Effects of Myofascial Release and TENS Over Pain, Hand Prehensile Strength and Functionality of Superior Extremity in Women With Lateral Epicondylalgia

NCT04023279 | Completed

• 1 other identifier: UniversidadNAB
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

This study evaluated the additive effect of myofascial release therapy on the brachial biceps on conventional management (TENS) in pain intensity, hand prehensile strength and upper limb functionality of individuals with lateral epicondylalgia.

Conditions

Musculoskeletal Manipulations

Keywords

Manual therapy; Myofascial release; Lateral epicondylitis; Transcutaneous electrical nerve stimulation; Pain; Strength; Functionality

Outcome Measures

Primary Outcomes (4)

• Change in pain intensity numerical rating scale

  Self-reported measure of pain intensity. It consists on asking to assess pain intensity by selecting a number on a scale of 11 horizontal points. It is represented from 0 (without pain) to 10 (the worst possible pain) A score of 1 to 4 indicates mild pain; 5-6, moderate pain; and 7 to 10, severe pain.

  One month

• Pressure pain threshold

  Is the minimum pressure that induces pain or discomfort. It was measured with a algometer. It is expressed in units of pressure as kilograms per square centimeter per second (Kg / cm2 / s).

  Immediately after treatment

• Prehensile hand strength

  It is the ability to compress the hand, related to the functional integrity of the upper extremity as an index of general health. It was measured with a dynamometer. It was measured according to the criteria established by the American Society of Hand Therapists. It is measured in kilograms

  Immediately after treatment

• Change in Elbow functionality.

  Functionality is a generic term that includes bodily functions, body structures, activities and participation. It shows the positive aspects of a person's interaction and the context. It was obtained through a scale of functionality (Oxford Elbow Score), which is composed of three domains (subscales); elbow, pain and social-psychological function, which underlie 12 questions, which are internally consistent, one-dimensional and do not have redundancy of items. The scores of each domain are calculated as the sum of the score of each individual element, where each case is expressed on a scale from 0 to 100 where, a score of 0.84 indicates a substantial improvement.

  One month

Study Arms (2)

TENS

EXPERIMENTAL

Conventional TENS of 100 Hz and 100 usec for 20 minutes

Other: TENS

Myofascial Therapy

EXPERIMENTAL

Conventional TENS of 100 Hz and 100 usec for 20 minutes plus myofascial release therapy in the brachial biceps; Seven to fifteen transverse sliding repetitions and three repetitions of longitudinal sliding

Other: TENS; Other: Myofascial therapy

Interventions

TENS OTHER

100 Hz and 100 usec for 20 minutes

Also known as: Transcutaneous electrical nerve stimulation

Myofascial Therapy; TENS

Myofascial therapy OTHER

Seven to fifteen transverse sliding repetitions and three repetitions of longitudinal sliding of myofascial release therapy

Myofascial Therapy

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Female between 30 and 50 years old.
• Belong to the administrative staff of the university in question
• Have a symptomatic diagnosis of chronic lateral epicondylitis (\> 6 weeks)

You may not qualify if:

• Being pregnant
• Have done moderate or intense aerobic or anaerobic sport activities of any kind 72 hours before the registrations
• Have an orthopedic, rheumatologic, neuropsychiatric or associated comorbidities diagnosed.
• Have suffered a fracture or trauma involving the upper extremity 4 months before the intervention.
• Be in medical, pharmacological or kinesthetic treatment during the intervention or 2 weeks before this.

Sponsors & Collaborators

• Fernanda Merino Alvarez: lead

Study Sites (1)

Universidad Andres Bello

Talcahuano, Concepción, 4260000, Chile

Location

MeSH Terms

Conditions

Tennis Elbow; Pain

Interventions

Transcutaneous Electric Nerve Stimulation; Myofascial Release Therapy

Condition Hierarchy (Ancestors)

Elbow Tendinopathy; Tendinopathy; Muscular Diseases; Musculoskeletal Diseases; Elbow Injuries; Arm Injuries; Wounds and Injuries; Tendon Injuries; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Electric Stimulation Therapy; Therapeutics; Physical Therapy Modalities; Rehabilitation; Analgesia; Anesthesia and Analgesia; Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies

Study Officials

• Jorge Fuentes, PhD

  Universidad Andres Bello

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Masking Details: The hidden assignment of the participants was carried out using the method of opaque envelopes sealed and numbered consecutively. The assessor in charge of evaluating the participants was blind to the treatment assignment, where he proceeded to take the measurements with a prior instruction of the procedures.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Sponsor and Principal Investigator Fernanda Merino Alvarez

Model Details: Quantitative, experimental prospective, explanatory type, randomized controlled parallel with simple blind.

Study Record Dates

• First Submitted: July 7, 2019
• First Posted: July 17, 2019
• Study Start: September 24, 2018
• Primary Completion: October 22, 2018
• Study Completion: December 20, 2018
• Last Updated: July 17, 2019

Record last verified: 2019-07

Locations

CL (1)