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Non-Surgical Treatment Approaches in Patients With Newly Diagnosed Lateral Epicondylitis: A Randomized Clinical Trial

Not Applicable
Completed
Conditions
Tennis Elbow
Interventions
Other: first physiotherapy
Other: second physiotherapy
Other: third physiotherapy
Registration Number
NCT02930304
Lead Sponsor
Hacettepe University
Brief Summary

Lateral epicondylitis (tennis elbow) is a painful musculoskeletal condition, which is considered to be due to overuse, over-stress or over-exertion of the wrist extensors of the forearm, especially extensor carpi radialis brevi.

The aim of this study is to The compare the short-term effects of different physiotherapy approaches on pain, function and grip strength in the rehabilitation of patients with lateral epicondylitis.

Detailed Description

Lateral epicondylitis (tennis elbow) is a painful musculoskeletal condition, which is considered to be due to overuse, over-stress or over-exertion of the wrist extensors of the forearm, especially extensor carpi radialis brevi. Different treatment approaches are described in the literature. The primary aim of the treatment approaches are decrease the pain and improve the functional level in patients with lateral epicondylitis. Thus, decreasing pain and regaining the functional performance in the daily living activity is essential in early diagnosed patients.

The aim of this study is to compare the short-term effects of different treatment approaches on pain, function and grip strength in the rehabilitation of patients with lateral epicondylitis.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
45
Inclusion Criteria
  • diagnosed with tennis elbow,
  • and the duration of symptoms was between 8 and 10 weeks,
  • and pain over the lateral epicondyle, pain during grip strength testing, and pain with one of the following tests: extensor carpi radialis test (i.e., resisted middle-finger extension), resisted wrist extension, or passive stretch of the wrist extensors.
  • Furthermore, the participants had to agree to abstain from any other form of treatment during their involvement in this study
Exclusion Criteria
  • patients with inflammatory, autoimmune, endocrine or kidney diseases, cubital tunnel syndrome, carpal tunnel syndrome, radiculopathies due to cervical disc pathologies, additional shoulder-hand-wrist pathologies, inflammatory arthritis, upper extremity operations or traumas,
  • allergies to adhesive tape,
  • and the patients who received corticosteroid injection due to lateral epicondylitis within the last 3 months

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
first physiotherapyfirst physiotherapycold pack, TENS, exercise
second physiotherapysecond physiotherapycold pack, TENS, exercise, kinesiotaping
third physiotherapythird physiotherapycold pack, TENS, ESWT, exercise
Primary Outcome Measures
NameTimeMethod
pain assessmentfrom baseline to third week after treatment sessions

pain intensity will de assessed by using Visual Analog Scale at rest, activity and at night. All assessment will be recorded at baseline and at the end of the three week treatment sessions

Secondary Outcome Measures
NameTimeMethod
functional assessmentfrom baseline to third week after treatment sessions

functional status will be assessed by using Patient-Rated Tennis Elbow Evaluation Scale (PRTEE). All assessment will be recorded at baseline and at the end of the three week treatment sessions

maximum grip strength evaluationfrom baseline to third week after treatment sessions

maximum grip strength will be assessed with hand dynamometer both elbow flexion and extension position. All assessment will be recorded at baseline and at the end of the three week treatment sessions

Trial Locations

Locations (1)

Hacettepe University, Faculty of Health Sciences, Dept. of Physiotherapy and Rehabilitation

🇹🇷

Ankara, Turkey

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