Effectiveness of Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia. A Single-Blind Randomized Controlled Trial.

Study Overview
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Brief Summary
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The concept of epicondylitis refers to the manifestation of pain ni the area of insertation of the epicondile muscles, and that it is accompained by limitation funcional.A tendinopathy is characterized as a process of degenaration, with fibroblast proliferation and disorganization of the fibers of collagen. This tendon pathology especially affects the epicondyle extensors and especially the first and second radial and short extensor carpal.

Detailed Description
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Eccentric exercises of the epicondyle muscles were performed in 3 sets of 10 repetitions. Participants were asked to perform the exercise program on an individual basis twice every day for 4 weeks. The eccentric program consisted of 3 exercises, focusing on the epicondyle muscles. Participants were asked to do a normal flexion extension (concentric phase) and a slow return to the initial position (eccentric phase) included first the concentric phase, and the eccentric phase was slowly conducted. The exercise program was taught by a physiotherapist in the first session and monitored in the subsequent sessions.

Official Title
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Effectiveness of Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia. A Single-Blind Randomized Controlled Trial.

Conditions
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Epicondylitis

Intervention / Treatment
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* Other: Epte group
* Other: Dry needling group


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: - Patients of both sexes, aged between 18 and 60 years, in an active state of pain and with a diagnosis of one month of evolution. Exclusion Criteria: - Patients who are pregnant, have pacemakers and those surgically operated patients who have been treated with Epte a month earlier

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: A specialist physician will be diagnosed the epicondylitis
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>EPTE + EXER Therapeutic Percutaneous Electrolysis once week for four weeks associated with eccentric exercises devices at home. | Other: Epte group<br>* Therapeutic Percutaneous Electrolysis once week for four weeks associated with eccentric exercises devices at home.<br>* Other names: EPTE + EXER;|
| Experimental: Control group<br> | Other: Dry needling group<br>* The intervention for this group consisted of dry needling in trigger points associated with eccentric exercises devices at home.<br>* Other names: DN +EXER;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The intensity of pain in epicondylitis | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of elbow pain, and the worst and lowest level of pain experienced in the preceding week in the elbow area. | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The intensity of pain in epicondylitis | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of elbow pain, and the worst and lowest level of pain experienced in the preceding week in the elbow area. | Four and twelve weeks | 
| Active elbow range of motion | Measured by a two branches egoniomter | Baseline,four and twelve weeks | 
| Pressure pain thresholds in epicondylitis trigger points | Pressure pain thresholds (PPTs) will be measured with a pressure algometer (Baseline) | Baseline, four and twelve weeks | 
| Questionnaire SF 12 | The multidimensional health related quality of life | Baseline,four and twelve weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Tendinopathy, Electrolysis, Exercise, Dry needing