Scapular Proprioception Neuromuscular Facilitation Versus Shoulder Strengthening Exercises in Patients With Lateral Epicondylitis.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lateral Epicondylitis
- Sponsor
- Mahmoud Essam Abu Elfetouh Ghallab
- Enrollment
- 52
- Locations
- 1
- Primary Endpoint
- Pain intensity by The Numeric Pain Rating Scale (NPRS)
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The purpose of this study is to compare between the effect of scapular proprioceptive neuromuscular facilitation versus shoulder and scapular strengthening exercise on pain, functional outcome and grip strength in patients with lateral epicondylitis.
Detailed Description
There is no standard treatment for lateral epicondylitis, it is always a combination of physical therapy modalities aimed to reduce pain and increase the ability to return functional activities participation. Accordingly, many researchers have added shoulder strengthening exercise to the rehabilitation plan for treating lateral epicondylitis. Consequently, development of new concept of scapula motor control exercise using proprioceptive neuromuscular facilitation to add proximal stability to patients with lateral epicondylitis may be beneficial. We believe that this study can serve as a step toward documenting the evidence of scapular proprioceptive neuromuscular facilitation exercise in the treatment of patients with lateral epicondylitis which was not available before. Patients with lateral epicondylitis will be recruited after approval of ethical committee of the faculty of physical therapy, Cairo University. All participants will sign a written informed consent form. After group assignment, patients' demographics will be collected, and then assessment of pain, function and grip strength will be performed. The same assessment procedure will be conducted by the end of the treatment (by the end of the 12th visit). The study will be two comparative groups, pre-post experimental design, the subjects will be randomly assigned into one of two groups: * Group (I) : will receive scapular proprioceptive neuromuscular facilitation exercises. * Group (II) : will receive shoulder strengthening exercises.
Investigators
Mahmoud Essam Abu Elfetouh Ghallab
researcher
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Patients will be included if they have the following criteria:
- •Fifty-two male and female subjects.
- •Patients complaining of chronic lateral epicondylitis (more than three months).
- •Age between 20-50.
Exclusion Criteria
- •Patients will be excluded if they had any of the following conditions:
- •Received physiotherapy in last 3 months.
- •Received corticosteroids injection in lateral epicondyle in last 3 months.
- •Receiving anti-inflammatories medications on regular basis.
- •Had neurologic problems in shoulder, neck and thoracic regions.
- •Had history of rheumatic disease.
- •Had cooperation difficulties due to cognitive disorders. All Patients will be instructed to keep away from activities that aggravate the symptoms such as grasping, lifting, knitting and using a screwdriver during the treatment period.
Outcomes
Primary Outcomes
Pain intensity by The Numeric Pain Rating Scale (NPRS)
Time Frame: one month
(NPRS) is a unidimensional measure of pain intensity in adults. Consists of 11-item NPRS. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g., "no pain") to '10' representing the other pain extreme (e.g., "pain as bad as you can imagine" or "worst pain imaginable.
Pain and functional disability by patient-rated tennis elbow evaluation (PRTEE)
Time Frame: one month
The PRTEE is a valid and reliable tool that may be used in both research and clinical settings to assess the subjective outcome in patient with lateral epicondylitis. Subjects will be asked to rate the level of discomfort and difficulty they had encountered in the previous week. High total scores imply more pain and impairment; the scale spans from 0 to 100. The PRTEE is a 15-item questionnaire designed to measure forearm pain and disability in patients with LE. The PRTEE allows patients to rate their levels of pain and disability from 0 to 10, and consists of 2 subscales: 1. PAIN subscale (0 = no pain, 10 = worst imaginable) • Pain - 5 items 2. FUNCTION subscale (0 = no difficulty, 10 = unable to do) * Specific activities - 6 items * Usual activities - 4 items
Grip strength by Jammar handheld dynamometer.
Time Frame: one month
The Jammar hand grip dynamometer is valid and reliable, will be used to assess the subject's pain-free grip strength while they are lying on their side with their elbow extended and pronated. Subjects will be instructed to squeeze the dynamometer handles until they experienced pain. It will be performed three times with 20 s rest period between repetitions. Average of three trials will be recorded in kilograms.