Examining The Efficacy Of Scapular Exercises On Pain And Function İn Patients With Lateral Epicondylitis

NCT04141488 | Completed

• 1 other identifier: BitlisErenU
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 2

Brief Summary

We aimed to investigate the effect of scapular exercises on pain and functioning in patients with lateral epicondylitis to achieve a more accurate result by using little-used EMG between scapula and elbow muscles in the literature besides ongoing classical measurements and evaluations.

Conditions

Lateral Epicondylitis

Keywords

Lateral Epicondylitis; electromyography; pain; scapula

Outcome Measures

Primary Outcomes (4)

• Pain Severity Assessment

  In order to evaluate the general pain severity of the patients, Visual Analog Scale (VAS), which is the Visual Pain Scale of Turkish, was used. Patients were asked to mark their general pain separately on a 10 cm scale. According to this, "0" indicates that there is no pain, and "10" indicates the most severe pain. The distance between the marked point and the beginning of the line was recorded in centimeters

  Change from baseline pain severity of Lateral Epicondylitis at week 6.

• Muscle Activation Assessment

  In order to record the EMG signals of the ECRB muscle, the bipolar Ag / AgCl was adhered to the designated area at a distance of 1 cm between the centers of the superficial electrodes according to SENİAM criteria and the reference electrode was placed in the farthest region. Before the electrodes were bonded, the skin surface was shaved with a razor blade and cleaned with isopropyl alcohol to get a better signal. The measurements were made simultaneously in grip position with the automatically tuned EMG biofeedback.

  Change from baseline EMG activation of the forearm extensor muscles at week 6.

• Functional Level Assessment

  In order to determine the level of functional, "Arm, Shoulder and Hand Problems Questionnaire (DASH-T)" was used. The scale consists of three parts. The first 21 questions assess the patient's difficulty during daily life activities, 5 questions assess symptoms (pain, pain due to activity, tingling, stiffness, weakness), and the remaining 4 questions assess social function, work, sleep and self-confidence. Each question is scored from 1 to 5 and subtracted from 1, multiplied by 25. A high score indicates a bad apology.

  Change from baseline functional level score at week 6.

• Functionality Assessment

  In order to measure yhe functionality Upper Extremity Functionality Indeks (UEFI) was used. It consists of 8 questions. These include questions such as opening jars, driving more than 30 minutes, sleeping, writing, grasping small objects with their fingers, taking jugs from the refrigerator, opening doors and washing dishes. A visual scale is asked for each question. 1 shows that there is no pain and 10 indicates that the pain is the most severe. The total score is between 8-80.

  Change from baseline functionality score at week 6.

Secondary Outcomes (2)

• Grip Force Assessment

  Change from baseline grip force score at week 6.

• Pressure Pain Threshold Assessment

  Change from baseline Pressure Pain Threshold score at week 6.

Study Arms (2)

Experimantel Group

EXPERIMENTAL

Electrotherapy program in our study 20 minutes, Hot-pack (HP) 20 minutes, 60-120 Hz frequency range 50-100 millisecond pulse time conventional TENS (Transcutaneous Electrical Nerve Stimulation) and 5 minutes 1.5 watt / cm2 treatment dosage 1 MHz ' ultrasound (US) treatment was applied. Exercise program; Eccentric and concentric strengthening and stretching of ECBR and ECBL muscles, terminal elbow flexion and extension, forearm pronation and supination exercises were given. Electrotherapy was given as 15 sessions for 6 weeks, 2 or 3 days a week, 1 session per day, and 30 sessions for 6 weeks, 5 days per week. Fifteen of these exercise sessions were supervised by the physiotherapist in the hospital and the remaining 15 patients did not come to the clinic on their own. The experimantel group was given strengthening exercises of the upper trapezoidal, middle trapezoidal and serratus anterior muscles with extra scapula muscles.

Other: experimantal group

Control Group

OTHER

Electrotherapy program in our study 20 minutes, Hot-pack (HP) 20 minutes, 60-120 Hz frequency range 50-100 millisecond pulse time conventional TENS (Transcutaneous Electrical Nerve Stimulation) and 5 minutes 1.5 watt / cm2 treatment dosage 1 MHz ' ultrasound (US) treatment was applied. Exercise program; Eccentric and concentric strengthening and stretching of ECBR and ECBL muscles, terminal elbow flexion and extension, forearm pronation and supination exercises were given. Electrotherapy was given as 15 sessions for 6 weeks, 2 or 3 days a week, 1 session per day, and 30 sessions for 6 weeks, 5 days per week. Fifteen of these exercise sessions were supervised by the physiotherapist in the hospital and the remaining 15 patients did not come to the clinic on their own.

Other: experimantal group

Interventions

experimantal group OTHER

Control Group

Also known as: Control Group

Control Group; Experimantel Group

Eligibility Criteria

• Age: 25 Years - 68 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Cases diagnosed with lateral epicondylitis by the physician and decided to receive conservative treatment
• Not receiving NSAID or other medical treatment
• Untreated Lateral Epicondylitis for the last 6 months
• Cases with age range 18-75
• Patients with pain and tenderness for at least 3 months

You may not qualify if:

• People with pacemakers or cardiac arrhythmias
• Tumoral disease
• Pregnant women
• Head and neck, elbow, scapula joint pathologies
• Acute infection
• Nerve or nerve root compression
• Other musculoskeletal problems

Sponsors & Collaborators

• Bitlis Eren University: lead
• Marmara University: collaborator

Study Sites (2)

Bayram Kapsigay

Istanbul, Maltepe, 34000, Turkey (Türkiye)

Location

Marmara University

Istanbul, 34000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Tennis Elbow; Pain

Interventions

Control Groups

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)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Bayram Kapsigay, MSc

  Bitlis Eren University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: Randomized Controlled Study

Study Record Dates

• First Submitted: October 16, 2019
• First Posted: October 28, 2019
• Study Start: May 1, 2017
• Primary Completion: April 30, 2018
• Study Completion: June 30, 2018
• Last Updated: October 28, 2019

Record last verified: 2019-10

Locations

TU (2)