Tissue Flossing in Tennis Elbow Patients

Study Overview
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Brief Summary
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The aim of the present intervention is to determine the effectiveness of the application of tissue flossing in patients with tennis elbow

Detailed Description
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The application of tissue flossing has been deemed to provide beneficial results in patients with ankle range of motion limitation. Although, tissue flossing is widely extended among athletes due to its effectiveness in pain, function and range of motion, the evidence is limited. The aim of the present protocol is to determine the effectiveness of tissue flossing in patients with tennis elbow.

Official Title
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The Effect of Tissue Flossing in Patients With Tennis Elbow

Conditions
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Tennis Elbow

Intervention / Treatment
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* Other: Tissue flossing
* Other: Placebo comparator


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Elbow pain for at least 6 weeks and satisfy the widely accepted diagnostic criteria of lateral epicondylalgia. Diagnostic criteria are pain over the lateral humeral epicondyle that is provoked by gripping activities. Reduced grip strength and increased sensitivity to manual palpation over the lateral epicondyle. Pain with stretching or contraction of the wrist extensor muscles. Exclusion Criteria: Upper limb fractures, surgery or concomitant disease. Red flags presence. Mental disorders.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized controlled trial
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Tissue flossing<br>Conventional physiotherapy consisted in electrotherapy and stretching in addition to tissue flossing. | Other: Tissue flossing<br>* Electrotherapy (transcutaneous electrical nerve stimulation) and Ultrasound in addition to tissue flossing.<br>|
| Placebo Comparator: Placebo comparator<br>Conventional physiotherapy consisted in electrotherapy and stretching in addition with tissue flossing without tension. | Other: Placebo comparator<br>* Conventional physiotherapy in addition to flossing without tension<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient-related Tennis Elbow Questionnaire change | Self reported questionnaire ranged from 0 to 150 with greater scores associated with severe disability. | At baseline, after 1 week and after 4 week. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric rating scale change | 10 point rating scale of pain where 0 is associated with no pain and 10 with greatest pain. | At baseline, after 1 week and after 4 week. | 
| Pressure Pain Threshold change | Determine the pain free pression with a validated instrument | At baseline, after 1 week and after 4 week. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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physiotherapy