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IRCT20150210021034N1 IRCT 2018-05-17 Esfahan University of Medical Sciences The sensori-motor effects of elbow orthoses in tennis elbow The immediate sensori-motor effects of elbow orthoses in people with lateral elbow tendinopathy: A randomized cross-over study 2017-07-23 anticipated 50 Complete https://irct.ir/trial/30809 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Crossover, Purpose: Supportive, Randomization description: The order of intervention and testing conditions were randomized and determined by taking a concealed draw from a bag. N/A Tennis elbow. Intervention 1: Intervention group: The forearm band was an 8-cm-wide neoprene band fitted 2.5 cm below the elbow. A double layered neoprene pad was incorporated in the forearm band to apply a direct pressure to the origin of the extensor muscles. The elbow strap had a 5-cm-wide non-elastic strap to adjust the pressure on the pad. Intervention 2: Intervention group: The elbow sleeve was a neoprene support circumferentially contained the arm approximately 15 cm above and below the elbow. The elbow sleeve was fitted on the arm using two 5-cm-wide non-elastic straps above and below the elbow. Both types of counterforce orthoses had a range of available sizes to accommodate different participants’ sizes. Intervention 3: Control group: No orthosis. Yes - There is a plan to make this available What will be shared: The finding will be submitted for publication in a scientific journal. When: The finding will be submitted for publication in a scientific journal. To whom: The finding will be submitted for publication in a scientific journal. Conditions: The finding will be submitted for publication in a scientific journal. Where to obtain: The finding will be submitted for publication in a scientific journal. How to obtain: The finding will be submitted for publication in a scientific journal. Comments: The finding will be submitted for publication in a scientific journal.
public Ebrahim Sadeghi
Hezar jerib St
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3792 5053 sadeghi@rehab.mui.ac.ir Esfahan University of Medical Sciences scientific Ebrahim Sadeghi
Hezar Jerib St.
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3792 5053 sadeghi@rehab.mui.ac.ir Esfarayen University of Medical Sciences Iran (Islamic Republic of) Pain on palpation of the lateral epicondyle. Elbow pain aggravated with resisted wrist extension. Pain on resistive middle finger extension 20 years 60 years Both People with history of surgery, fracture, dislocation, or injection to the elbow less than 6 weeks prior were excluded M77.1 Lateral epicondylitis Rehabilitation Rehabilitation N/A Intervention group: The forearm band was an 8-cm-wide neoprene band fitted 2.5 cm below the elbow. A double layered neoprene pad was incorporated in the forearm band to apply a direct pressure to the origin of the extensor muscles. The elbow strap had a 5-cm-wide non-elastic strap to adjust the pressure on the pad. Intervention group: The elbow sleeve was a neoprene support circumferentially contained the arm approximately 15 cm above and below the elbow. The elbow sleeve was fitted on the arm using two 5-cm-wide non-elastic straps above and below the elbow. Both types of counterforce orthoses had a range of available sizes to accommodate different participants’ sizes. Control group: No orthosis Pain. Timepoint: 5 minutes after each intervention was applied. Method of measurement: The pain severity was measured using a 10-cm visual analogue scale (VAS) in which 0 represented “no pain” and 10 indicated “the most severe pain” . Hand grip strength. Timepoint: 5 minutes after each intervention was applied. Method of measurement: Pain-free grip on the involved side was measured using a digital handgrip dynamometer (YDM-110, Yagami Ltd, Tokyo, Japan). Each participant stood with shoulder in neutral, elbow in extension and forearm in neutral position of supination/pronation then slowly squeeze the dynamometer handle until they felt pain at elbow. Elbow joint position sense. Timepoint: 5 minutes after each intervention was applied. Method of measurement: Elbow proprioception was evaluated by the measurement of joint position sense. For this purpose, the ability of active angle reproduction was measured at the involved elbow. The participant sat on a chair and the arm is kept undisturbed and parallel to the floor using an adjustable arm support attached to the chair’s handle. The participant’s eyes were closed during proprioception testing. The examiner kept the forearm and started slowly moving the elbow from 90º toward extension until elbow reached in 70º of flexion. The elbow was kept at 70º for 20 seconds and participant was asked to memorize this position. The elbow returned to 90º and participant was asked to reproduce the target angle (70º of flexion). The active angle reproduction test was also employed when elbow moving toward flexion direction. Participants were asked to move their elbow from 90º toward further flexion until reached target angle was set at 110º of flexion. Finger dexterity. Timepoint: 5 minutes after intervention was applied. Method of measurement: The finger dexterity was evaluated using “nine-hole peg test”. The testing instrument consist of a wooden board with nine hole and a counterpart has a shallow round dish contained nine pegs. The hole-board was centered in front of participant and shallow dish was on the involved side. Participant took the pegs one by one and put them in the holes, as quickly as could. They then removed the pegs one by one and replaced them in the shallow round dish. The time was recorded using a stopwatch from the moment participant reach the first peg until the last peg was put back in the dish. Esfahan University of Medical Sciences Approved 2017-06-17 ُthical committee of Isfahan University of Medical Sciences, Isfahan, Iran Hezar Jerib St. Isfahan Isfehan Iran (Islamic Republic of)