Effectiveness of Chiropractic Cervical Manipulation in Lateral Epicondylitis

Lateral Epicondylitis Clinical Trial

Official title:

The Effect of Chiropractic Cervical Manipulation on Pain, Functionality and Grip Strength in Patients With Lateral Epicondylitis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06300749
• Other study ID #: LE-CCM
• Status: Completed
• Phase: N/A
• Start date: October 30, 2018
• Est. completion date: January 3, 2019

Study information

• Verified date: March 2024
• Source: Bitlis Eren University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: January 3, 2019
• Est. primary completion date: January 3, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 50 Years

Eligibility

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

Related Conditions & MeSH terms

• Lateral Epicondylitis
• Tennis Elbow

Intervention

Other:
• Chiropractic 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.
• Sham 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.

Locations

Country	Name	City	State
Turkey	Bitlis Eren University	Bitlis

Sponsors (1)

Lead Sponsor	Collaborator
Mesut Arslan

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numerical Pain Scale (NPS)	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".	Pain was evaluated immediately before and immediately after the application.
Primary	Grip Strength	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.	Grip Strength parameter was evaluated immediately before and immediately after the application.
Primary	Patient Rated Tennis Elbow Evaluation (PRTEE)	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.	PRTEE parameter was evaluated immediately before and immediately after the application.