Influence of Proximal Motor Control in Treating Lateral Epicondylitis

Cairo University (CU)

Status: Not yet enrolling

Conditions: Lateral Epicondylitis

Treatments: Other: Strength of middle trapezius; Other: Strength of lower trapezius; Other: Eccentric exercises of wrist extensors; Other: Strength of serratus anterior; Other: Pulsed ultrasound; Other: Stretching of extensor carpi radialis brevis muscle

Study type: Interventional

Funder types: Other

Identifiers

NCT05447468

P.T.REC/012/003304

Details and patient eligibility

About

This study will be conducted to investigate the effect of scapular muscles (lower trapezius, middle trapezius and serratus anterior) strengthening on pain, pain free hand grip strength and functional outcome added to conventional physical therapy in patients with chronic Lateral Epicondylitis.

Full description

This study will try to investigate if scapular muscles strengthening have an effective role on pain, pain free hand grip strength and function when added to conventional physical therapy in patients with LE.

Enrollment: 52 estimated patients

Sex: All

Ages: 30 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Symptoms of lateral epicondylitis from at least the past 3 months.
2. Pain in at least two of the following four tests; Tomsen test, Maudsley test, Mill's test and handgrip dynamometer test.
3. Their ages range from 30-50 years old.

Exclusion criteria

Subjects will be excluded from the study if they have:

1. Peripheral neuropathy.
2. Lesions of upper limb nerves.
3. History of surgery in the affected elbow 6 months ago.
4. Cervical radiculopathy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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52 participants in 2 patient groups

scapular muscles strengthning group

Experimental group

Description:

Patients in this group A will receive scapular muscles (lower trapezius, middle trapezius and serratus anterior) strengthening along with conventional physiotherapy (pulsed ultrasound, static stretching of ECRB muscle and eccentric exercises of wrist extensors) for 6 weeks.

Treatment:

Other: Strength of serratus anterior

Other: Eccentric exercises of wrist extensors

Other: Strength of middle trapezius

Other: Strength of lower trapezius

Other: Pulsed ultrasound

Other: Stretching of extensor carpi radialis brevis muscle

conventional physiotherapy group

Active Comparator group

Description:

Patients in this group B will receive conventional physiotherapy only (pulsed ultrasound, static stretching of ECRB muscle and eccentric exercises of wrist extensors) 3 sessions per week for 6 weeks.

Treatment:

Other: Eccentric exercises of wrist extensors

Other: Pulsed ultrasound

Other: Stretching of extensor carpi radialis brevis muscle