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The effect of eccentric exercises on pain and function in patients with chronic lateral epicondylitis

Not Applicable
Recruiting
Conditions
Chronic lateral epicondylitis.
Lateral epicondylitis
M77.1
Registration Number
IRCT20180728040618N7
Lead Sponsor
Iran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
30
Inclusion Criteria

Patients with chronic lateral epicondylitis(more than 3 months)
Moderate pain based on the VAS scale (between 3-7) in the external epicondyle of the humerus, which increases with active wrist extension and decreases with rest
Positive Mills test
Positive Cozen test
Positive Maudslesy
Existence of tenderness at the tenoperiosteal site or at the junction of the common extensor tendon to the external epicondyle of the humerus
The average age is 55-35 years referred by a doctor

Exclusion Criteria

Pain in the lateral epicondyle of the humerus due to involvement of the neck, shoulders and thorax
Acute lateral epicondylitis
Pain in the lateral epicondyle of the humerus following a trauma to the elbow
Radial tunnel syndrome and pain in the posterior interosseous nerve pathway
Inflammation of the elbow joint
Damage to the internal and external ligaments of the elbow joint
Sensory disturbance in the involved limb
Patients with bilateral symptoms or other specific problems in the upper extremities
Neck problems
Any surgical treatment, medication, topical injection and physiotherapy during the last 3 months
Pregnancy
Infection in the elbow joint
Malignancy
Hemophilia
Dissatisfaction of participants in the study
Patients with mental disorders or inability to communicate
Patients who refuse to exercise

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Tendon thickness. Timepoint: Before the intervention and after the last treatment session. Method of measurement: Ultrasonographic imaging.;Pain. Timepoint: Before the intervention and after the last treatment session. Method of measurement: Visual analog scale.;Maximum hand- grip strength. Timepoint: Before the intervention and after the last treatment session. Method of measurement: Digital hand held dynamometer.
Secondary Outcome Measures
NameTimeMethod
Function. Timepoint: Before the intervention and after the last treatment session. Method of measurement: The PREE questionnaire is used to measure performance. This questionnaire has 20 questions that examine two areas of pain and disability. The first field examines the degree of elbow pain in 5 questions. The maximum total score of this field is 50 (for each question, 0 pain-free state, and 10 maximum imaginable pain). The second field is related to disability, which measures a person's functional capacity during special activities (11 items) and usual activities (4 items). The maximum score of this domain is 50 (for each question, 0 is no limit, and 10 is the maximum difficulty to perform the activity). The final score of this questionnaire ranges from zero (the best score) to 100 (the worst score).
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