Chronic Lateral Epicondylitis.
Conditions
Interventions
Intervention 1: Control group: A total of 34 patients are enrolled in this study. The control group consists of 17 patients who receive routine treatment for 12 sessions in 4 weeks.
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
35 Years to 55 Years
Inclusion criteria
Inclusion criteria: Patients with chronic lateral epicondylitis symptoms lasting more than 3 months, with an average age of 35 - 55 years who are referred by the physician Pain intensity of at least 3, in the lateral epicondyle of the humerus bone, which demonstrates an increase of 2 units by griping and active wrist extension, and decreases with rest. Pain intensity is assessed using numeric pain rating scale (NPRS) measure Positive Mill’s test (passive stretching): The physiotherapist touches the lateral epicondyle with one hand, while with the other hand pronates the patient's forearm and flexes the wrist to the maximum flexion and extends the elbow. Reproduction of pain indicates that the test is positive Positive Cozen's test (wrist resistive extension test): The wrist resistive extension and radial deviation and forearm pronation tests are performed. In case the test triggers pain, the test is considered positive Positive Maudsley's test: A positive test is indicated by presence of pain over the lateral epicondyle of the affected hand during the third finger resistive extension test Presence of tenderness at the tenoperiosteal junction or at the junction of the extensor carpi radialis brevis muscle to the lateral humeral epicondyle
Exclusion criteria
Exclusion criteria: Pain in the lateral humeral epicondyle, due to neck involvement Lateral humeral epicondyle acute inflammation Pain in the lateral humeral epicondyle, caused by acute trauma of elbow region Radial tunnel syndrome Elbow joint inflammation Injuries to the internal and external ligaments of the elbow Medial humeral epicondylitis History of elbow joint bone fractures Presence of deformity or congenital anomalies of the elbow joint Pregnancy Infection of the elbow joint Malignancies Hemophilia Generalised hypermobility Presence of swelling in the elbow joint Presence of myositis ossification in radiographic x-ray Dissatisfaction of participants Trigger points in the wrist and finger extensor muscles
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: The outcomes of the study will be measured at baseline and after 12 sessions of treatment and the results of the two groups will be compared. Method of measurement: In this study, a 100 mm Numeric Pain Rating Scale (100 mm NPRS) is used to measure pain. The patients are asked to place a mark along a 100-mm scale to indicate the average elbow pain they had suffered in the last 24 hours while resting.;Functional Disability. Timepoint: The outcomes of the study will be measured at baseline and after 12 sessions of treatment and the results of the two groups will be compared. Method of measurement: In order to evaluate the functional status of participants, a Persian version of the Patient-Rated Elbow Evaluation Questionnaire is used. The questionnaire contains 5 questions about pain domain and 15 questions about functional limitations domain during everyday life, work and exercise.;Grip Strength. Timepoint: The outcomes of the study will be measured at baseline and after 12 sessions of treatment and the results of the two groups will be compared. Method of measurement: Maximum grip strength is evaluated using the SHE 1001 SAEHAN handheld digital hydraulic dynamometer. | — |
Secondary
| Measure | Time frame |
|---|---|
| . Timepoint: . Method of measurement: . | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMohammad Asadi
Iran University of Medical Sciences
Outcome results
None listed