Elbow Tendinopathy, Lateral Epicondylitis
Conditions
Keywords
tendinopathy, elbow
Brief summary
The aim of the study is to investigate the effects of rotator cuff and scapular muscle strengthening exercises applied in addition to the 8-week elbow focused rehabilitation program in lateral elbow tendinopathy, by comparing it with the elbow focused rehabilitation program.
Interventions
BEHAVIORALElbow focused rehabilitation
* Patient education * Activity modification * 2 days/week, 8 weeks in total * Exercises for the wrist extensor tendon, especially the extensor carpi radialis brevis (EKRB) (stretching + strengthening)
BEHAVIORALScapular and rotator cuff muscles strengthening
* Patient education * Activity modification * 2 days/week, 8 weeks in total * Exercises for the wrist extensor tendon, especially the extensor carpi radialis brevis (EKRB) (stretching + strengthening) * Scapular stabilizer muscle + rotator cuff (RM) strengthening
Sponsors
Istanbul University - Cerrahpasa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Cases are between the ages of 18-65 * Getting a diagnosis of unilateral lateral elbow tendinopathy * At least two positive Thomsen, Maudsley's Mill's and Cozen tests on clinical examination * Continuing symptoms for at least 3 months * The absence of any chronic disease that would prevent participation in the treatment program
Exclusion criteria
* History of trauma or surgery in the involved elbow joint * Having orthopedic problems in the cervical spine, shoulder joint or wrist * To have participated in the rehabilitation program in the last 3 months * Corticosteroid injection application in the last 3 months * Systemic arthritis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient-Rated Tennis Elbow Evaluation (PRTEE) | Baseline | The Patient-Rated Tennis Elbow Evaluation questionnaire (PRTEE) is a specific questionnaire available for assessing the health status of patients with lateral epicondylitis. |
| Numeric Pain Rating Scale (NPRS) | Baseline | The Numerical Rating Scale (NPRS-11) is an 11-point scale for self-report of pain. It is the most commonly used unidimensional pain scale. The respondent selects a whole number (integers 0-10) that best reflects the intensity (or other quality if requested of his/her pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Pressure Threshold (PPT) | Baseline | PPT measurement will be made using an algometer. It will be evaluated with an digital algometer over the lateral epicondyle in both upper extremities. |
| Hand Grip Strength | Baseline | Handgrip strength (HGS) is a simple and reliable measurement of maximum voluntary muscle strength. It is an important tool for diagnosing sarcopenia and is widely used as a single indicator to represent overall muscle strength. To assess grip strength, the Jamar dynamometer will be used which is recommended by the American Society for Surgery of the Hand and the American Society of Hand Therapists. |
| Pain-free Hand Grip Strength | Baseline | Pain-free grip strength is an important outcome measure in lateral elbow tendinopathy (LET). To assess pain-free grip strength, the Jamar dynamometer will be used which is recommended by the American Society for Surgery of the Hand and the American Society of Hand Therapists. |
Countries
Turkey (Türkiye)
Outcome results
None listed