Effectiveness Of A Physiotherapy Treatment Plan In Lateral Epicondylalgia

NCT ID: NCT05021354

Last Updated: 2024-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-01

Study Completion Date

2023-10-30

Brief Summary

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Purpose: Test the effectiveness of a physiotherapy treatment in 90 patients with Lateral epicondylalgia (LE).

Detailed Description

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Methods: LE is a musculoskeletal pain around the lateral epicondyle that may also present with decreased grip strength and/or neuromuscular disorders. An evidence-based treatment plan of dry needling, stretching and eccentric exercise in the patient with lateral epicondylalgia is established. It is carried out in two sessions, one session every 10 days and lasts about 45 minutes. There are three intervention arms: dry needling, atopic gel and NSAIDs, 30 patients in each group (n=90).

Conditions

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Humeral Epicondylitis, Lateral

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Investigators

Study Groups

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Dry needling+eccentric exercises

It is established a plan of treatment base on the evidence for dry needling, eccentric exercise in the patient with lateral epicondylalgia. This is done in two sessions, one session every 10 days and with a duration of about 45 minutes.

Group Type EXPERIMENTAL

Dry needling

Intervention Type DEVICE

dry needling, stretching and eccentric exercise

topical gel

application of topical gel to the area of pain

Group Type ACTIVE_COMPARATOR

Topical gel

Intervention Type DEVICE

aplication of topical gel to the epicondyle

NSAIDs

oral intake of NSAIDs

Group Type ACTIVE_COMPARATOR

NSAIDs

Intervention Type DRUG

oral intake of NSAIDs

Interventions

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Dry needling

dry needling, stretching and eccentric exercise

Intervention Type DEVICE

Topical gel

aplication of topical gel to the epicondyle

Intervention Type DEVICE

NSAIDs

oral intake of NSAIDs

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* diagnosed with lateral epicondylalgia

Exclusion Criteria

* diagnosed with compressive nerve syndromes with irradiation to the upper limb
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidad Católica de Ávila

OTHER

Sponsor Role lead

Responsible Party

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JORGE VELAZQUEZ SAORNIL

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Universidad Católica de Ávila

Ávila, , Spain

Site Status

Countries

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Spain

References

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Heales LJ, Bergin MJG, Vicenzino B, Hodges PW. Forearm Muscle Activity in Lateral Epicondylalgia: A Systematic Review with Quantitative Analysis. Sports Med. 2016 Dec;46(12):1833-1845. doi: 10.1007/s40279-016-0539-4.

Reference Type BACKGROUND
PMID: 27106557 (View on PubMed)

Aguilera-Eguía R, Ibacache-Palma A, Ignacia-Ulloa M, Flores-Fernández C, López-Soto LM, López Soto OP. Effectiveness of acupuncture in patients with lateral epicondylalgia: an overview of systematic reviews. Rev Cienc Salud. 2017;15(1):37-48.

Reference Type BACKGROUND

Araya Quintanilla F, Moyano Galvez V. Exercise therapy for lateral epicondylalgia: Systematic review. Rev Soc Esp Dolor 2015;22(6):253-270.

Reference Type BACKGROUND

Aguilera Eguía RA, Zafra Santos EO, Rojas López DK, Saavedra Rozas PA, Cofre Bolados C. Effectiveness of low frequency laser in the treatment of pain in patients with lateral epicondylalgia: An overview of systematic reviews. Rev Soc Esp Dolor 2015; 22(1): 39-47.

Reference Type BACKGROUND

Patel RM, Lynch TS, Amin NH, Calabrese G, Gryzlo SM, Schickendantz MS. The thrower's elbow. Orthop Clin North Am. 2014 Jul;45(3):355-76. doi: 10.1016/j.ocl.2014.03.007.

Reference Type BACKGROUND
PMID: 24975763 (View on PubMed)

Dones VC 3rd, Grimmer K, Thoirs K, Suarez CG, Luker J. The diagnostic validity of musculoskeletal ultrasound in lateral epicondylalgia: a systematic review. BMC Med Imaging. 2014 Mar 3;14:10. doi: 10.1186/1471-2342-14-10.

Reference Type BACKGROUND
PMID: 24589069 (View on PubMed)

Cha YK, Kim SJ, Park NH, Kim JY, Kim JH, Park JY. Magnetic resonance imaging of patients with lateral epicondylitis: Relationship between pain and severity of imaging features in elbow joints. Acta Orthop Traumatol Turc. 2019 Sep;53(5):366-371. doi: 10.1016/j.aott.2019.04.006. Epub 2019 Apr 28.

Reference Type BACKGROUND
PMID: 31040053 (View on PubMed)

Lee JH, Kim TH, Lim KB. Effects of eccentric control exercise for wrist extensor and shoulder stabilization exercise on the pain and functions of tennis elbow. J Phys Ther Sci. 2018 Apr;30(4):590-594. doi: 10.1589/jpts.30.590. Epub 2018 Apr 20.

Reference Type BACKGROUND
PMID: 29706713 (View on PubMed)

Bisset LM, Vicenzino B. Physiotherapy management of lateral epicondylalgia. J Physiother. 2015 Oct;61(4):174-81. doi: 10.1016/j.jphys.2015.07.015. Epub 2015 Sep 8. No abstract available.

Reference Type RESULT
PMID: 26361816 (View on PubMed)

George CE, Heales LJ, Stanton R, Wintour SA, Kean CO. Sticking to the facts: A systematic review of the effects of therapeutic tape in lateral epicondylalgia. Phys Ther Sport. 2019 Nov;40:117-127. doi: 10.1016/j.ptsp.2019.08.011. Epub 2019 Aug 27.

Reference Type RESULT
PMID: 31518778 (View on PubMed)

Dong W, Goost H, Lin XB, Burger C, Paul C, Wang ZL, Kong FL, Welle K, Jiang ZC, Kabir K. Injection therapies for lateral epicondylalgia: a systematic review and Bayesian network meta-analysis. Br J Sports Med. 2016 Aug;50(15):900-8. doi: 10.1136/bjsports-2014-094387. Epub 2015 Sep 21.

Reference Type RESULT
PMID: 26392595 (View on PubMed)

Nishizuka T, Iwatsuki K, Kurimoto S, Yamamoto M, Onishi T, Hirata H. Favorable Responsiveness of the Hand10 Questionnaire to Assess Treatment Outcomes for Lateral Epicondylitis. J Hand Surg Asian Pac Vol. 2018 Jun;23(2):205-209. doi: 10.1142/S2424835518500212.

Reference Type RESULT
PMID: 29734897 (View on PubMed)

Uygur E, Aktas B, Ozkut A, Erinc S, Yilmazoglu EG. Dry needling in lateral epicondylitis: a prospective controlled study. Int Orthop. 2017 Nov;41(11):2321-2325. doi: 10.1007/s00264-017-3604-1. Epub 2017 Aug 21.

Reference Type RESULT
PMID: 28828509 (View on PubMed)

Sanchez-Mila Z, Abuin-Porras V, Fidalgo-Gomez H, Minguez-Esteban I, Almazan-Polo J, Velazquez-Saornil J. Efficacy of Dry Needling Combined with Eccentric Exercise Versus Oral and Topical NSAID Treatment in Patients with Tennis Elbow: A Randomized Controlled Trial. J Evid Based Integr Med. 2025 Jan-Dec;30:2515690X251355017. doi: 10.1177/2515690X251355017. Epub 2025 Jul 9.

Reference Type DERIVED
PMID: 40629912 (View on PubMed)

Other Identifiers

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23/08/2021

Identifier Type: -

Identifier Source: org_study_id

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