Effects of Myofascial Release and TENS Over Pain, Hand Prehensile Strength and Functionality of Superior Extremity in Women With Lateral Epicondylalgia

Not Applicable

Completed

• Conditions: Musculoskeletal Manipulations
• Interventions: Other: TENS; Other: Myofascial therapy

• Registration Number: NCT04023279
• Lead Sponsor: Fernanda Merino Alvarez

Brief Summary

This study evaluated the additive effect of myofascial release therapy on the brachial biceps on conventional management (TENS) in pain intensity, hand prehensile strength and upper limb functionality of individuals with lateral epicondylalgia.

Detailed Description

This study determined the additive effect of the myofascial release therapy of brachial biceps on TENS in the variables pain intensity, hand prehensile strength and upper limb functionality of individuals with lateral epicondylalgia, compared to a group that received only TENS. This was done in a sample of 32 individuals, assigned in two groups: group A that received an application of TENS and group B that received an application of TENS plus myofascial release therapy.

Contrary to the hypothesis, the application of myofascial release therapy added to the application of TENS proved to generate a significant change only in the prehensile hand force with respect to the group that received only TENS.

Study Timeline

• Study Start: 2018-09-24
• Primary Completion: 2018-10-22
• Study Completion: 2018-12-20
• Status Verified: 2019-07
• Study First Submitted: 2019-07-07
• Study First Submitted QC: 2019-07-16
• Last Update Submitted: 2019-07-16
• Study First Posted: 2019-07-17
• Last Update Posted: 2019-07-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 32

Inclusion Criteria

• Female between 30 and 50 years old.
• Belong to the administrative staff of the university in question
• Have a symptomatic diagnosis of chronic lateral epicondylitis (> 6 weeks)

Exclusion Criteria

• Being pregnant
• Have done moderate or intense aerobic or anaerobic sport activities of any kind 72 hours before the registrations
• Have an orthopedic, rheumatologic, neuropsychiatric or associated comorbidities diagnosed.
• Have suffered a fracture or trauma involving the upper extremity 4 months before the intervention.
• Be in medical, pharmacological or kinesthetic treatment during the intervention or 2 weeks before this.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
TENS	TENS	Conventional TENS of 100 Hz and 100 usec for 20 minutes
Myofascial Therapy	TENS	Conventional TENS of 100 Hz and 100 usec for 20 minutes plus myofascial release therapy in the brachial biceps; Seven to fifteen transverse sliding repetitions and three repetitions of longitudinal sliding
Myofascial Therapy	Myofascial therapy	Conventional TENS of 100 Hz and 100 usec for 20 minutes plus myofascial release therapy in the brachial biceps; Seven to fifteen transverse sliding repetitions and three repetitions of longitudinal sliding

Primary Outcome Measures

Name	Time	Method
Change in pain intensity numerical rating scale	One month	Self-reported measure of pain intensity. It consists on asking to assess pain intensity by selecting a number on a scale of 11 horizontal points. It is represented from 0 (without pain) to 10 (the worst possible pain) A score of 1 to 4 indicates mild pain; 5-6, moderate pain; and 7 to 10, severe pain.
Pressure pain threshold	Immediately after treatment	Is the minimum pressure that induces pain or discomfort. It was measured with a algometer. It is expressed in units of pressure as kilograms per square centimeter per second (Kg / cm2 / s).
Prehensile hand strength	Immediately after treatment	It is the ability to compress the hand, related to the functional integrity of the upper extremity as an index of general health. It was measured with a dynamometer. It was measured according to the criteria established by the American Society of Hand Therapists. It is measured in kilograms
Change in Elbow functionality.	One month	Functionality is a generic term that includes bodily functions, body structures, activities and participation. It shows the positive aspects of a person's interaction and the context. It was obtained through a scale of functionality (Oxford Elbow Score), which is composed of three domains (subscales); elbow, pain and social-psychological function, which underlie 12 questions, which are internally consistent, one-dimensional and do not have redundancy of items.; The scores of each domain are calculated as the sum of the score of each individual element, where each case is expressed on a scale from 0 to 100 where, a score of 0.84 indicates a substantial improvement.

Trial Locations

Locations (1)

Universidad Andres Bello; 🇨🇱 Talcahuano, Concepción, Chile