Comparative Research Among 3 Action Protocol in Other to Approach Chronic Lateral Epicondyle Tendinopathy

Universidad San Jorge

Status: Unknown

Conditions: Tendinopathy

Treatments: Other: Control Group; Other: Group of Dry Needling; Other: Group of Electrolysis

Study type: Interventional

Funder types: Other

Identifiers

NCT03572803

C3P_CLET

Details and patient eligibility

About

The accomplishment of a treatment with Intratissue Percutaneous Electrolysis of additional form to the accomplishment of eccentric exercises and stretching program in patients with chronic lateral epicondyle tendinopathy is more effective than the accomplishment of an additional treatment with dry needling or eccentric exercises program realized of isolated form.

Full description

Experimental study randomized with double blind, whose purpose is to compare three protocols in those who apply different protocols of physical therapy to themselves in three groups of intervention with patients with chronic lateral epicondyle tendinopathy.

There take part in this study people of both sexes, with ages between 18 and 65 years, all of them present chronic lateral epicondyle tendinopathy.

Enrollment: 66 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 18 and 65 years.
• Patients diagnosed of chronic lateral epicondyle tendinopathy with a minimum of 3 months of evolution.
• Pain when palpating the lateral epicondyle area.
• Positive test in at least 1 of the following 3 clinical tests: Cozen, Thomson or Mill's
• Have the capacity to perform all clinical tests, understand the study process, and obtain informed consent.

Exclusion criteria

• Previous history of direct trauma, fractures, joint instability, surgery or rheumatic alterations of the lateral epicondyle area.
• Full elbow extension limited.
• Alterations at cervical level such as: cervical radiculopathy (C4-C7), degenerative pathology in the cervical spine, exacerbated pain increase with neck movements or cervical compression.
• Symptoms compatible with entrapment of the posterior interosseous nerve.
• NSAID intake the week before the intervention;
• Have received treatment with infiltration in the last year;
• Have received physiotherapy treatment during the last month.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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66 participants in 3 patient groups

Group of Dry Needling

Active Comparator group

Description:

They will receive a treatment of dry needling, guided by ultrasound, together with a self-treatment program at home based on eccentric exercises and stretching. The needle will get in the relevant zone of treatment. The punction will be realized using Hong's technique (fast in-out). Three needle insertions will be carried out in the target area during 3 seconds

Treatment:

Other: Group of Dry Needling

Group of electrolysis

Active Comparator group

Description:

They will receive a treatment of Intratissue Percutaneous Electrolysis, guided by ultrasound, together with a self-treatment program at home based on eccentric exercises and stretching. The needle will get in the relevant zone of treatment. The punction will be realized simulating Hong's technique (fast in-out). Three needle insertions will be carried out in the target area during 3 seconds and 3mA each one.

Treatment:

Other: Group of Electrolysis

Control Group

Sham Comparator group

Description:

They will receive a treatment of punction sham, guided by ultrasound, together with a self-treatment program at home based on eccentric exercises and stretching.

Treatment:

Other: Control Group