Comparative Research Among 3 Action Protocol in Other to Approach Chronic Lateral Epicondyle Tendinopathy
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 66
- 试验地点
- 2
- 主要终点
- Change from baseline in quality of life by DASH
研究概览
简要总结
The accomplishment of a treatment with Intratissue Percutaneous Electrolysis of additional form to the accomplishment of eccentric exercises and stretching program in patients with chronic lateral epicondyle tendinopathy is more effective than the accomplishment of an additional treatment with dry needling or eccentric exercises program realized of isolated form.
详细描述
Experimental study randomized with double blind, whose purpose is to compare three protocols in those who apply different protocols of physical therapy to themselves in three groups of intervention with patients with chronic lateral epicondyle tendinopathy.
There take part in this study people of both sexes, with ages between 18 and 65 years, all of them present chronic lateral epicondyle tendinopathy.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 18 and 65 years.
- •Patients diagnosed of chronic lateral epicondyle tendinopathy with a minimum of 3 months of evolution.
- •Pain when palpating the lateral epicondyle area.
- •Positive test in at least 1 of the following 3 clinical tests: Cozen, Thomson or Mill's
- •Have the capacity to perform all clinical tests, understand the study process, and obtain informed consent.
排除标准
- •Previous history of direct trauma, fractures, joint instability, surgery or rheumatic alterations of the lateral epicondyle area.
- •Full elbow extension limited.
- •Alterations at cervical level such as: cervical radiculopathy (C4-C7), degenerative pathology in the cervical spine, exacerbated pain increase with neck movements or cervical compression.
- •Symptoms compatible with entrapment of the posterior interosseous nerve.
- •NSAID intake the week before the intervention;
- •Have received treatment with infiltration in the last year;
- •Have received physiotherapy treatment during the last month.
研究组 & 干预措施
Group of Dry Needling
They will receive a treatment of dry needling, guided by ultrasound, together with a self-treatment program at home based on eccentric exercises and stretching.
The needle will get in the relevant zone of treatment. The punction will be realized using Hong's technique (fast in-out). Three needle insertions will be carried out in the target area during 3 seconds
干预措施: Group of Dry Needling (Other)
Group of electrolysis
They will receive a treatment of Intratissue Percutaneous Electrolysis, guided by ultrasound, together with a self-treatment program at home based on eccentric exercises and stretching.
The needle will get in the relevant zone of treatment. The punction will be realized simulating Hong's technique (fast in-out). Three needle insertions will be carried out in the target area during 3 seconds and 3mA each one.
干预措施: Group of Electrolysis (Other)
Control Group
They will receive a treatment of punction sham, guided by ultrasound, together with a self-treatment program at home based on eccentric exercises and stretching.
干预措施: Control Group (Other)
结局指标
主要结局
Change from baseline in quality of life by DASH
时间窗: Pre-intervention; Post-intervention (1 week after); Follow up (26 and 52 weeks after)
The Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure is a 30-item, self-report questionnaire designed to help describe the disability experienced by people with upper-limb disorders and also to monitor changes in symptoms and function over time. The DASH Outcome Measure contains one optional, four-item modules intended to measure symptoms and function in workers whose jobs require a high degree of physical performance.
次要结局
- Pressure pain thresholds (PPTs)(Pre-intervention; Intervention (4 weeks); Post-intervention (1 week after), Follow up (26 and 52 weeks after))
- Pain, as measured by Visual Analog Scale(Pre-intervention; Intervention (4 weeks); Post-intervention (1 week after), Follow up (26 and 52 weeks after))
- Pain free grip strength(Pre-intervention; Intervention (4 weeks); Post-intervention (1 week after), Follow up (26 and 52 weeks after))
- Hypervascularity, as measured by ultrasound scan(Pre-intervention; Post-intervention (1 week after); Follow up (26 and 52 weeks after))
- Thickness of the tendon, as measured by ultrasound scan(Pre-intervention; Post-intervention (1 week after); Follow up (26 and 52 weeks after))