Effects of Scapular Strength Exercise for Patients With Lateral Epicondylalgia

NCT05373056 | Unknown DMC

• 1 other identifier: UAMaster123
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

the aim of the study is to determine whether a scapular strength exercise program combined with a conventional exercise program in epicondylar region in patients with lateral epicondylalgia produces statistically significant improvements in pain in the short and medium term compared to a conventional exercise program.

Conditions

Lateral Epicondylitis

Keywords

lateral epicondylalgia; tennis elbow; lateral epicondylitis; exercise; scapular muscle

Outcome Measures

Primary Outcomes (1)

• Visual Analog Scale for Pain

  It will be measured with a 10 cm long horizontal line with descriptors at each end to help subjects identify their level of pain. The participants will mark with a cross the point of the line that most corresponds to the intensity of their symptoms. When interpreting the VAS, the respondent's cross position is usually assigned a score between 0 and 10. If documented on paper, pressures can simply be transferred to a scale of 100 values using a millimeter tape measure, although division into hundredths is considered sensitive enough.

  4 weeks

Secondary Outcomes (4)

• Functionality

  4 weeks

• grip strength

  4 weeks

• The Quality of the lifestyle

  4 weeks

• pressure threshold

  4 weeks

Study Arms (2)

Group 1- Control group

ACTIVE COMPARATOR

They will performer the conventional exercise program por epicondylar muscles.

Behavioral: Conventional program

Group 2 - Experimental group

EXPERIMENTAL

The experimental group will perform the conventional exercise program and also a scapular exercise program.

Behavioral: Scapular program

Interventions

Scapular program BEHAVIORAL

the patient will be in prone. With the elbow extended, begin by raising the shoulder above the head, keeping the upper extremity in line with the fibers of the lower trapezius. The participant will then remain pronated with the elbow flexed at 90 degrees and the shoulder abducted and externally rotated. Starting from this position, you should exert the force towards external rotation and then return to internal rotation. For the last exercise, the subject will be placed in a standing position holding the elastic band with one hand while the other end will fix it to the ground, while stepping on it with the foot. You will start the movement with a shoulder elevation in the plane of the scapula above 120 degrees and then perform the eccentric returning to the starting position.

Group 2 - Experimental group

Conventional program BEHAVIORAL

They will be performing a combination of concentric-eccentric type contractions adding an isometric contraction

Group 1- Control group

Eligibility Criteria

• Age: 30 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• tenderness over the epicondyle.
• Clinical diagnosis of LD for at least 3 months.
• Positive Mills and Maudsley test

You may not qualify if:

• Patients with carpal tunnel syndrome, rheumatoid arthritis, cervical root syndrome, rotator cuff tendinopathy.
• Fractures or surgical history in the shoulder or elbow.
• History of elbow immobilization.
• Limitation in range of motion of the shoulder.
• Having undergone upper limb surgery in the last 6 months
• Unhealed wound in the region in the treatment area
• Impairment at a cognitive level that makes understanding with the therapist impossible.
• Neural entrapment of the radial nerve.
• Corticosteroid infiltration in the upper limb to be treated.

Sponsors & Collaborators

• University of Alcala: lead

Study Sites (1)

Alcala University

Madrid, Alcala de Henares, 28805, Spain

RECRUITING

MeSH Terms

Conditions

Tennis Elbow; Motor Activity

Condition Hierarchy (Ancestors)

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

Study Officials

• Alejandro AY Ayuso Pablo, Msc

  Alcala University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Alejandro AY Ayuso Pablo, Msc

CONTACT

647396334; aayusopablo@gmail.com

Kauzar KA Abdelkader Mohamed, Msc

CONTACT

620188570; kauzar6a@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: There are two groups, the control group and the experimental group. In the control group, only the conventional exercise program for epicondylar muscles will be performed and the experimental group will also perform a scapular exercise program. Group assignment is randomized using the G\* POWER software program.

Study Record Dates

• First Submitted: May 3, 2022
• First Posted: May 13, 2022
• Study Start: February 28, 2022
• Primary Completion: June 25, 2022
• Study Completion: July 30, 2022
• Last Updated: May 13, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)