Results of Cervical Segmental Mobilization in Patients With Chronic Lateral Epicondylitis

NCT06440928 | Recruiting DMC

• 1 other identifier: 2023/106
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of our study was to investigate the effect of cervical segmental mobilization on pain, functionality, grip strength and quality of life in patients with chronic lateral epicondylitis. It was planned as a randomized controlled experimental study.

Conditions

Epicondylitis of the Elbow; Servical Segmental Mobilization

Keywords

Lateral epicondylitis; Servical segmental mobilization; Pain; Quality of life; Grip strenght; Functionality

Outcome Measures

Primary Outcomes (4)

• Assessment of Pain

  In the assessment of pain, the "Visuel Analog Scale (VAS)" will be used and people will be asked to indicate the severity of their pain in the last 24 hours on a 10 cm chart. Before and after the session, VAS will be evaluated and recorded with the values measured with algometer. According to the pain scale in VAS application; "0" means no pain and "10" means the presence of unbearable pain, while patients will be asked to mark the pain they feel numerically between 0-10.

  3 weeks

• Quality of Life Short Form-36

  The scale consists of 36 statements. The scale has 8 dimensions including physical functioning (FF), social functioning (SF), role limitations related to physical functioning (RRF), role limitations related to emotional problems (ERR), mental health (MS), vitality (C), bodily pain (BA) and general health perception (GS). Quality of life increases as the scores on the scale increase. Minimum score is 0 and maximum score is 100.

  3 weeks

• Assessment of Functionality

  Duruöz Hand Index (DEI) specifically for rheumatoid arthritis patients. The index includes hand dexterity in the kitchen, during dressing, while maintaining personal hygiene, at work and other general movements. Participants rate 18 items from 0 (no difficulty) to 5 (impossible to do). The total score ranges from 0-90. A high score indicates impaired hand function.

  3 weeks

• Grip Strength

  Grip strength will be evaluated with Jamar Hand Dynamometer. In the grip strength evaluations of the hand, measurements will be taken from both the patient and the healthy side. In the measurements made from the patient side, painless grip strength and maximum grip strength will be evaluated separately in the elbow flexion position and elbow extension position. On the healthy side, maximum grip strength will be evaluated in both positions. Patients will be positioned and evaluated according to the holding and gripping force of the dynamometer to be used. The patient will be asked to squeeze the dynamometer as strongly as possible for 5 seconds, first with the intact and then with the affected side, and 3 measurements will be made with one-minute breaks between the measurements and the averages will be recorded.

  3 weeks

Study Arms (3)

intervention grup: standart treatment and segmental mobilization grup

EXPERIMENTAL

Mobilisation specifically on the C7 segment will be performed by the physiotherapist 2 times a week for 3 weeks, making decisions on the choice of key parameters including treatment technique, spinal level, degree, direction, side and duration.

Behavioral: mobilization; Other: standard treatment

intervention grup : standart treatment and deep friction

EXPERIMENTAL

The patients were asked to stretch for 20 s with the other hand with the shoulder in internal rotation, elbow in extension, forearm in pronation, wrist in flexion and ulnar deviation. In the first week, stretching exercises were recommended to be performed 3 sets a day, 5⨯20 s in one set and 45 s rest interval before strengthening exercises. The application will be performed with the thumb in the transverse direction, with the pressure tolerated by the individual, for 10 minutes after numbness is obtained, the treatment lasts approximately 10-15 minutes.

Other: standard treatment; Other: deep friction

intervention grup: standart treatment.

EXPERIMENTAL

The patients were asked to stretch for 20 s with the other hand with the shoulder in internal rotation, elbow in extension, forearm in pronation, wrist in flexion and ulnar deviation. In the first week, stretching exercises were recommended to be performed 3 sets a day, 5⨯20 s in one set and 45 s rest interval before strengthening exercises. Starting from the 2nd week of treatment, it will be requested to be performed 3 sets a day, 5⨯20 s in one set, 5⨯20 s before exercise and 5⨯20 s after exercise.

Other: standard treatment

Interventions

mobilization BEHAVIORAL

mobilization and exercise to be applied to patients with chronic lateral epicondylitis

Also known as: excersize

intervention grup: standart treatment and segmental mobilization grup

standard treatment OTHER

standard treatment

intervention grup : standart treatment and deep friction; intervention grup: standart treatment and segmental mobilization grup; intervention grup: standart treatment.

deep friction OTHER

deep friction

intervention grup : standart treatment and deep friction

Eligibility Criteria

• Age: 25 Years - 44 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Being between the ages of 25-44
• Being diagnosed with LE by a physician
• Not having any defined pathology in the cervical region
• No neurological problems in the upper extremities
• No history of cervical surgery

You may not qualify if:

• Those with a history of infection, tumor, trauma in the cervical area
• Fibromyalgia patients
• Congenital or acquired deformities of the upper extremity
• History of shoulder or elbow surgery or dislocation
• Cervical radiculopathy
• Having had Wiplash

Sponsors & Collaborators

• Halic University: lead

Study Sites (1)

Yalova University

Yalova, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Tennis Elbow; Pain

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

Central Study Contacts

mustafa yığılıtaş, doctorate

CONTACT

05309782720; fztmy77@hotmail.com

seda saka, asst.prof

CONTACT

seda.saka@halic.edu.tr

Study Design

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

Model Details: randomised controlled and experimental study

Study Record Dates

• First Submitted: May 5, 2024
• First Posted: June 4, 2024
• Study Start: May 15, 2024
• Primary Completion: August 15, 2024
• Study Completion: October 15, 2024
• Last Updated: June 4, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)