Effects of the Tyler Twist Versus Eccentric Exercises in Patients With Lateral Epicondylagia
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 38
- 试验地点
- 2
- 主要终点
- Numeric pain rate scale (NPRS) for pain
研究概览
简要总结
This study aims to compare the effects of the Tyler Twist exercise versus traditional eccentric exercises on pain, grip strength, and functional outcomes in patients diagnosed with lateral epicondylalgia. The primary objective is to determine which intervention offers greater improvement in clinical symptoms and overall function over a defined treatment period.
详细描述
Conservative management is typically the first line of treatment, with eccentric exercises widely recognized for their effectiveness in promoting tendon healing and reducing pain. The "Tyler Twist," exercise is a variation using the TheraBand FlexBar, that has emerged as a superior potential alternative, that combines both eccentric and concentric loading in a functional and controlled way. However, direct comparative evidence between the Tyler Twist and conventional eccentric exercises has remained limited.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •● Males and female patients suffering from lateral epicondylagia in subacute and chronic phase.
- •Age between 20yrs-40yrs.
- •Patients screened with positive Cozen's test, positive Mill's test, positive Maudsley's test [14].
- •NPRS pain score ≥ 4 on activity.
- •Tenderness on palpation over the lateral epicondyle of humerus,
- •Pain with gripping, Pain with resisted wrist extension.
排除标准
- •History of recent trauma or surgery of elbow.
- •Acute stage of lateral epicondylagia.
- •Corticosteroid injection within the last 3 months.
- •Neurological defeciency of the affected limb [16].
- •Systemic inflammatory diseases, such as rheumatoid arthritis, lupus, or fibromyalgia.
- •Diabetes mellitus (uncontrolled) due to its influence on tendinopathy.
研究组 & 干预措施
Tyler Twist Exercises
The Tyler Twist is a specific eccentric exercise using the TheraBand FlexBar, designed to target the extensor carpi radialis brevis (ECRB), which is primarily involved in lateral epicondylalgia.
干预措施: Tyler Twist Exercises (Other)
Traditional Eccentric Wrist Extensor Exercises
This protocol involves eccentric strengthening of the wrist extensor muscles (primarily ECRB)using a dumbbell (1-2 kg) or wrist cuff weight.
干预措施: Traditional Eccentric Wrist Extensor Exercises (Other)
结局指标
主要结局
Numeric pain rate scale (NPRS) for pain
时间窗: 6 weeks
To determine the degree of pain that the patient will report, the Numeric Pain Rating Scale (NPRS) will be utilized. This scale consists of 11 points ranging from 0-10, where zero indicates no pain, five represents moderate pain intensity, and ten signifies severe pain intensity
Handheld dynamometer for grip strength:
时间窗: 6 weeks
For pain-free grip strength assessment, the patient's arm is positioned comfortably with the shoulder adducted and neutrally rotated, the elbow flexed to 90 degrees.20, the forearm in a neutral position, and the wrist in slight extension and ulnar deviation. The patient is instructed to squeeze as tightly as possible for 3-5 seconds, with multiple trials and an average of three repetitions recorded. A brief pause is provided between trials to prevent muscle fatigue. Hand-held dynamometers have been shown to have excellent internal validity and reliability, with reported values of 0.31-0.69 in the upper extremities
Patient-Rated Tennis Elbow Evaluation (PRTEE) for functional disability
时间窗: 6 weeks
The PRTEE questionnaire is one of the most widely-used outcome measures that appreciates elbow
次要结局
未报告次要终点