Effectiveness of Chiropractic Cervical Manipulation in Lateral Epicondylitis

NCT ID: NCT06300749

Last Updated: 2024-03-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-10-30
• Study Completion Date: 2019-01-03

Brief Summary

İt is aimed to examine the effect of chiropractic cervical manipulation on pain, functionality and grip strength in patients with lateral epicondylitis and whether it is preferable to placebo.

Detailed Description

Lateral Epicondylitis (LE) is known as chronic symptomatic degeneration of the forearm common extensor tendon attachment at the humeral ectochondyle. It is one of the most common overuse syndromes today and is characterized by loss of function and pain due to an inflammatory reaction that occurs during stretching of the condyle.

The main goals of the treatments are to relieve pain, reduce overload on the arm and elbow joints, accelerate the healing process and enable the patient to regain functionality in daily life activities at the optimum time. Many treatment methods have been applied for this purpose, and the number of studies on the effectiveness of manual applications is increasing. Among manual applications, chiropractic applications have recently attracted attention.

Conditions

Lateral Epicondylitis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Chiropractic Cervical Manipulation Group (CCMG)

Patients in both groups were placed in supine position and manipulation was applied to patients in the chiropractic cervical manipulation group.

Group Type: EXPERIMENTAL

Chiropractic Cervical Manipulation

Intervention Type: OTHER

In the chiropractic cervical manipulation group, the patient was placed in the supine position. The therapist moved to the patient's head, identified the C5-C6 segment by palpation, and manually performed spinal manipulation from the right side using the "cervical rotary break/index push" technique since the dominant side of the patients was the right extremity. In the cervical rotary break/index thrust technique, the lateral aspect of the practitioner's index finger was placed in contact with the posterior aspect of the participant's C5 facet joint, and a rotational thrust was performed between the C5-C6 vertebrae.

Control Group (CG)

Patients in both groups were placed in supine position and manipulation was applied to patients in the chiropractic cervical manipulation group.

Group Type: SHAM_COMPARATOR

Sham Technique Practice

Intervention Type: OTHER

The sham technique can be defined as a technique that does not have any therapeutic effect and is preferred to determine whether the efficacy of another technique is superior. The patient was placed in the supine position. The therapist moved to the patient's head, and the C5-C6 segment localized in the lower cervical region was detected by palpation. The C5-C6 segment was positioned to perform chiropractic cervical manipulation and waited for 30 seconds without any pushing force.

Interventions

Chiropractic Cervical Manipulation

In the chiropractic cervical manipulation group, the patient was placed in the supine position. The therapist moved to the patient's head, identified the C5-C6 segment by palpation, and manually performed spinal manipulation from the right side using the "cervical rotary break/index push" technique since the dominant side of the patients was the right extremity. In the cervical rotary break/index thrust technique, the lateral aspect of the practitioner's index finger was placed in contact with the posterior aspect of the participant's C5 facet joint, and a rotational thrust was performed between the C5-C6 vertebrae.

Intervention Type: OTHER

Sham Technique Practice

The sham technique can be defined as a technique that does not have any therapeutic effect and is preferred to determine whether the efficacy of another technique is superior. The patient was placed in the supine position. The therapist moved to the patient's head, and the C5-C6 segment localized in the lower cervical region was detected by palpation. The C5-C6 segment was positioned to perform chiropractic cervical manipulation and waited for 30 seconds without any pushing force.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• (1) age between 20-50 years,
• (2) dominant right extremity and ipsilateral lateral epicondylitis,
• (3) full range of motion in the cervical region,

Exclusion Criteria

• (1) spinal root compression (radiculopathy),
• (2) neurologic symptoms such as loss of strength in the lower extremities, upper extremities and face, numbness, involuntary movements, abnormal gait pattern, dizziness, nausea/vomiting of unknown cause, swallowing and speech difficulties,
• (3) pregnancy,
• (4) presence of active malignancies,
• (5) positive pre- manipulative vertebrobasilar insufficiency test,
• (6) use of anticoagulant and antiaggregant drugs,
• (7) history of previous cervical surgery or whiplash,
• (8) acute inflammatory disease,
• (9) positive results of the test performed before manipulation in the cervical spine (foraminal compression test,
• (10) any deformity in the New York Posture analysis,
• (11) unwillingness to participates

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Mesut Arslan

OTHER

Sponsor Role: lead

Responsible Party

Mesut Arslan

Assistant Professor

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Bitlis Eren University

Bitlis, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

LE-CCM

Identifier Type: -

Identifier Source: org_study_id