Immediate Effects of Superficial Heat Associated With Elongation in the Posttraumatic Elbow Contracture

Not Applicable

Completed

• Conditions: Contracture of Elbow Joint
• Interventions: Other: CIVM; Other: Modified Weeks protocol; Other: GC- Sustained Stretching

• Registration Number: NCT03179098
• Lead Sponsor: University of Sao Paulo

Brief Summary

The elbow contracture is a secondary injury that can occur after direct trauma, causing the patient to have limitations in their range of motion. Objective evaluation protocols that help in decision making for the indication of these therapeutic resources have great value in rehabilitation, as they reduce unnecessary expenses and improve the assertiveness in the indication of this resource.

Objective: To verify the immediate effects of superficial heat associated with sustained stretching through muscle activity and range of motion in the posttraumatic contractures of the elbow seeking the best indication of orthosis.

Methods: Characterized as a randomized crossover type clinical trial. Sample of 20 adult subjects, of both sexes, over 18 years old, with elbow stiffness due to fractures and / or dislocations with indication of orthosis use. Patients will be divided into 2 randomly assigned intervention groups: the control group (CG) who will perform the 10 'sustained stretching drawn by a defined load through maximal voluntary isometric contraction (MVIC) and the modified Weeks Group (GWM) will perform 20 'of surface heat through the swirl and soon after the stretching sustained by 10' with already defined load. All patients will undergo an initial assessment and will participate in all 2 interventions while respecting a 7 day washout period. Goniometry and the visual analogue scale will be applied at the beginning and end of the interventions. The Delsys® brand equipment will be used to collect the electromyographic data. Placement and positioning of the electrodes will follow the determinations of the Seniam protocol. The activation of the brachial, brachioradial and triceps brachii muscles during the MVIC will be analyzed and also during the respective intervention protocols.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2017-01-29
• Study First Submitted QC: 2017-06-05
• Study First Posted: 2017-06-07
• Study Start: 2017-06-30
• Primary Completion: 2018-07-30
• Study Completion: 2019-03-30
• Status Verified: 2019-04
• Last Update Submitted: 2019-04-27
• Last Update Posted: 2019-04-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Control group (GC)	CIVM	The control group (GC) that will perform the 10 'sustained stretching tractioned by a load proportional to the force captured during a maximal voluntary isometric contraction (MVIC)
Control group (GC)	GC- Sustained Stretching	The control group (GC) that will perform the 10 'sustained stretching tractioned by a load proportional to the force captured during a maximal voluntary isometric contraction (MVIC)
GWM	CIVM	The modified Weeks Group (GWM) that will carry out the modified Weeks protocol
GWM	Modified Weeks protocol	The modified Weeks Group (GWM) that will carry out the modified Weeks protocol

Primary Outcome Measures

Name	Time	Method
Range of motion of elboww	10 minutes	Goniometry of maximal elbow extension (degrees)

Secondary Outcome Measures

Name	Time	Method
Surface electromyography	10 minutes	Electromyographic activity of the agonist and elbow antagonist muscles

Trial Locations

Locations (1)

Lucy Montoro Institute of Rehabilitation; 🇧🇷 Ribeirão Preto, São Paulo, Brazil