Tennis Elbow
Conditions
Keywords
Lateral epicondylalgia, Pain, Function, Physiotherapy, Quality of Life
Brief summary
The aim is to study the effects related to function and pain during eccentric exercise and surgery with radiofrequency microtenotomy as post-surgical rehabilitation, compared with only eccentric exercise, in patients with lateral epicondylalgia unilaterally.
Detailed description
Of those affected by lateral epicondylalgia will 90% be free of symptoms within 8 months to 2 years with conservative treatment. In this study surgical radiofrequency microtenotomy and eccentric exercise for chronic (more than two year) lateral epicondylalgia that is unilaterally will be used as treatment. Patients is randomized to a group with eccentric exercise or a group with surgical radiofrequency microtenotomy and postoperatively eccentric exercise. Home based eccentric exercise program is instructed by a physical therapist and is performed for three months. Women start with 0.5 kg and men 1.0 kg weight, they perform 3 sets with 5 reps once a day and register pain and exercise in a diary. Function, pain and quality of life will be followed and are carried out after 6 weeks and after 3, 6 and 12 months. The surgery and eccentric exercise is instructed and followed at the investigators clinic.
Interventions
PROCEDURERadiofrequency microtenotomy
For the minimally invasive surgery will Arthrocare Topaz MicroDebrider device be used. A small incision will be made and the tip of the device is placed on surface of the tendon to structure and activated for 0.5 second, at 5 mm distance intervals on the tendon creating a grid-like pattern.
OTHEREccentric exercise
Eccentric exercise for 3 months. The exercise will be performed once a day with 3 set and 5 reps, women start with 0.5 and men 1.0 kilo with a 10 % increase every week.
DEVICEArthrocare Topaz MicroDebrider
Sponsors
Karolinska Institutet
Capio Sankt Görans Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* over the age of 18 and under the age of 70 year * lateral epicondylalgia at least two year * tried conservative treatment
Exclusion criteria
* complicated systemic diseases (such as diabetes) * understand spoken and or/written instructions in Swedish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Function. | 12 month | Function measured with the DASH (Disability of Arm-Shoulder-Hand) Questionnaire and Jamar dynamometer as static maximum grip strength. |
| Pain. | 12 month | Pain estimated with Visual Analogue Scale (VAS 0-100 mm). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life. | 12 month | The Short Form-12 (SF-12) is a questionnaire which measures Quality of Life (QoL), which are both physically and emotionally based. |
Countries
Sweden
Contacts
Primary ContactLena B Boman, PT, MSc
Outcome results
None listed