Lateral Epicondylitis Clinical Trial
Official title:
Effectiveness of a Combined Treatment Percutaneous Electrical Stimulation on Radial Nerve With an Exercise Program in Patients With Lateral Epicondylalgia
Lateral epicondylalgia is a common musculoskeletal condition that approximately affects 1-3%
of the general population. Several authors have found greater mechanical pain sensitivity in
the radial nerve when compared with healthy subjects. Radial tunnel syndrome exhibits a
similar clinical presentation to lateral epicondylalgia. Percutaneous electrical stimulation
has shown reduce pain in several conditions. Percutaneous electrical stimulation on the
radial nerve could cause an important relief in lateral epicondylalgia.
Hypothesis: Percutaneous electrical stimulation on radial nerve plus exercise therapy in
patients with lateral epicondylalgia is better than sham percutaneous electrical stimulation
plus exercise.
Randomized, double-blind, placebo controlled clinical trial, using Percutaneous Electrical
Nerve Stimulation (PENS). PENS is technique to provide a transcutaneous electrical nerve
stimulation current throughout needling filaments place close to the nerve.
Study Aims:
Aim #1: The primary aim of the study is to compare the effect of the immediate, short, medium
and long-term of PENS on intensity of pain as measured by visual analogue scale (VAS) in
patients with lateral epicondylalgia with random assignment to two treatments: PENS plus
exercise program or Sham PENS plus exercise program.
Aim #2: The secondary aim of the study is to compare the effect of the immediate, short,
medium and long-term of PENS on pain free grip strength, disability as measured by Patient
Rated Tennis Elbow Evaluation (PRTEE) and DASH questionnaire and pressure pain threshold
(PPT) and area and distribution of pain in patients with lateral epicondylalgia with random
assignment to two treatments: PENS plus exercise program or Sham PENS plus exercise program,
and determine if psychological factors (fear and avoidance and catastrophism) change with any
of the treatments and if is related with the primary and secondary outcomes.
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