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| Name | Class |
|---|---|
| University of Seville | OTHER |
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The accomplishment of a treatment with Intratissue Percutaneous Electrolysis of additional form to the accomplishment of eccentric exercises and stretching program in patients with chronic lateral epicondyle tendinopathy is more effective than the accomplishment of an additional treatment with dry needling or eccentric exercises program realized of isolated form.
Experimental study randomized with double blind, whose purpose is to compare three protocols in those who apply different protocols of physical therapy to themselves in three groups of intervention with patients with chronic lateral epicondyle tendinopathy.
There take part in this study people of both sexes, with ages between 18 and 65 years, all of them present chronic lateral epicondyle tendinopathy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group of Dry Needling | Active Comparator | They will receive a treatment of dry needling, guided by ultrasound, together with a self-treatment program at home based on eccentric exercises and stretching. The needle will get in the relevant zone of treatment. The punction will be realized using Hong's technique (fast in-out). Three needle insertions will be carried out in the target area during 3 seconds |
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| Group of electrolysis | Active Comparator | They will receive a treatment of Intratissue Percutaneous Electrolysis, guided by ultrasound, together with a self-treatment program at home based on eccentric exercises and stretching. The needle will get in the relevant zone of treatment. The punction will be realized simulating Hong's technique (fast in-out). Three needle insertions will be carried out in the target area during 3 seconds and 3mA each one. |
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| Control Group | Sham Comparator | They will receive a treatment of punction sham, guided by ultrasound, together with a self-treatment program at home based on eccentric exercises and stretching. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group of Dry Needling | Other | Every group will receive a total of 3 treatment sessions distributed throughout 4 weeks of treatment. The program of eccentric exercises will be done by participants at home 5 days a week, two times a day. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in quality of life by DASH | The Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure is a 30-item, self-report questionnaire designed to help describe the disability experienced by people with upper-limb disorders and also to monitor changes in symptoms and function over time. The DASH Outcome Measure contains one optional, four-item modules intended to measure symptoms and function in workers whose jobs require a high degree of physical performance. | Pre-intervention; Post-intervention (1 week after); Follow up (26 and 52 weeks after) |
| Measure | Description | Time Frame |
|---|---|---|
| Pain, as measured by Visual Analog Scale | Participants will be explained that a score of 0 indicates the absence of pain whereas a score of 10 represents the maximum tolerable pain. | Pre-intervention; Intervention (4 weeks); Post-intervention (1 week after), Follow up (26 and 52 weeks after) |
| Pressure pain thresholds (PPTs) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rita Mª Galán Díaz, MD | Contact | +34660222284 | rmgalan@usj.es | |
| Pablo Herrero Gallego, PhD | Contact | +976060100 | pherrero@usj.es |
| Name | Affiliation | Role |
|---|---|---|
| Rita Mª Galán Díaz, MD | Universidad San Jorge | Principal Investigator |
| Pablo Herrero Gallego, PhD | Universidad San Jorge | Study Director |
| Cleofas Rodríguez Blanco, PhD |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Opel España | Recruiting | Figueruelas | Zaragoza | 50639 | Spain |
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| ID | Term |
|---|---|
| D052256 | Tendinopathy |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D013708 | Tendon Injuries |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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| Group of Electrolysis | Other | Every group will receive a total of 3 treatment sessions distributed throughout 4 weeks of treatment. The program of eccentric exercises will be done by participants at home 5 days a week, two times a day. |
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| Control Group | Other | Every group will receive a total of 3 treatment sessions distributed throughout 4 weeks of treatment. The program of eccentric exercises will be done by participants at home 5 days a week, two times a day. |
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Level of pressure tolerated by the patient just before feeling pain. The pressure is done with a digital algometer Type II(Somedic). PPTS will be assessed bilaterally in extensor carpi radialis brevis tendon and tibialis anterior muscle. |
| Pre-intervention; Intervention (4 weeks); Post-intervention (1 week after), Follow up (26 and 52 weeks after) |
| Pain free grip strength | Grip strength before feeling pain. The tool used is a hydraulic hand dynamometer (Baseline). Subjects will be asked to gradually increase the grip strength while the elbow is extended and pronated and arm alongside of the body. They will be asked to stop when pain is felt. We will take three measures with each elbow. | Pre-intervention; Intervention (4 weeks); Post-intervention (1 week after), Follow up (26 and 52 weeks after) |
| Thickness of the tendon, as measured by ultrasound scan | Tendon structure | Pre-intervention; Post-intervention (1 week after); Follow up (26 and 52 weeks after) |
| Hypervascularity, as measured by ultrasound scan | Tendon structure | Pre-intervention; Post-intervention (1 week after); Follow up (26 and 52 weeks after) |
| University of Seville |
| Study Director |
| D008722 | Methods |