The Efficacy of Different Types of Stretching on Range of Motion, Pain and Function in Elbow Limitation

NCT03161782 | Completed

• 1 other identifier: 910801
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to compare the efficacy of Proprioceptive Neuromuscular Facilitation (PNF) stretching and static stretching on range of motion (ROM), pain and function in elbow limitation.

Conditions

Postoperative Pain; Elbow Fracture; Stiffness of Elbow, Not Elsewhere Classified

Keywords

pain; exercise; proprioceptive neuromuscular facilitation stretching; static stretching

Outcome Measures

Primary Outcomes (1)

• Functional Status

  The functional status of the patients will be evaluated by The Disabilities of the Arm, Shoulder and Hand (DASH).

  After the six-week intervention

Secondary Outcomes (8)

• Active Range of Motion (AROM) Assessment

  Baseline

• Active Range of Motion (AROM) Assessment

  After the six-week intervention

• Active Range of Motion (AROM) Assessment

  1-month follow up

• Functional Status

  Baseline

• Functional Status

  1-month follow up

Other Outcomes (7)

• Quality of Life

  Baseline

• Quality of Life

  After the six-week intervention

• Quality of Life

  1-month follow up

Study Arms (2)

PNF Stretching group

EXPERIMENTAL

Each subject in PNF Stretching group will receive a treatment protocol consisting of PNF stretching, cold therapy and exercise.

Other: PNF stretching; Other: Exercise; Other: Cold Therapy

Static Stretching group

EXPERIMENTAL

Each subject in Static Stretching group will receive a treatment protocol consisting of static stretching, cold therapy and exercise.

Other: Static Stretching; Other: Exercise; Other: Cold Therapy

Interventions

PNF stretching OTHER

For hold-relax stretching, each subject in PNF Stretching group will be comfortably positioned in a supine lying position, and patient will move the joint to the end of the passive or pain-free ROM. The therapist will ask for an isometric contraction of the restricting muscle or pattern (antagonists) with emphasis on rotation. The patients will be asked to perform submaximal isometric contractions of the target muscle for 10 seconds. After the contraction, the patients will be instructed to relax for 5 seconds. The joint will be repositioned actively to the new limit of range, and then therapist will passively control the new ROM. The procedure will be repeated 10 times with 10 seconds of rest between two successive trials. Patients will be treated 2 times per week for 6 weeks.

PNF Stretching group

Static Stretching OTHER

For static stretching, each subject in Static Stretching group will be comfortably positioned in a supine lying position, and the stretching of target muscle will be maintained for 20 seconds followed by 10 seconds of rest. The procedure will be repeated 10 times with 10 seconds of rest between two successive trials. Patients will be treated 2 times per week for 6 weeks.

Static Stretching group

Exercise OTHER

Shoulder, elbow and wrist AROM exercises. Elbow flexion and extansion self-stretching exercises Elbow and wrist strengthening exercises Proprioception exercises for elbow. Grip strengthening exercises.

PNF Stretching group; Static Stretching group

Cold Therapy OTHER

Cold therapy will be applied over the elbow for 15 minutes in the form of cold pack after stretching and exercise protocol.

PNF Stretching group; Static Stretching group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Subjectswill be included with
• Aged between 18 and 65 years
• Elbow fracture in the six months before the study
• Elbow limitation in flexion or extension
• Being volunteer to participate
• Fractures should be managed with conservatively or surgically

You may not qualify if:

• Malunion or Nonunion Fracture
• Occurrence of complex regional pain syndrome, peripheric nerve injury, heterotopic ossification, myositis ossification or post-traumatic ankylosing
• Non-healing wound or infection
• Previously received physiotherapy for elbow limitation
• Having any cardiovascular diseases, neurological disorders, rheumatic diseases or psychiatric diseases
• Could not adjust to treatment

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Istanbul University

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain, Postoperative; Elbow Fractures; Pain; Motor Activity

Interventions

Muscle Stretching Exercises; Exercise; Cryotherapy

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Neurologic Manifestations; Signs and Symptoms; Elbow Injuries; Arm Injuries; Wounds and Injuries; Fractures, Bone; Behavior

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Tansu Birinci, MSc

  Istanbul University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: May 18, 2017
• First Posted: May 22, 2017
• Study Start: January 1, 2017
• Primary Completion: May 15, 2017
• Study Completion: July 25, 2017
• Last Updated: February 23, 2018

Record last verified: 2018-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)