Lateral Epicondylitis, Tennis Elbow, Posterolateral Rotator Instability
Conditions
Keywords
extensor carpi radialis brevis, Therapeutic Ultrasound, Astym Treatment Technique, Graston Treatment Technique
Brief summary
The purpose of this study is to examine the effectiveness of three common techniques for the treatment of lateral epicondylosis. Through objective and subjective assessments this study will determine the effectiveness of the Astym Treatment Technique, the Graston Treatment Technique, and therapeutic ultrasound in the conservative treatment of lateral epicondylosis. It is hypothesized that the more manual Astym technique and Graston technique will produce more significant results than the more frequently utilized ultrasound.
Interventions
PROCEDURETherapeutic ultra sound
This group will receive standard treatment consisting of eccentric strengthening, stretch, proximal strengthening, and education in addition to therapeutic ultra sound treatment.
PROCEDUREAstym Treatment Technique
This group will receive standard treatment consisting of eccentric strengthening, stretch, proximal strengthening, and education in addition to Astym Treatment.
PROCEDUREGraston Treatment Technique
This group will receive standard treatment consisting of eccentric strengthening, stretch, proximal strengthening, and education in addition to Graston Treatment.
Sponsors
NYU Langone Health
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Clients who are admitted to NYULMC Center for Musculoskeletal Care for outpatient occupational or physical therapy with a diagnosis of lateral epicondylosis will be included. To participate in the study participants must: * Be able to follow a home exercise program * Be able to consent to participation in the research study
Exclusion criteria
* Clients who are deemed unable to consent to participation in the research study and/or unable to following a home exercise program will not be included in this study * Clients with additional acute orthopedic injuries and/or surgeries to the involved upper extremity will not be included in this study. * Clients with open wounds of the involved upper extremity that will interfere with treatment techniques will not be involved in this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Rated Tennis Elbow Evaluation (PRTEE) | 30 Minutes | This is a 15 item self-reported questionnaire to measure perceived pain and disability in people with Lateral Epicondylosis (LE) |
| QuickDASH | 30 Minutes | This is an 11 item questionnaire where by participants' score themselves using a 1-5 point scale. 1 represents no difficulty in performing task whereas 5 represents unable to perform task |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Grip strength | 30 Minutes | This will be measured using a hand held dynamometer and tested in the standard (arm at side) position and elbow extension position. Three trials on each UE will be reported in pounds |
| Numeric Rating Scale for Pain | 30 Minutes | This scale is a single point scale from 0-10. The client picks one number to represent their pain, where 0 represents no pain and 10 represents worst pain imaginable |
| EQ-5D-5L | 30 Minutes | This is a visual analog scale used to assess the clients view of their overall health on a scale of 0 (worst imaginable) to 100 (best imaginable). Also, clients report issues with mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each is scored on a 3 point scale. |
| Mills Test | 30 Minutes | This is performed by palpating the lateral epicondyle while passively pronating the forearm, flexing the wrist, and extending the elbow |
| Cozens Test | 30 Minutes | This involves the examiner resisting the wrist extension force of the client with the elbow in extension |
| Range of motion | 30 Minutes | This will be taken at the wrist and elbow using goniometric measurements and a volar/dorsal approach at the wrist and lateral approach at the elbow. Measurements recorded will be wrist flexion and extension and elbow flexion and extension |
Countries
United States
Outcome results
None listed