Musculoskeletal Manipulations
Conditions
Keywords
Manual therapy, Myofascial release, Lateral epicondylitis, Transcutaneous electrical nerve stimulation, Pain, Strength, Functionality
Brief summary
This study evaluated the additive effect of myofascial release therapy on the brachial biceps on conventional management (TENS) in pain intensity, hand prehensile strength and upper limb functionality of individuals with lateral epicondylalgia.
Detailed description
This study determined the additive effect of the myofascial release therapy of brachial biceps on TENS in the variables pain intensity, hand prehensile strength and upper limb functionality of individuals with lateral epicondylalgia, compared to a group that received only TENS. This was done in a sample of 32 individuals, assigned in two groups: group A that received an application of TENS and group B that received an application of TENS plus myofascial release therapy. Contrary to the hypothesis, the application of myofascial release therapy added to the application of TENS proved to generate a significant change only in the prehensile hand force with respect to the group that received only TENS.
Interventions
OTHERTENS
100 Hz and 100 usec for 20 minutes
OTHERMyofascial therapy
Seven to fifteen transverse sliding repetitions and three repetitions of longitudinal sliding of myofascial release therapy
Sponsors
Fernanda Merino Alvarez
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Masking description
The hidden assignment of the participants was carried out using the method of opaque envelopes sealed and numbered consecutively. The assessor in charge of evaluating the participants was blind to the treatment assignment, where he proceeded to take the measurements with a prior instruction of the procedures.
Intervention model description
Quantitative, experimental prospective, explanatory type, randomized controlled parallel with simple blind.
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Female between 30 and 50 years old. * Belong to the administrative staff of the university in question * Have a symptomatic diagnosis of chronic lateral epicondylitis (\> 6 weeks)
Exclusion criteria
* Being pregnant * Have done moderate or intense aerobic or anaerobic sport activities of any kind 72 hours before the registrations * Have an orthopedic, rheumatologic, neuropsychiatric or associated comorbidities diagnosed. * Have suffered a fracture or trauma involving the upper extremity 4 months before the intervention. * Be in medical, pharmacological or kinesthetic treatment during the intervention or 2 weeks before this.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain intensity numerical rating scale | One month | Self-reported measure of pain intensity. It consists on asking to assess pain intensity by selecting a number on a scale of 11 horizontal points. It is represented from 0 (without pain) to 10 (the worst possible pain) A score of 1 to 4 indicates mild pain; 5-6, moderate pain; and 7 to 10, severe pain. |
| Pressure pain threshold | Immediately after treatment | Is the minimum pressure that induces pain or discomfort. It was measured with a algometer. It is expressed in units of pressure as kilograms per square centimeter per second (Kg / cm2 / s). |
| Prehensile hand strength | Immediately after treatment | It is the ability to compress the hand, related to the functional integrity of the upper extremity as an index of general health. It was measured with a dynamometer. It was measured according to the criteria established by the American Society of Hand Therapists. It is measured in kilograms |
| Change in Elbow functionality. | One month | Functionality is a generic term that includes bodily functions, body structures, activities and participation. It shows the positive aspects of a person's interaction and the context. It was obtained through a scale of functionality (Oxford Elbow Score), which is composed of three domains (subscales); elbow, pain and social-psychological function, which underlie 12 questions, which are internally consistent, one-dimensional and do not have redundancy of items. The scores of each domain are calculated as the sum of the score of each individual element, where each case is expressed on a scale from 0 to 100 where, a score of 0.84 indicates a substantial improvement. |
Countries
Chile
Outcome results
None listed