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IRCT20091214002851N7 IRCT 2022-08-12 Babol University of Medical Sciences Comparing the effects of Kinesio taping, Counterforce brace and Corticosteroid injection in tennis elbow Comparing the effects of Kinesio taping, Counterforce brace and Corticosteroid injection on common extensor tendon thickness and pain intensity in patients with tennis elbow. 2022-09-16 anticipated 51 Complete https://irct.ir/trial/64561 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Comparing the effects of Kinesio taping, Counterforce brace and Corticosteroid injection on common extensor tendon thickness and pain intensity in patients with tennis elbow, Randomization description: Randomization will be done by Permuted block randomization method. The size of each block is considered to be 6. There are equal numbers of each group in each block. In addition, the order of placement of three treatments in each block is random and determined by a statistician. The letters A, B, and P are written in the letter envelopes, and the patients randomly pick an envelope, and based on that, their treatment group is determined. Patients who remove letter A envelope are placed in the Counterforce brace treatment group, patients who remove letter B envelope are placed in the Kinesiotape treatment group, and patients who remove envelope P are placed in the Corticosteroid injection group. A random code is written on each envelope, and when people enter the study, an envelope (in the above order) is assigned to them. The code on the envelope will be written on the patient's file (checklist), Blinding description: In this study, which will be conducted as a randomized controlled trial or RCT, the evaluator and the therapist are two different people. Therefore, this study is a single-blind study. Also, the statistical analyst is not aware of the grouping. N/A Tennis elbow. Intervention 1: Intervention group: Counterforce Brace group: Patients will be asked to show the pain point on the elbow, and then we will tie the Counterforce Brace 5 cm below the elbow crease. Next, patients are requested to perform elbow flexion and extension movements in order to ensure that the range of motion of the elbow is not limited following the use of the Counterforce Brace. Patients will also be asked to grip with a lot of force to make sure the brace is not too tight. Each patient will use Counterforce Brace for two weeks. The patient only removes the Counterforce brace from the elbow while sleeping and washing. The Counterforce brace available in the market will be used in this study. Intervention 2: Intervention group: Kinesiotape group: To use kinesiotape to restrain the muscle, we use two Y-shaped bands. The main strip along the length of the extensor carpi radialis brevis muscle and the common extensor from the distal part of the muscle to its proximal side and the second strip is attached in order to correct the fascia, with maximum tension perpendicular to the main strip in the upper part of the forearm. The position of the patient's upper limb is placed in the form of elbow extension and flexion and wrist deviation to the ulnar side. The beginning and end of the main group must be connected without tension. But in placing the tape along the length of the muscle, it should be attached with 30% tension. Types are changed every 3 days for two weeks. In total, each patient receives kinesiotape 4 times. The patients in this group were asked to avoid direct contact of the forearm with water as much as possible. In this study, kinesiotape brand bio balance tape will be used. Intervention 3: Intervention group: Corticosteroid injection group: In this group, after the initial assessment, the orthopedic doctor administered a single corticosteroid injection to the patients along with lidocaine (one milliliter of methylprednisolone ten milligrams and one milliliter of two percent perilucaine) at the pain site. will be The patient's elbow is placed in a position of 45 degrees of flexion and forearm pronation on a hard place. The needle is inserted vertically into the pain area to hit the bone. Then half of the amount that entered the body is removed and the injection is performed. No other intervention methods, including physiotherapy and oral drugs, are prescribed to patients. Yes - There is a plan to make this available What will be shared: All data can potentially be shared after unidentified individuals When: Access period starts 2 months after the results are published To whom: Researchers working in academic, scientific and medical institutions Conditions: To cite other researchers from the results of our research Where to obtain: Dr. Mohammad Taghipour, Babol University of medical sciences, college of Rehabilitation, 00989126899352 ,taghipour@mubabol.ac.ir Seyyed Mohammadreza Hoseini. Babol University of medical sciences, college of Rehabilitation ,00989361182439mohammadreza.seyyed.1377@gmail.com How to obtain: 2-4 weeks after request by email Comments:
public Seyyed Mohammadreza Hoseini
Babol university of medical science, college of Rehabilitation
Babol Iran (Islamic Republic of) 47745-47176 +98 11 3219 4641 Mohammadreza.seyyed.1377@gmail.com Babol University of Medical Sciences scientific Dr. Mohammad Taghipour
Babol university of medical science, college of Rehabilitation
Babol Iran (Islamic Republic of) 47745-47176 +98 11 3219 4641 taghipour@mubabol.ac.ir Babol University of Medical Sciences Iran (Islamic Republic of) Tenderness and pain in the external epicondyle Positive tests (Maudsley's test/ Mill's test/ Cozen's test) Age above 18 years Having symptoms of the disease for at least 4 weeks to 6 months (patients with mild to moderate severity of this disease) 18 years 60 years Both Radiculopathy pains and cervical spondylolysis Diabetes Polyneuropathy or entrapment neuropathies History of surgery or acute trauma to the elbow Rheumatoid arthritis diseases History of steroid injection or physiotherapy in the lateral epicondyle of the humerus Acuteness of the condition (severe tenderness, pain during normal active movements, warmth of the epicondyle position) History of surgery or elbow sprain Pregnancy Cancer M77.1 Lateral epicondylitis Treatment - Devices Treatment - Devices Treatment - Drugs Intervention group: Counterforce Brace group: Patients will be asked to show the pain point on the elbow, and then we will tie the Counterforce Brace 5 cm below the elbow crease. Next, patients are requested to perform elbow flexion and extension movements in order to ensure that the range of motion of the elbow is not limited following the use of the Counterforce Brace. Patients will also be asked to grip with a lot of force to make sure the brace is not too tight. Each patient will use Counterforce Brace for two weeks. The patient only removes the Counterforce brace from the elbow while sleeping and washing. The Counterforce brace available in the market will be used in this study. Intervention group: Kinesiotape group: To use kinesiotape to restrain the muscle, we use two Y-shaped bands. The main strip along the length of the extensor carpi radialis brevis muscle and the common extensor from the distal part of the muscle to its proximal side and the second strip is attached in order to correct the fascia, with maximum tension perpendicular to the main strip in the upper part of the forearm. The position of the patient's upper limb is placed in the form of elbow extension and flexion and wrist deviation to the ulnar side. The beginning and end of the main group must be connected without tension. But in placing the tape along the length of the muscle, it should be attached with 30% tension. Types are changed every 3 days for two weeks. In total, each patient receives kinesiotape 4 times. The patients in this group were asked to avoid direct contact of the forearm with water as much as possible. In this study, kinesiotape brand bio balance tape will be used. Intervention group: Corticosteroid injection group: In this group, after the initial assessment, the orthopedic doctor administered a single corticosteroid injection to the patients along with lidocaine (one milliliter of methylprednisolone ten milligrams and one milliliter of two percent perilucaine) at the pain site. will be The patient's elbow is placed in a position of 45 degrees of flexion and forearm pronation on a hard place. The needle is inserted vertically into the pain area to hit the bone. Then half of the amount that entered the body is removed and the injection is performed. No other intervention methods, including physiotherapy and oral drugs, are prescribed to patients. Measurement of the thickness of the common extensor tendon. Timepoint: Before treatment. After treatment and two weeks after treatment. Method of measurement: Ultrasound machine. Pain measurement. Timepoint: Before treatment. After treatment and two weeks after treatment. Method of measurement: visual analogue scale (VAS). The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Timepoint: Before treatment. After treatment two weeks after treatment. Method of measurement: DASH questionnaire. Measurement of wrist and finger flexsor muscle strength. Timepoint: Before treatment. After treatment two weeks after treatment. Method of measurement: Dynamometer device. Babol University of Medical Sciences Approved 2022-07-25 Ethics committee of Babol University of Medical Sciences Mazandaran, Babol, Ganj Afrooz St., Babol University of Medical Sciences Babol Mazandaran Iran (Islamic Republic of)