronic lateral epicondylitis in diabetic population

Not yet recruiting

• Conditions: Other soft tissue disorders related to use, overuse and pressure,

• Registration Number: CTRI/2023/06/053452
• Lead Sponsor: VIDYA RAJ K

Brief Summary

**NEED FOR THE STUDY**

It has been suggested that assessing scapular muscle impairments to evaluate anyweakness should be an important component of the evaluation of individuals with LE.Since the act of gripping or lifting a weight requires not only gripping action of yourforearm muscles but also the action of the scapular muscles and rotator cuff, it isreasonable that weakness in these muscles will place more stress on the wrist / forearmmuscles. Several studies have shown that focusing on the position of the scapula with aproper activation of scapular and rotator cuff muscles increased grip strength andreduced pain in people with lateral epicondylalgia. Previous studies have reported that a25-35 % decrease in shoulder and scapular strength in individuals resulted in lateralepicondylalgia.In a healthy population of throwing athletes, fatigue of the scapular stabilisers has beenshown to produce alterations of elbow kinematics implying that scapular muscle fatiguecould predispose individuals to throwing injuries at the elbow region.Reported poor long-term outcomes for the nonsurgical management of individuals withLE suggest a less-than-optimal rehabilitation process. Hence knowledge of scapularmuscle function in a working population of individuals with LE may help to furtherrefine conservative management of lateral epicondylitis.

**Objectives/Aims :**

**Aim**

The purpose of this study is to analyze the influence of scapular stabilizers in patientswith lateral epicondylitis in diabetic population.

**Objectives**



1. To assess and analyze the influence of scapular stabilizers in patients with lateralepicondylitis in diabetic population.



2. To assess the functional outcome in subjects with unilateral lateral epicondylitis in thecorresponding limb among diabetic population.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2023-05-30
• Study Start: 2023-06-21

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 28

Inclusion Criteria

• 1. Unilateral lateral epicondylitis for more than 3 months.
• 2. Diabetic individuals with PRTEE score above 50.
• 3. Positive Passive stretching of extensors (Mill’s sign), Pain at the lateral epicondyle during maximal volitional contraction (MVC) of the wrist extensors (Cozen’s sign), Pain at the lateral epicondyle while resisting the extension of the middle digit (Maudsley’s test) 4) Questionnaires Score of quickDASH score above 10%, 5) Both male and female population.
• 6. Age group: 40-60 years with type 2 diabetes.

Exclusion Criteria

• 1. PRTEE score below 50 2) Any upper extremity musculoskeletal disorder and deformities.
• 3. Neck pain with or without radiculopathy, neurological conditions 4) Shoulder and other arm pathologies.
• 5. Fracture of the upper extremity, Open wounds 6) Score of less than 10% on the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH).

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
ELECTROMYOGRAPHY (peak average strength)	Calculated in baseline

Secondary Outcome Measures

Name	Time	Method
PUSH PULL DYNAMOMETER,	PRTEE SCALE (BASELINE),

Trial Locations

Locations (1)

Sri ramachandra institute of higher education and research; 🇮🇳 Chennai, TAMIL NADU, India

Sri ramachandra institute of higher education and research

🇮🇳Chennai, TAMIL NADU, India

VIDYA RAJ

Principal investigator

9080201156

t0221010@sriher.edu.in