Ultrasonographic Response to Cervical and Upper Thoracic SNAG in Treatment of Chronic Medial Epicondylitis, Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Change in shoulder disability measured by DASH SCALE and elbow disability by PRTEE scale )
研究概览
简要总结
Aim of the work :
- To detect if there is any change would occur in the neovascularity and echogenicity after using cervical and upper thoracic SNAG or not in ME patients.
- To find the effect of cervical and upper thoracic SNAG on pain, function of upper extremities, grip strength in ME comparing with traditional treatment alone
详细描述
medial epicondylitis(ME) of the elbow is a condition characterized by aggravation of pain in the outer part of the elbow during active wrist flexion , and presentation of pain on direct palpation of the medial epicondyle, or proximal muscle belly . Biomechanical and sensorimotor deficits can occur and adversely impact upper extremity function .These functional deficits may interfere with occupational tasks and activities of daily living The study's results: Measuring the changes that will be produced by using therapeutic growth of the cervical and thoracic vertebrae on the pathological changes that persist in the tendons of the tens of the tibialis cruciate ligaments in detecting excess weight resulting from the disease of the middle epicondyle, such as increased blood vessels in the tendon and decreased echogenicity of the tendon, in addition to measuring the changes that occurred in the extent of pain sensation and the extent of functional performance of the shoulder and elbow joints. Patients will be directly selected jointly according to the patient's specifications for the research and written consent will be obtained from the patient after a detailed explanation of the research steps and what is required of him. The vocal function of the tendon will be evaluated, with the exception of functional pain of the successful upper extremity and the strength of the hand muscles before and after the experiment.
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
- None
盲法说明
Open Label - both participants and investigators will be aware of the intervention received
入排标准
- 年龄范围
- 35 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ranges from 35 to 50 years old in both sexes.
- •Patients with LE that diagnosed by orthopedist.
- •Pain onset is more than 3 months appear primarily with use or rest or in both, also , it appear with deep palpation of the medial epicondyle .
排除标准
- •• Rheumatoid Arthritis .
- •Skin infection.
- •History of previous elbow surgery.
- •Any pathology in the shoulder joint.
- •Neurologic deficit in upper extremity.
- •Cervical disc prolapse and radiculopathy C5,
- •Dislocation of elbow joint.
- •Recent fractures of upper extremity.
- •Arthrosis of the radiohumeral joint.
- •Osteochondritis dissecans.
- •Osteonecrosis.
- •Plica synovialis.
- •Participants receiving other treatment, in the form of physical therapy or medication, for the duration of the study that may interfere with the results of this study.
研究组 & 干预措施
experimental group
Participants will receive the physiotherapy SNAG plus traditional treatment program (4weeks, supervised sessions 3 times per week )
干预措施: SNAG ( sustained natural apopheseal glide ) (Other)
control group
Participants will receive the physiotherapy traditional treatment program (4weeks, supervised sessions 3 times per week )
干预措施: SNAG ( sustained natural apopheseal glide ) (Other)
结局指标
主要结局
Change in shoulder disability measured by DASH SCALE and elbow disability by PRTEE scale )
时间窗: 2 MONTHS
Change in shoulder disability measured by DASH SCALE and elbow disability by PRTEE scale )
Change in pain intensity measured by Visual Analogue Scale (VAS, 0-10 points)
时间窗: 2 months
Change in pain intensity measured by Visual Analogue Scale (VAS, 0-10 points)
Change in grip muscle strength measured by hand held dynamometer points
时间窗: 2 months
Change in grip muscle strength measured by hand held dynamometer points
Change in hypervascularity and hypoechogencity measured by colour sonography ( grade 1: grade 4)
时间窗: 2 months
Change in hypervascularity and hypoechogencity measured by colour sonography ( grade 1: grade 4)
次要结局
未报告次要终点
研究者
Sahar Mowad Abdelmutilibe
faculty of physical therapy , beni suef university
Beni-Suef University