Examining The Efficacy Of Scapular Exercises On Pain, Muscle Activation And Function İn Patients With Lateral Epicondylitis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lateral Epicondylitis
- Sponsor
- Bitlis Eren University
- Enrollment
- 30
- Locations
- 2
- Primary Endpoint
- Functionality Assessment
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
We aimed to investigate the effect of scapular exercises on pain and functioning in patients with lateral epicondylitis to achieve a more accurate result by using little-used EMG between scapula and elbow muscles in the literature besides ongoing classical measurements and evaluations.
Detailed Description
Thirty patients who participated in the study were randomly divided into two groups. First group (n=15), conventional physiotherapy program and exercise, second group (n=15), in addition to the conventional physiotherapy program and exercises, scapula exercises were applied. Patients were evaluated before and after treatment by VAS, algometer, hand dynamometer, EMG, UEFS, PRTEE and DASH questionnaires.
Investigators
Bayram Kapşigay
Research Assistant
Bitlis Eren University
Eligibility Criteria
Inclusion Criteria
- •Cases diagnosed with lateral epicondylitis by the physician and decided to receive conservative treatment
- •Not receiving NSAID or other medical treatment
- •Untreated Lateral Epicondylitis for the last 6 months
- •Cases with age range 18-75
- •Patients with pain and tenderness for at least 3 months
Exclusion Criteria
- •People with pacemakers or cardiac arrhythmias
- •Tumoral disease
- •Pregnant women
- •Head and neck, elbow, scapula joint pathologies
- •Acute infection
- •Nerve or nerve root compression
- •Other musculoskeletal problems
Outcomes
Primary Outcomes
Functionality Assessment
Time Frame: Change from baseline functionality score at week 6.
In order to measure yhe functionality Upper Extremity Functionality Indeks (UEFI) was used. It consists of 8 questions. These include questions such as opening jars, driving more than 30 minutes, sleeping, writing, grasping small objects with their fingers, taking jugs from the refrigerator, opening doors and washing dishes. A visual scale is asked for each question. 1 shows that there is no pain and 10 indicates that the pain is the most severe. The total score is between 8-80.
Muscle Activation Assessment
Time Frame: Change from baseline EMG activation of the forearm extensor muscles at week 6.
In order to record the EMG signals of the ECRB muscle, the bipolar Ag / AgCl was adhered to the designated area at a distance of 1 cm between the centers of the superficial electrodes according to SENİAM criteria and the reference electrode was placed in the farthest region. Before the electrodes were bonded, the skin surface was shaved with a razor blade and cleaned with isopropyl alcohol to get a better signal. The measurements were made simultaneously in grip position with the automatically tuned EMG biofeedback.
Pain Severity Assessment
Time Frame: Change from baseline pain severity of Lateral Epicondylitis at week 6.
In order to evaluate the general pain severity of the patients, Visual Analog Scale (VAS), which is the Visual Pain Scale of Turkish, was used. Patients were asked to mark their general pain separately on a 10 cm scale. According to this, "0" indicates that there is no pain, and "10" indicates the most severe pain. The distance between the marked point and the beginning of the line was recorded in centimeters
Functional Level Assessment
Time Frame: Change from baseline functional level score at week 6.
In order to determine the level of functional, "Arm, Shoulder and Hand Problems Questionnaire (DASH-T)" was used. The scale consists of three parts. The first 21 questions assess the patient's difficulty during daily life activities, 5 questions assess symptoms (pain, pain due to activity, tingling, stiffness, weakness), and the remaining 4 questions assess social function, work, sleep and self-confidence. Each question is scored from 1 to 5 and subtracted from 1, multiplied by 25. A high score indicates a bad apology.
Secondary Outcomes
- Grip Force Assessment(Change from baseline grip force score at week 6.)
- Pressure Pain Threshold Assessment(Change from baseline Pressure Pain Threshold score at week 6.)