Blood Flow Restriction Training Versus Mulligan Technique in Treatment of Lateral Epicondylitis : a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
The purpose of this study is to evaluate the effectiveness of blood flow restriction training (BFRT) verses Mulligan's technique in improving pain, grip strength, and functional outcomes in patients with lateral epicondylitis (LE).
详细描述
Lateral epicondylitis (LE) is a work-related musculoskeletal disorder caused by the tendon's inflammation of either one or both of the extensor carpi radialis longus and extensor carpi radialis brevis. It is often referred to tennis elbow. It manifests as pain on the lateral side of the elbow and reduced range of motion, which results in weakening and impairment in the forearm muscles (Ahmad et al., 2013).With no sex predisposition, LE is a widespread ailment that affects up to 3% of the population (Vaquero-Picado et al., 2017). Etiological factors of LE include overuse, repetitive movements, physically forceful occupational activities, exercise errors, misalignments, flexibility problems, ageing, muscle imbalances and psychological (e.g. job strain) factors. The estimated incidence of LE ranges from 2.0-11.3 per 100 worker-years in specific activity sectors (Herquelot et al., 2013; Bongers et al., 2002).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1) 36 subjects of both gender aged between 18 and 50 years with a positive test of LE (Positive Cozen's, Maudsley's, and/or Mill's test), which has been determined based on physical therapy assessment procedures; 2) the presence of pain in the lateral epicondyle of the humeral bone; and 3) show decreased muscle strength and functional ability.
排除标准
- •While the exclusion criteria of this study will be 1) refusal to be a sample in this study; 2) presences of bilateral symptoms; 3) presences of sensory and motor impairment of the upper extremities; 4) samples with systemic disease and metabolic disorders; 5) history of trauma and surgery on the elbow; 6) having a history of malignancy and peripheral vascular disorders.
研究组 & 干预措施
BFRT Group (A)
Low-load resistance training with blood flow restriction (BFR)
干预措施: blood flow restriction (Device)
MWM Group (B)
In addition to home exercises, the MWM group performed MWM
干预措施: Mulligan's with mobilization (Other)
Control group (C)
Stretching and strengthening exercises for the forearm extensors
干预措施: Exercise (Other)
结局指标
主要结局
Pain intensity
时间窗: 4 weeks
Measured using an 11-point numeric pain-rating scale.
Grip strength
时间窗: 4 weeks
The patients' maximal grip strength will be measured with a hand dynamometer.
Patient-Rated Tennis Elbow Evaluation (PRTEE) Score
时间窗: 4 weeks
Measures pain and disability (0-100 scale, with 100 = worst pain \& disability).
次要结局
未报告次要终点
研究者
Nasr Awad Abdelkader Othman
Professor of physical therapy
Cairo University