Effects of Scapular Strength Exercise for Patients With Lateral Epicondylalgia a Randomized Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lateral Epicondylitis
- Sponsor
- University of Alcala
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Visual Analog Scale for Pain
- Last Updated
- 3 years ago
Overview
Brief Summary
the aim of the study is to determine whether a scapular strength exercise program combined with a conventional exercise program in epicondylar region in patients with lateral epicondylalgia produces statistically significant improvements in pain in the short and medium term compared to a conventional exercise program.
Detailed Description
It is a single-blind clinical trial design, with third-party evaluation. There are two groups, the control group and the experimental group. In the control group, only the conventional exercise program for epicondylar muscles will be performed and the experimental group will also perform a scapular exercise program. Group assignment is randomized using the G\* POWER software program, following the inclusion and exclusion criteria. Variables related to pain, functionality, pressure pain threshold, prehensile strength and quality of life will be measured. The study will last 7 months.
Investigators
Alejandro Ayuso Pablo
Principal investigator
University of Alcala
Eligibility Criteria
Inclusion Criteria
- •tenderness over the epicondyle.
- •Clinical diagnosis of LD for at least 3 months.
- •Positive Mills and Maudsley test
Exclusion Criteria
- •Patients with carpal tunnel syndrome, rheumatoid arthritis, cervical root syndrome, rotator cuff tendinopathy.
- •Fractures or surgical history in the shoulder or elbow.
- •History of elbow immobilization.
- •Limitation in range of motion of the shoulder.
- •Having undergone upper limb surgery in the last 6 months
- •Unhealed wound in the region in the treatment area
- •Impairment at a cognitive level that makes understanding with the therapist impossible.
- •Neural entrapment of the radial nerve.
- •Corticosteroid infiltration in the upper limb to be treated.
Outcomes
Primary Outcomes
Visual Analog Scale for Pain
Time Frame: 4 weeks
It will be measured with a 10 cm long horizontal line with descriptors at each end to help subjects identify their level of pain. The participants will mark with a cross the point of the line that most corresponds to the intensity of their symptoms. When interpreting the VAS, the respondent's cross position is usually assigned a score between 0 and 10. If documented on paper, pressures can simply be transferred to a scale of 100 values using a millimeter tape measure, although division into hundredths is considered sensitive enough.
Secondary Outcomes
- Functionality(4 weeks)
- grip strength(4 weeks)
- pressure threshold(4 weeks)
- The Quality of the lifestyle(4 weeks)