Effect of Regional Interdepence Physical Therapy Approach on Non-structural Medial Elbow Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Timothy Uhl
- 入组人数
- 22
- 试验地点
- 1
- 主要终点
- Change in Focus On Therapeutic Outcome (FOTO) Patient Outcme Score
研究概览
简要总结
This study is investigating the effect of using a regional interdependence approach of managing non-structural elbow pain with physical therapy.
详细描述
Potential patients will be referred for physical therapy with elbow nerve pain arising from a non-structural lesion. We believe by addressing spine and trunk posture and mobility we can relieve elbow pain associated with a nerve compression with physical therapy.
Patients will be put on a staged exercise program to regain spinal mobility and strengthen proximal core musculature and scapular musculature. Manual therapy to facilitate mobility will be incorporated. Patients will undergo standard physical therapy by an unblinded therapist until resolution of symptoms.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 50 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The patient presents with elbow pain that is not exacerbated with resisted wrist flexion, extension, supination, or pronation.
- •The patient presents with elbow pain that is not exacerbated with passive wrist flexion or extension.
- •The patient presents with three of the four positive cervical radicular signs
- •Patient presents with peripheral paresthesia
排除标准
- •The patient reports a surgical history involving the elbow.
- •The patient has an MRI that is positive for structural deficits within the upper extremity.
- •The patient self-reports a diagnosis of rheumatoid arthritis or other neurological systemic diseases such as Parkinson's disease, cerebrovascular accident, multiple sclerosis, or similar conditions
研究组 & 干预措施
Regional Interdepence Intervention for the upper quarter
Physical therapist will perform interventions to the entire uppper extremity and spine to treat elbow pain. Physical therapy intervention will include manual therapy and soft-tissue massage to the shoulder, cervical, and thoracic spine. Participants will be prescribed specific exercises using a phased approach.
干预措施: Rehabiltiation using exercise and manual therapy (Other)
结局指标
主要结局
Change in Focus On Therapeutic Outcome (FOTO) Patient Outcme Score
时间窗: Baseline and every 5th visit up to discharge which is estimated to be 3 months on average
Patient self-report of perceived level of function. Scores range from 0 = low function, to 100=high function.
Change in Lower Trapezius scapular muscle strength
时间窗: Baseline and every 5th visit up to discharge which is estimated to be 3 months on average
Objectively measure with hand held dynamometer for scapular retraction
Change in Cervical Range of Motion in extension
时间窗: Baseline and every 5th visit up to discharge which is estimated to be 3 months on average
Inclinometer measurement of cervical extension
次要结局
- Change in Elbow Extension Range of Motion in Median Nerve Tension positoin(Baseline and every 5th visit up to discharge which is estimated to be 3 months on average)
- Change in Elbow Flexion Range of Motion in Ulnar Nerve Tension position(Baseline and every 5th visit up to discharge which is estimated to be 3 months on average)