The Efficacy of Different Types of Stretching on Range of Motion, Pain and Function in Elbow Limitation

Istanbul University

Status: Completed

Conditions: Postoperative Pain; Stiffness of Elbow, Not Elsewhere Classified; Elbow Fracture

Treatments: Other: Static Stretching; Other: Cold Therapy; Other: Exercise; Other: PNF stretching

Study type: Interventional

Funder types: Other

Identifiers

NCT03161782

910801

Details and patient eligibility

About

The aim of the study is to compare the efficacy of Proprioceptive Neuromuscular Facilitation (PNF) stretching and static stretching on range of motion (ROM), pain and function in elbow limitation.

Full description

To compare the efficacy of PNF stretching and static stretching on ROM, pain and function in elbow limitation, forty voluntary patients with elbow limitation, aged between 18-55 years will be randomly divided into two groups: PNF Stretching group and Static Stretching group. PNF stretching will be combined with exercise and cold application in PNF Stretching group, static stretching will be combined with exercise and cold application in Static Stretching group, will be applied for 12 sessions. The patients will be assessed before and after six-week treatment. The pain on activity, at rest and at night will be assessed with Visual Analog Scale (VAS). ROM will be assesed with universal goniometer. The functional status will be evaluated by Disabilities Arm, Shoulder and Hand (DASH). Kinesiophobia and quality of life will be assessed with Tampa Scale for Kinesiophobia and Short Form-12, respectively. The Global Rating of Change will be used to evaluate patient satisfaction.

Enrollment: 40 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Subjectswill be included with

• Aged between 18 and 65 years
• Elbow fracture in the six months before the study
• Elbow limitation in flexion or extension
• Being volunteer to participate
• Fractures should be managed with conservatively or surgically

Exclusion criteria

• Malunion or Nonunion Fracture
• Occurrence of complex regional pain syndrome, peripheric nerve injury, heterotopic ossification, myositis ossification or post-traumatic ankylosing
• Non-healing wound or infection
• Previously received physiotherapy for elbow limitation
• Having any cardiovascular diseases, neurological disorders, rheumatic diseases or psychiatric diseases
• Could not adjust to treatment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

PNF Stretching group

Experimental group

Description:

Each subject in PNF Stretching group will receive a treatment protocol consisting of PNF stretching, cold therapy and exercise.

Treatment:

Other: Cold Therapy

Other: PNF stretching

Other: Exercise

Static Stretching group

Experimental group

Description:

Each subject in Static Stretching group will receive a treatment protocol consisting of static stretching, cold therapy and exercise.

Treatment:

Other: Cold Therapy

Other: Exercise

Other: Static Stretching