Effects of Myofascial Release and TENS Over Pain, Hand Prehensile Strength and Functionality of Superior Extremity in Women With Lateral Epicondylalgia

Musculoskeletal Manipulations Clinical Trial

Official title:

Effects of Myofascial Release of the Brachial Biceps and TENS Over the Elbow Pain, Hand Prehensile Strength and Functionality of Superior Extremity in Women With Symptomatology of Chronic Lateral Epicondylalgia

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04023279
• Other study ID #: UniversidadNAB
• Status: Completed
• Phase: N/A
• Start date: September 24, 2018
• Est. completion date: December 20, 2018

Study information

• Verified date: July 2019
• Source: Universidad Nacional Andres Bello
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study evaluated the additive effect of myofascial release therapy on the brachial biceps on conventional management (TENS) in pain intensity, hand prehensile strength and upper limb functionality of individuals with lateral epicondylalgia.

Description:

This study determined the additive effect of the myofascial release therapy of brachial biceps on TENS in the variables pain intensity, hand prehensile strength and upper limb functionality of individuals with lateral epicondylalgia, compared to a group that received only TENS. This was done in a sample of 32 individuals, assigned in two groups: group A that received an application of TENS and group B that received an application of TENS plus myofascial release therapy.

Contrary to the hypothesis, the application of myofascial release therapy added to the application of TENS proved to generate a significant change only in the prehensile hand force with respect to the group that received only TENS.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 32
• Est. completion date: December 20, 2018
• Est. primary completion date: October 22, 2018
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 30 Years to 50 Years

Eligibility

Inclusion Criteria:

• Female between 30 and 50 years old.

• Belong to the administrative staff of the university in question

• Have a symptomatic diagnosis of chronic lateral epicondylitis (> 6 weeks)

Exclusion Criteria:

• Being pregnant

• Have done moderate or intense aerobic or anaerobic sport activities of any kind 72 hours before the registrations

• Have an orthopedic, rheumatologic, neuropsychiatric or associated comorbidities diagnosed.

• Have suffered a fracture or trauma involving the upper extremity 4 months before the intervention.

• Be in medical, pharmacological or kinesthetic treatment during the intervention or 2 weeks before this.

Related Conditions & MeSH terms

• Musculoskeletal Manipulations

Intervention

Other:
• TENS
100 Hz and 100 usec for 20 minutes
• Myofascial therapy
Seven to fifteen transverse sliding repetitions and three repetitions of longitudinal sliding of myofascial release therapy

Locations

Country	Name	City	State
Chile	Universidad Andres Bello	Talcahuano	Concepción

Sponsors (1)

Lead Sponsor	Collaborator
Fernanda Merino Alvarez

Country where clinical trial is conducted

Chile, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in pain intensity numerical rating scale	Self-reported measure of pain intensity. It consists on asking to assess pain intensity by selecting a number on a scale of 11 horizontal points. It is represented from 0 (without pain) to 10 (the worst possible pain) A score of 1 to 4 indicates mild pain; 5-6, moderate pain; and 7 to 10, severe pain.	One month
Primary	Pressure pain threshold	Is the minimum pressure that induces pain or discomfort. It was measured with a algometer. It is expressed in units of pressure as kilograms per square centimeter per second (Kg / cm2 / s).	Immediately after treatment
Primary	Prehensile hand strength	It is the ability to compress the hand, related to the functional integrity of the upper extremity as an index of general health. It was measured with a dynamometer. It was measured according to the criteria established by the American Society of Hand Therapists. It is measured in kilograms	Immediately after treatment
Primary	Change in Elbow functionality.	Functionality is a generic term that includes bodily functions, body structures, activities and participation. It shows the positive aspects of a person's interaction and the context. It was obtained through a scale of functionality (Oxford Elbow Score), which is composed of three domains (subscales); elbow, pain and social-psychological function, which underlie 12 questions, which are internally consistent, one-dimensional and do not have redundancy of items.; The scores of each domain are calculated as the sum of the score of each individual element, where each case is expressed on a scale from 0 to 100 where, a score of 0.84 indicates a substantial improvement.	One month