Lateral Epicondylitis
Conditions
Keywords
Lateral Epicondylitis, Chiropractic Cervical Manipulation
Brief summary
İt is aimed to examine the effect of chiropractic cervical manipulation on pain, functionality and grip strength in patients with lateral epicondylitis and whether it is preferable to placebo.
Detailed description
Lateral Epicondylitis (LE) is known as chronic symptomatic degeneration of the forearm common extensor tendon attachment at the humeral ectochondyle. It is one of the most common overuse syndromes today and is characterized by loss of function and pain due to an inflammatory reaction that occurs during stretching of the condyle. The main goals of the treatments are to relieve pain, reduce overload on the arm and elbow joints, accelerate the healing process and enable the patient to regain functionality in daily life activities at the optimum time. Many treatment methods have been applied for this purpose, and the number of studies on the effectiveness of manual applications is increasing. Among manual applications, chiropractic applications have recently attracted attention.
Interventions
OTHERChiropractic Cervical Manipulation
In the chiropractic cervical manipulation group, the patient was placed in the supine position. The therapist moved to the patient's head, identified the C5-C6 segment by palpation, and manually performed spinal manipulation from the right side using the cervical rotary break/index push technique since the dominant side of the patients was the right extremity. In the cervical rotary break/index thrust technique, the lateral aspect of the practitioner's index finger was placed in contact with the posterior aspect of the participant's C5 facet joint, and a rotational thrust was performed between the C5-C6 vertebrae.
OTHERSham Technique Practice
The sham technique can be defined as a technique that does not have any therapeutic effect and is preferred to determine whether the efficacy of another technique is superior. The patient was placed in the supine position. The therapist moved to the patient's head, and the C5-C6 segment localized in the lower cervical region was detected by palpation. The C5-C6 segment was positioned to perform chiropractic cervical manipulation and waited for 30 seconds without any pushing force.
Sponsors
Mesut Arslan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* (1) age between 20-50 years, * (2) dominant right extremity and ipsilateral lateral epicondylitis, * (3) full range of motion in the cervical region,
Exclusion criteria
* (1) spinal root compression (radiculopathy), * (2) neurologic symptoms such as loss of strength in the lower extremities, upper extremities and face, numbness, involuntary movements, abnormal gait pattern, dizziness, nausea/vomiting of unknown cause, swallowing and speech difficulties, * (3) pregnancy, * (4) presence of active malignancies, * (5) positive pre- manipulative vertebrobasilar insufficiency test, * (6) use of anticoagulant and antiaggregant drugs, * (7) history of previous cervical surgery or whiplash, * (8) acute inflammatory disease, * (9) positive results of the test performed before manipulation in the cervical spine (foraminal compression test, * (10) any deformity in the New York Posture analysis, * (11) unwillingness to participates
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Pain Scale (NPS) | Pain was evaluated immediately before and immediately after the application. | The patient is asked to indicate the value of their pain on the scale. During the assessment, an 11-point scale is used, with 0 representing no pain and 10 meaning the most severe pain imaginable. |
| Grip Strength | Grip Strength parameter was evaluated immediately before and immediately after the application. | Consistent with the American Hand Therapy Association's hand grip dynamometer recommendations and previous research, participants sat in a chair with the device in the dominant hand, wrists in a neutral position and elbows bent at a 90° angle. Three repeated measurements were taken, and averages were calculated. |
| Patient Rated Tennis Elbow Evaluation (PRTEE) | PRTEE parameter was evaluated immediately before and immediately after the application. | A 15-item questionnaire was used to evaluate pain and disability. The questionnaire includes three subscales, with each item scored from 0 to 10. The total score ranges from 0 to 100, where higher scores indicate more pain and disability. |
Countries
Turkey (Türkiye)
Outcome results
None listed