Effectiveness of the Astym Technique, the Graston Technique, and Therapeutic Ultrasound in the Treatment of Lateral Epicondylosis.

Not Applicable

Terminated

• Conditions: Tennis Elbow; Posterolateral Rotator Instability; Lateral Epicondylitis
• Interventions: Procedure: Therapeutic ultra sound; Procedure: Astym Treatment Technique; Procedure: Graston Treatment Technique

• Registration Number: NCT03234192
• Lead Sponsor: NYU Langone Health

Brief Summary

The purpose of this study is to examine the effectiveness of three common techniques for the treatment of lateral epicondylosis. Through objective and subjective assessments this study will determine the effectiveness of the Astym Treatment Technique, the Graston Treatment Technique, and therapeutic ultrasound in the conservative treatment of lateral epicondylosis. It is hypothesized that the more manual Astym technique and Graston technique will produce more significant results than the more frequently utilized ultrasound.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-06-10
• Study First Submitted: 2017-07-26
• Study First Submitted QC: 2017-07-26
• Study First Posted: 2017-07-31
• Primary Completion: 2019-05-23
• Study Completion: 2019-05-23
• Status Verified: 2020-01
• Last Update Submitted: 2020-01-15
• Last Update Posted: 2020-01-18

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 21

Inclusion Criteria

• Clients who are admitted to NYULMC Center for Musculoskeletal Care for outpatient occupational or physical therapy with a diagnosis of lateral epicondylosis will be included. To participate in the study participants must:
• Be able to follow a home exercise program
• Be able to consent to participation in the research study

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Exclusion Criteria

• Clients who are deemed unable to consent to participation in the research study and/or unable to following a home exercise program will not be included in this study
• Clients with additional acute orthopedic injuries and/or surgeries to the involved upper extremity will not be included in this study.
• Clients with open wounds of the involved upper extremity that will interfere with treatment techniques will not be involved in this study.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Therapeutic ultra sound	Therapeutic ultra sound	-
Astym Treatment Technique	Astym Treatment Technique	-
Graston Treatment Technique	Graston Treatment Technique	-

Primary Outcome Measures

Name	Time	Method
QuickDASH	30 Minutes	This is an 11 item questionnaire where by participants' score themselves using a 1-5 point scale. 1 represents "no difficulty" in performing task whereas 5 represents "unable to perform task"
Patient Rated Tennis Elbow Evaluation (PRTEE)	30 Minutes	This is a 15 item self-reported questionnaire to measure perceived pain and disability in people with Lateral Epicondylosis (LE)

Secondary Outcome Measures

Name	Time	Method
Mills Test	30 Minutes	This is performed by palpating the lateral epicondyle while passively pronating the forearm, flexing the wrist, and extending the elbow
Grip strength	30 Minutes	This will be measured using a hand held dynamometer and tested in the standard (arm at side) position and elbow extension position. Three trials on each UE will be reported in pounds
EQ-5D-5L	30 Minutes	This is a visual analog scale used to assess the clients view of their overall health on a scale of 0 (worst imaginable) to 100 (best imaginable). Also, clients report issues with mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each is scored on a 3 point scale.
Range of motion	30 Minutes	This will be taken at the wrist and elbow using goniometric measurements and a volar/dorsal approach at the wrist and lateral approach at the elbow. Measurements recorded will be wrist flexion and extension and elbow flexion and extension
Cozens Test	30 Minutes	This involves the examiner resisting the wrist extension force of the client with the elbow in extension
Numeric Rating Scale for Pain	30 Minutes	This scale is a single point scale from 0-10. The client picks one number to represent their pain, where 0 represents no pain and 10 represents worst pain imaginable

Trial Locations

Locations (1)

New York University School of Medicine; 🇺🇸 New York, New York, United States