Efficacy of a Stretching Protocol for Lateral Epicondylitis

NCT05238090 | Unknown

• 1 other identifier: EPITERA
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

Evaluation of the applying a stretching protocol to lateral epicondylitis.

Conditions

Epicondylitis, Lateral; Elbow Tendinopathy; Epicondylitis of the Elbow; Epicondylitis

Keywords

epicondylitis; Elbow Tendinopathy; stretch; physiotherapy

Outcome Measures

Primary Outcomes (2)

• Elbow Pain

  Measurement of pain perception: by means of a visual analogue scale (VAS), consisting of drawing a 100 mm long line in a centred position on a DINA A4 paper, cut with a segment perpendicular to it at each end. After informing the subject that the left and right segments represent the absence of pain and the maximum pain imaginable respectively, the subject is asked to point with a pencil on the line to the point where their pain is located.

  1,5 months

• Grip strength

  A dynamometer shall be used for the test. Special care was taken to ensure that all subjects had the same position in order to be able to compare results. After informing the patient how to perform this test, the evaluation process consists of performing a maximum grip force for three seconds, executing it three times and with a minimum time interval of 60 seconds between them to avoid muscle fatigue. After completion of the test, the arithmetic mean of the results will be considered as the result.

  1,5 months

Study Arms (2)

Control group

OTHER

Static stretching of the extensor carpi radialis brevis and eccentric strengthening of the wrist extensor musculature

Other: Static stretching of the extensor carpi radialis brevis and eccentric strengthening of the wrist extensor musculature

Experimental

EXPERIMENTAL

Passive and active analytical stretching exercises described by Neiger and Simons , applying them to the muscle chain involved in lateral epicondylitis described by Busquet

Other: Passive and active analytical stretching exercises

Interventions

Passive and active analytical stretching exercises OTHER

For each stretching technique described, 3 repetitions of 15 seconds duration will be performed of 15 seconds duration each, within the patient's tolerance threshold. In any case, the impossibility of performing any technique due to exacerbation of pain shall be recorded in a patient record created for this study, noting the technique in question and the reason for its technique in question and the reason for its non-application. Passive stretches shall be applied in the same order for all subjects. The physiotherapists in charge of applying the treatments will be trained in advance in the different techniques to be applied and will not in the different techniques to be applied and shall not intervene at any time in the two previous phases. Both the control group and the study group will receive their respective treatments two days a week for four weeks. In no case will any other type of treatment be associated treatment during the whole process.

Experimental

Static stretching of the extensor carpi radialis brevis and eccentric strengthening of the wrist extensor musculature OTHER

Static stretching of the extensor carpi radialis brevis and eccentric strengthening of the wrist extensor musculature

Control group

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult subjects over 18 years of age.
• Clinical diagnosis of lateral epicondylitis made by the Rehabilitation Physicians collaborating in this study.

You may not qualify if:

• Patients with significant psychological, neurological and physical impairments that would prevent the recruitment of the information necessary for the research.
• Patients with significant psychological, neurological and physical alterations that would prevent the application of the treatments necessary for the research.
• Patients in a situation of legal litigation that could be affected by their participation in this study.
• Refusal to participate in the study.

Sponsors & Collaborators

• University of Cadiz: lead

Related Publications (20)

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• Baker CL Jr, Murphy KP, Gottlob CA, Curd DT. Arthroscopic classification and treatment of lateral epicondylitis: two-year clinical results. J Shoulder Elbow Surg. 2000 Nov-Dec;9(6):475-82. doi: 10.1067/mse.2000.108533.

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• Babaei-Ghazani A, Shahrami B, Fallah E, Ahadi T, Forough B, Ebadi S. Continuous shortwave diathermy with exercise reduces pain and improves function in Lateral Epicondylitis more than sham diathermy: A randomized controlled trial. J Bodyw Mov Ther. 2020 Jan;24(1):69-76. doi: 10.1016/j.jbmt.2019.05.025. Epub 2019 May 24.

  PMID: 31987565 BACKGROUND

• Yelland M, Rabago D, Ryan M, Ng SK, Vithanachchi D, Manickaraj N, Bisset L. Prolotherapy injections and physiotherapy used singly and in combination for lateral epicondylalgia: a single-blinded randomised clinical trial. BMC Musculoskelet Disord. 2019 Nov 3;20(1):509. doi: 10.1186/s12891-019-2905-5.

  PMID: 31679521 BACKGROUND

• Reyhan AC, Sindel D, Dereli EE. The effects of Mulligan's mobilization with movement technique in patients with lateral epicondylitis. J Back Musculoskelet Rehabil. 2020;33(1):99-107. doi: 10.3233/BMR-181135.

  PMID: 31104005 BACKGROUND

• Buchbinder R, Green SE, Struijs P. Tennis elbow. BMJ Clin Evid. 2008 May 28;2008:1117.

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• Nirschl RP. Elbow tendinosis/tennis elbow. Clin Sports Med. 1992 Oct;11(4):851-70.

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• Terra BB, Rodrigues LM, Filho AN, de Almeida GD, Cavatte JM, De Nadai A. Arthroscopic treatment for chronic lateral epicondylitis. Rev Bras Ortop. 2015 Jul 9;50(4):395-402. doi: 10.1016/j.rboe.2015.06.015. eCollection 2015 Jul-Aug.

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• Seng C, Mohan PC, Koh SB, Howe TS, Lim YG, Lee BP, Morrey BF. Ultrasonic Percutaneous Tenotomy for Recalcitrant Lateral Elbow Tendinopathy: Sustainability and Sonographic Progression at 3 Years. Am J Sports Med. 2016 Feb;44(2):504-10. doi: 10.1177/0363546515612758. Epub 2015 Nov 24.

  PMID: 26602153 BACKGROUND

• Abbott JH. Mobilization with movement applied to the elbow affects shoulder range of movement in subjects with lateral epicondylalgia. Man Ther. 2001 Aug;6(3):170-7. doi: 10.1054/math.2001.0407.

  PMID: 11527457 BACKGROUND

• Lucado AM, Kolber MJ, Cheng MS, Echternach JL Sr. Upper extremity strength characteristics in female recreational tennis players with and without lateral epicondylalgia. J Orthop Sports Phys Ther. 2012 Dec;42(12):1025-31. doi: 10.2519/jospt.2012.4095. Epub 2012 Sep 5.

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• Madding SW, Wong JG, Hallum A, Medeiros J. Effect of duration of passive stretch on hip abduction range of motion. J Orthop Sports Phys Ther. 1987;8(8):409-16. doi: 10.2519/jospt.1987.8.8.409.

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• Romero-Dapueto C, Mahn J, Cavada G, Daza R, Ulloa V, Antunez M. [Hand grip strength values in normal Chilean subjects]. Rev Med Chil. 2019 Jun;147(6):741-750. doi: 10.4067/S0034-98872019000600741. Spanish.

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• Viswas R, Ramachandran R, Korde Anantkumar P. Comparison of effectiveness of supervised exercise program and Cyriax physiotherapy in patients with tennis elbow (lateral epicondylitis): a randomized clinical trial. ScientificWorldJournal. 2012;2012:939645. doi: 10.1100/2012/939645. Epub 2012 May 2.

  PMID: 22629225 BACKGROUND

MeSH Terms

Conditions

Tennis Elbow; Elbow Tendinopathy

Condition Hierarchy (Ancestors)

Tendinopathy; Muscular Diseases; Musculoskeletal Diseases; Elbow Injuries; Arm Injuries; Wounds and Injuries; Tendon Injuries

Study Officials

• Francisco Javier Martin

  Cadiz University

  STUDY DIRECTOR

Central Study Contacts

Maria Jesus Vinolo

CONTACT

697953671; mariajesus.vinolo@uca.es

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Prospective, randomised, single-blind, multicentre, randomised study.

Study Record Dates

• First Submitted: February 3, 2022
• First Posted: February 14, 2022
• Study Start: March 30, 2022
• Primary Completion: May 3, 2022
• Study Completion: May 5, 2023
• Last Updated: March 7, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: In two years. In December 2023.
• Access Criteria: open file