Effects of Scapular Strength Exercise for Patients With Lateral Epicondylalgia

Lateral Epicondylitis Clinical Trial

Official title:

Effects of Scapular Strength Exercise for Patients With Lateral Epicondylalgia a Randomized Clinical Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05373056
• Other study ID #: UAMaster123
• Status: Recruiting
• Phase: N/A
• Start date: February 28, 2022
• Est. completion date: July 30, 2022

Study information

• Verified date: May 2022
• Source: University of Alcala
• Contact: Alejandro AY Ayuso Pablo, Msc
• Phone: 647396334
• Email: aayusopablo[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

the aim of the study is to determine whether a scapular strength exercise program combined with a conventional exercise program in epicondylar region in patients with lateral epicondylalgia produces statistically significant improvements in pain in the short and medium term compared to a conventional exercise program.

Description:

It is a single-blind clinical trial design, with third-party evaluation. There are two groups, the control group and the experimental group. In the control group, only the conventional exercise program for epicondylar muscles will be performed and the experimental group will also perform a scapular exercise program. Group assignment is randomized using the G* POWER software program, following the inclusion and exclusion criteria. Variables related to pain, functionality, pressure pain threshold, prehensile strength and quality of life will be measured. The study will last 7 months.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: July 30, 2022
• Est. primary completion date: June 25, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 30 Years to 60 Years

Eligibility

Inclusion Criteria:

• tenderness over the epicondyle.
• Clinical diagnosis of LD for at least 3 months.
• Positive Mills and Maudsley test

Exclusion Criteria:

• Patients with carpal tunnel syndrome, rheumatoid arthritis, cervical root syndrome, rotator cuff tendinopathy.
• Fractures or surgical history in the shoulder or elbow.
• History of elbow immobilization.
• Limitation in range of motion of the shoulder.
• Having undergone upper limb surgery in the last 6 months
• Unhealed wound in the region in the treatment area
• Impairment at a cognitive level that makes understanding with the therapist impossible.
• Neural entrapment of the radial nerve.
• Corticosteroid infiltration in the upper limb to be treated.

Related Conditions & MeSH terms

• Lateral Epicondylitis
• Tennis Elbow

Intervention

Behavioral:
• Scapular program
the patient will be in prone. With the elbow extended, begin by raising the shoulder above the head, keeping the upper extremity in line with the fibers of the lower trapezius. The participant will then remain pronated with the elbow flexed at 90 degrees and the shoulder abducted and externally rotated. Starting from this position, you should exert the force towards external rotation and then return to internal rotation. For the last exercise, the subject will be placed in a standing position holding the elastic band with one hand while the other end will fix it to the ground, while stepping on it with the foot. You will start the movement with a shoulder elevation in the plane of the scapula above 120 degrees and then perform the eccentric returning to the starting position.
• Conventional program
They will be performing a combination of concentric-eccentric type contractions adding an isometric contraction

Locations

Country	Name	City	State
Spain	Alcala University	Madrid	Alcala De Henares

Sponsors (1)

Lead Sponsor	Collaborator
University of Alcala

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Visual Analog Scale for Pain	It will be measured with a 10 cm long horizontal line with descriptors at each end to help subjects identify their level of pain. The participants will mark with a cross the point of the line that most corresponds to the intensity of their symptoms. When interpreting the VAS, the respondent's cross position is usually assigned a score between 0 and 10. If documented on paper, pressures can simply be transferred to a scale of 100 values using a millimeter tape measure, although division into hundredths is considered sensitive enough.	4 weeks
Secondary	Functionality	measured with "the patient-rated tennis elbow evaluation Questionnaire".It is made up of 15 items, 5 focused on pain and the other 10 distributed between activities of daily living (4 items) and more specific activities (6 items). The result of each item is represented on a scale from 0 (totally painless activity) to 10 (maximum pain imaginable), so the total score can vary between 0 and 150.	4 weeks
Secondary	grip strength	measured by dynamometer	4 weeks
Secondary	The Quality of the lifestyle	measured with "The Short Form-36 Health Survey Questionnaire".It is evaluated on a scale from 0 to 100, with the highest score being the maximum possible health and well-being. Finally, a total score is obtained from the questionnaire considering a score of 0-19 = very low, 20-39 = relatively low, 40-59 = average, 60-79 = relatively high and 80-100 = very high.	4 weeks
Secondary	pressure threshold	measured by pressure algometer	4 weeks