Effectiveness Of A Physiotherapy Treatment Plan In Lateral Epicondylalgia

Study Overview
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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).

Official Title
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Effectiveness Of A Physiotherapy Treatment Plan In Lateral Epicondylalgia

Conditions
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Humeral Epicondylitis, Lateral

Intervention / Treatment
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* Device: Dry needling
* Device: Topical gel
* Drug: NSAIDs


Participation Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 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: Health Services Research
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Dry needling+eccentric exercises<br>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. | Device: Dry needling<br>* dry needling, stretching and eccentric exercise<br>|
| Active Comparator: topical gel<br>application of topical gel to the area of pain | Device: Topical gel<br>* aplication of topical gel to the epicondyle<br>|
| Active Comparator: NSAIDs<br>oral intake of NSAIDs | Drug: NSAIDs<br>* oral intake of NSAIDs<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Questionaire Hand 10 | score in discomfort hand 0-10. 0 is the lowest score and 10 is the highest score. | 1 month | 
| VAS Scale | pain scale, where 0 is the minimum pain and 10 is the maximum pain. | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain concentration measured with algometry | pain when performing static pressures measured with an algometer | 10 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dry needling, Stretching, Eccentric exercise, tennis elbow, humeral epicondylitis, lateral