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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Experimental | EPTE + EXER Therapeutic Percutaneous Electrolysis once week for four weeks associated with eccentric exercises devices at home. |
|
| Control group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Epte group | Other | Therapeutic Percutaneous Electrolysis once week for four weeks associated with eccentric exercises devices at home. |
|
| 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 |
| 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 |
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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
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| Name | Affiliation | Role |
|---|---|---|
| Manuel Rodriguez Huguet, Physiotherapy | University of Cadiz | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PoliclÃnica Santa marÃa | Cadiz | Cádiz | 11008 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25122629 | Background | Valera-Garrido F, Minaya-Munoz F, Medina-Mirapeix F. Ultrasound-guided percutaneous needle electrolysis in chronic lateral epicondylitis: short-term and long-term results. Acupunct Med. 2014 Dec;32(6):446-54. doi: 10.1136/acupmed-2014-010619. Epub 2014 Aug 13. | |
| 24172311 | Background | Minaya-Munoz F, Medina-Mirapeix F, Valera-Garrido F. Quality measures for the care of patients with lateral epicondylalgia. BMC Musculoskelet Disord. 2013 Oct 30;14:310. doi: 10.1186/1471-2474-14-310. |
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| ID | Term |
|---|---|
| D052256 | Tendinopathy |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D013708 | Tendon Injuries |
| D014947 | Wounds and Injuries |
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A specialist physician will be diagnosed the epicondylitis
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Outcomes assesor
| Dry needling group | Other | The intervention for this group consisted of dry needling in trigger points associated with eccentric exercises devices at home. |
|
|
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 |
| 19297202 | Background | Mintken PE, Glynn P, Cleland JA. Psychometric properties of the shortened disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain. J Shoulder Elbow Surg. 2009 Nov-Dec;18(6):920-6. doi: 10.1016/j.jse.2008.12.015. Epub 2009 Mar 17. |
| 26649058 | Background | Arias-Buria JL, Truyols-Dominguez S, Valero-Alcaide R, Salom-Moreno J, Atin-Arratibel MA, Fernandez-de-Las-Penas C. Ultrasound-Guided Percutaneous Electrolysis and Eccentric Exercises for Subacromial Pain Syndrome: A Randomized Clinical Trial. Evid Based Complement Alternat Med. 2015;2015:315219. doi: 10.1155/2015/315219. Epub 2015 Nov 15. |
| D001519 |
| Behavior |