The Effect of Chiropractic Cervical Manipulation on Pain, Functionality and Grip Strength in Patients With Lateral Epicondylitis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mesut Arslan
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Patient Rated Tennis Elbow Evaluation (PRTEE)
研究概览
简要总结
İt is aimed to examine the effect of chiropractic cervical manipulation on pain, functionality and grip strength in patients with lateral epicondylitis and whether it is preferable to placebo.
详细描述
Lateral Epicondylitis (LE) is known as chronic symptomatic degeneration of the forearm common extensor tendon attachment at the humeral ectochondyle. It is one of the most common overuse syndromes today and is characterized by loss of function and pain due to an inflammatory reaction that occurs during stretching of the condyle.
The main goals of the treatments are to relieve pain, reduce overload on the arm and elbow joints, accelerate the healing process and enable the patient to regain functionality in daily life activities at the optimum time. Many treatment methods have been applied for this purpose, and the number of studies on the effectiveness of manual applications is increasing. Among manual applications, chiropractic applications have recently attracted attention.
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
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(1) age between 20-50 years,
- •(2) dominant right extremity and ipsilateral lateral epicondylitis,
- •(3) full range of motion in the cervical region,
排除标准
- •(1) spinal root compression (radiculopathy),
- •(2) neurologic symptoms such as loss of strength in the lower extremities, upper extremities and face, numbness, involuntary movements, abnormal gait pattern, dizziness, nausea/vomiting of unknown cause, swallowing and speech difficulties,
- •(3) pregnancy,
- •(4) presence of active malignancies,
- •(5) positive pre- manipulative vertebrobasilar insufficiency test,
- •(6) use of anticoagulant and antiaggregant drugs,
- •(7) history of previous cervical surgery or whiplash,
- •(8) acute inflammatory disease,
- •(9) positive results of the test performed before manipulation in the cervical spine (foraminal compression test,
- •(10) any deformity in the New York Posture analysis,
- •(11) unwillingness to participates
研究组 & 干预措施
Chiropractic Cervical Manipulation Group (CCMG)
Patients in both groups were placed in supine position and manipulation was applied to patients in the chiropractic cervical manipulation group.
干预措施: Chiropractic Cervical Manipulation (Other)
Control Group (CG)
Patients in both groups were placed in supine position and manipulation was applied to patients in the chiropractic cervical manipulation group.
干预措施: Sham Technique Practice (Other)
结局指标
主要结局
Patient Rated Tennis Elbow Evaluation (PRTEE)
时间窗: PRTEE parameter was evaluated immediately before and immediately after the application.
A 15-item questionnaire was used to evaluate pain and disability. The questionnaire includes three subscales, with each item scored from 0 to 10. The total score ranges from 0 to 100, where higher scores indicate more pain and disability.
Grip Strength
时间窗: Grip Strength parameter was evaluated immediately before and immediately after the application.
Consistent with the American Hand Therapy Association's hand grip dynamometer recommendations and previous research, participants sat in a chair with the device in the dominant hand, wrists in a neutral position and elbows bent at a 90° angle. Three repeated measurements were taken, and averages were calculated.
Numerical Pain Scale (NPS)
时间窗: Pain was evaluated immediately before and immediately after the application.
The patient is asked to indicate the value of their pain on the scale. During the assessment, an 11-point scale is used, with "0" representing "no pain" and "10" meaning "the most severe pain imaginable".
次要结局
未报告次要终点
研究者
Mesut Arslan
Assistant Professor
Bitlis Eren University