Chronic lateral epicondylitis. Lateral epicondylitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with chronic lateral epicondylitis(more than 3 months) Moderate pain based on the VAS scale (between 3-7) in the external epicondyle of the humerus, which increases with active wrist extension and decreases with rest Positive Mills test Positive Cozen test Positive Maudslesy Existence of tenderness at the tenoperiosteal site or at the junction of the common extensor tendon to the external epicondyle of the humerus The average age is 55-35 years referred by a doctor
Exclusion criteria
Exclusion criteria: Pain in the lateral epicondyle of the humerus due to involvement of the neck, shoulders and thorax Acute lateral epicondylitis Pain in the lateral epicondyle of the humerus following a trauma to the elbow Radial tunnel syndrome and pain in the posterior interosseous nerve pathway Inflammation of the elbow joint Damage to the internal and external ligaments of the elbow joint Sensory disturbance in the involved limb Patients with bilateral symptoms or other specific problems in the upper extremities Neck problems Any surgical treatment, medication, topical injection and physiotherapy during the last 3 months Pregnancy Infection in the elbow joint Malignancy Hemophilia Dissatisfaction of participants in the study Patients with mental disorders or inability to communicate Patients who refuse to exercise
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Tendon thickness. Timepoint: Before the intervention and after the last treatment session. Method of measurement: Ultrasonographic imaging.;Pain. Timepoint: Before the intervention and after the last treatment session. Method of measurement: Visual analog scale.;Maximum hand- grip strength. Timepoint: Before the intervention and after the last treatment session. Method of measurement: Digital hand held dynamometer. | — |
Secondary
| Measure | Time frame |
|---|---|
| Function. Timepoint: Before the intervention and after the last treatment session. Method of measurement: The PREE questionnaire is used to measure performance. This questionnaire has 20 questions that examine two areas of pain and disability. The first field examines the degree of elbow pain in 5 questions. The maximum total score of this field is 50 (for each question, 0 pain-free state, and 10 maximum imaginable pain). The second field is related to disability, which measures a person's functional capacity during special activities (11 items) and usual activities (4 items). The maximum score of this domain is 50 (for each question, 0 is no limit, and 10 is the maximum difficulty to perform the activity). The final score of this questionnaire ranges from zero (the best score) to 100 (the worst score). | — |
Countries
Iran (Islamic Republic of)
Contacts
Iran University of Medical Sciences