Adolescent Athelets, Medial Epicondyle Apophysitis
Conditions
Keywords
Medial Epicondyle Apophysitis, Virtual Reality,, strengthing exercise
Brief summary
Traction apophysitis of the medial epicondyle (MEC) is a common elbow injury in adolescent baseball players. The underlying pathology of the lesions associated with apophysitis seems to be due to repetitive traction stress via the medial ulnar collateral ligament (MUCL) to the skeletally immature MEC, as seen in young baseball players. Various types of morphological changes are observed at the MEC in baseball players, and fragmentation and hypertrophy have been commonly reported.
Detailed description
Phases of rehabilitation for Medial Epicondyle Apophysitis Phase I treatment involves resting and protecting the elbow to permit healing, to prevent further injury, and to control pain and swelling. Phase II treatment begins once pain and swelling have subsided to the point where the athlete can comfortably bear weight and walk from place to place. Virtual reality (VR) is a simulated experience that can be similar to or completely different from the real world. Applications of virtual reality can include entertainment (i.e. video games) and educational purposes (i.e. medical or military training). Other, distinct types of VR style technology include augmented reality and mixed reality.
Interventions
OTHERThe Control Group
All adolescents will receive 60 min. of the selected physical therapy program including strengthening the muscles of upper limb, stretching for elbow flexors and forearms pronators
OTHERThe Study Group
all adolescents will receive selected physical therapy program for 30 min. containing strengthening the muscles of upper limb, stretching for elbow flexors and forearms pronators plus 30 of virtual reality training
Sponsors
South Valley University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Duple blinded (Outcomes Assessor, patients) Blinding process to participants and care providers was impossible due to the nature of intervention therapy. Data were analyzed by an impartial statistician (outcomes assessor), referring to each arm with an encoded name: Group 1 (control group) and Group 2 (virtual reality group),
Intervention model description
G 1 (control) received traditional physical therapy program for 60 min. G 2 (study) received traditional physical therapy program for 30 min. and virtual reality for 30 min. all groups treated for 3 successive months.
Eligibility
Sex/Gender
ALL
Age
12 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* Cases diagnosed with medial epicondyle apophysitis. * Cases participated in this study will from both sexes. * Cases receiving standard treatment protocol. * Cases with a disease duration of more than four months.
Exclusion criteria
* Cases with resent fractures in affected upper limb. * Cases diagnosis of any neurological disease or musculoskeletal disease affecting upper extremity functional ability. * Uncooperative cases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale | at day 0 | pain assessment tool, the scale ranged from 0-10 (at which 0 indicate no pain and 10 indicate sever pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range of Motion | at day 0 | Elbow Flexion angle degree |
Countries
Egypt
Contacts
CONTACTNehad A Abo-zaid, Assistant Professor
CONTACTOla A KamalLecturer, Lecturer
PRINCIPAL_INVESTIGATORNehad A Abo-zaid, Assistant Professor
South Valley University
Outcome results
None listed