Tennis Elbow Clinical Trial
Official title:
Finnish Tennis Elbow Trial Pilot Study
The study aims to investigate the natural course and the results of operative treatment of chronic tennis elbow (TE). Chronic is defined as symptoms having lasted for more than a year. The investigators will also study the effect of pain catastrophising on the subjective outcome, the patient acceptable symptomatic state and the response shift phenomenon in TE. The study will also ascertain the feasibility of a multi-center randomised, controlled trial (RCT), and test and refine the co-operation and interaction of the planned RCT centers.
Objectives:
1. To study the natural course of tennis elbow/spontaneous recovery of chronic (lasting for
over 12 months) tennis elbow and the results of surgery in a pragmatic setting.
2. To investigate the patients' expectations of the treatment, and define the patient
acceptable symptomatic state, or PASS, in tennis elbow.
3. To investigate the effect of pain behaviour on treatment results and PASS.
4. To delineate the existence of a potential "response shift" -phenomenon in patients with
a tennis elbow.
5. To determine the feasibility of a prospective, placebo-controlled, randomised trial by
finding out the actual number of patients in each center and those that may be suitable
for the FINITE-RCT. The investigators will also test the functioning and response of the
planned outcome measures in this environment and for this purpose.
Study setting The study is carried out as a prospective open-label multi-center cohort study.
The study was originally planned with a follow-up up to 10 years, but the cost-benefit of the
long term follow-up was evaluated after the completion of one year data collection, and the
decision was made to shorten the follow-up to include two year data, but no further
follow-ups.
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