Clinical trial NCT03161782: The Efficacy of Different Types of Stretching on Range of Motion, Pain and Function in Elbow Limitation
Official title: The Efficacy of Proprioceptive Neuromuscular Facilitation Stretching and Static Stretching on Range of Motion, Pain and Function in Elbow Limitation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Postoperative Pain
Elbow Fracture
Stiffness of Elbow, Not Elsewhere Classified
Keywords: pain
exercise
proprioceptive neuromuscular facilitation stretching
static stretching
Lead sponsor: Istanbul University
Sponsor class: OTHER
First posted: 2017-05-22
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of the study is to compare the efficacy of Proprioceptive Neuromuscular Facilitation (PNF) stretching and static stretching on range of motion (ROM), pain and function in elbow limitation.

Detailed description: To compare the efficacy of PNF stretching and static stretching on ROM, pain and function in elbow limitation, forty voluntary patients with elbow limitation, aged between 18-55 years will be randomly divided into two groups: PNF Stretching group and Static Stretching group. PNF stretching will be combined with exercise and cold application in PNF Stretching group, static stretching will be combined with exercise and cold application in Static Stretching group, will be applied for 12 sessions. The patients will be assessed before and after six-week treatment. The pain on activity, at rest and at night will be assessed with Visual Analog Scale (VAS). ROM will be assesed with universal goniometer. The functional status will be evaluated by Disabilities Arm, Shoulder and Hand (DASH). Kinesiophobia and quality of life will be assessed with Tampa Scale for Kinesiophobia and Short Form-12, respectively. The Global Rating of Change will be used to evaluate patient satisfaction.

Eligibility criteria: Inclusion Criteria:

Subjectswill be included with

* Aged between 18 and 65 years
* Elbow fracture in the six months before the study
* Elbow limitation in flexion or extension
* Being volunteer to participate
* Fractures should be managed with conservatively or surgically

Exclusion Criteria:

* Malunion or Nonunion Fracture
* Occurrence of complex regional pain syndrome, peripheric nerve injury, heterotopic ossification, myositis ossification or post-traumatic ankylosing
* Non-healing wound or infection
* Previously received physiotherapy for elbow limitation
* Having any cardiovascular diseases, neurological disorders, rheumatic diseases or psychiatric diseases
* Could not adjust to treatment

Primary outcomes:
measure: Functional Status
timeFrame: After the six-week intervention
Secondary outcomes:
measure: Active Range of Motion (AROM) Assessment
timeFrame: Baseline
measure: Active Range of Motion (AROM) Assessment
timeFrame: After the six-week intervention
measure: Active Range of Motion (AROM) Assessment
timeFrame: 1-month follow up
measure: Functional Status
timeFrame: Baseline
measure: Functional Status
timeFrame: 1-month follow up
measure: Pain Intensity
timeFrame: Baseline
measure: Pain Intensity
timeFrame: After the six-week intervention
measure: Pain Intensity
timeFrame: 1-month follow up
Other outcomes:
measure: Quality of Life
timeFrame: Baseline
measure: Quality of Life
timeFrame: After the six-week intervention
measure: Quality of Life
timeFrame: 1-month follow up
measure: Fear of movement (kinesiophobia)
timeFrame: Baseline
measure: Fear of movement (kinesiophobia)
timeFrame: After the six-week intervention
measure: Fear of movement (kinesiophobia)
timeFrame: 1-month follow up
measure: Patient Satisfaction
timeFrame: After the six-week intervention
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University
Study officials:
affiliation: Istanbul University
name: Tansu Birinci, MSc
role: PRINCIPAL_INVESTIGATOR
References: