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IRCT20250224064842N1 IRCT 2025-04-30 Shahid Beheshti University of Medical Sciences Determining the effect of dry needling combination with counterforce brace on lateral epicondylitis Determining the effect of dry needling combination with counterforce brace on pain, grip strength, and upper limb function in individuals with lateral epicondylitis 2025-06-05 anticipated 39 Complete https://irct.ir/trial/82137 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Three envelopes with the names of the groups written inside and sealed, and we ask the patient to choose one envelope, Blinding description: The person who measures and evaluates variables in patients does not know the type of patient intervention. N/A Lateral epicondylitis (Tennis elbow). Intervention 1: First intervention group: Control group: treatment in group 1 (routine physiotherapy) is performed in a way that includes stretching exercises of the wrist extensor muscles for 30 seconds with 5 repetitions and ultrasound with an intensity of 1.5 for 3 minutes in the painful area and deep friction massage for 5 minutes. Intervention 2: Second intervention group: Treatment in group 2 (routine physiotherapy and dry needling) immediately after the routine physiotherapy, the patient is placed in an open arch position, the elbow is slightly bent, the forearm is in a normal position and a pillow is placed under the hand. After cleaning the skin, 5 dry needles 0.25 x 25 mm (needle size varies depending on the size of the muscle) will be inserted in the external epicondyle area and in the trigger points of the extensor carpi radialis brevis tendon .We find the extensor carpi radialis brevis tendon by resisting raising the third finger. Then rotate the needle 3 to 4 times and it will remain in place for 10 minutes and will be pulled out. To perform dry needling twice in the first and second weeks (three days between each session) and once in the third week, dry needling is repeated and routine physiotherapy will be performed immediately after applying dry needling. Intervention 3: Third intervention group: In group 3 (dry needling, routine physiotherapy, and brace), it is done in such a way that the brace is used immediately after dry needling and routine physiotherapy. The prefabricated Counterforce brace is closed 5 cm below the origin of the wrist extensor tendon according to the size of the patient. To make sure, under the supervision of an orthotist, patients bend and straighten their elbow so that the brace does not interfere with their range of motion and does not slip. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Data collection has not been done yet, if all patients are satisfied, there is a plan to release it.
public Razieh jafari
Shahid Beheshti University of Medical Sciences, Faculty of Rehabilitation Sciences, in front of Bo Ali Hospital, Damavand Street, Imam Hossein Square, Tehran
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7787 9719 razieh.jafari401@gmail.com Shahid Beheshti University of Medical Sciences scientific razieh jafari
Shahid Beheshti University of Medical Sciences, Faculty of Rehabilitation Sciences, in front of Bo Ali Hospital, Damavand Street, Imam Hossein Square, Tehran
Tehran Iran (Islamic Republic of) 1616913111 2057 7754 21 98+ razieh.jafari401@gmail.com Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) People whose dominant hand is involved No contraindications for using dry needles Pain on palpation of the external epicondyle of the humerus in the dominant hand Cozen's test is positive They have not responded to conservative treatment in the past 6 months No history of corticosteroid injections in the past 6 months 18 years 40 years Both M77.1 Lateral epicondylitis Rehabilitation Rehabilitation Rehabilitation First intervention group: Control group: treatment in group 1 (routine physiotherapy) is performed in a way that includes stretching exercises of the wrist extensor muscles for 30 seconds with 5 repetitions and ultrasound with an intensity of 1.5 for 3 minutes in the painful area and deep friction massage for 5 minutes. Second intervention group: Treatment in group 2 (routine physiotherapy and dry needling) immediately after the routine physiotherapy, the patient is placed in an open arch position, the elbow is slightly bent, the forearm is in a normal position and a pillow is placed under the hand. After cleaning the skin, 5 dry needles 0.25 x 25 mm (needle size varies depending on the size of the muscle) will be inserted in the external epicondyle area and in the trigger points of the extensor carpi radialis brevis tendon .We find the extensor carpi radialis brevis tendon by resisting raising the third finger. Then rotate the needle 3 to 4 times and it will remain in place for 10 minutes and will be pulled out. To perform dry needling twice in the first and second weeks (three days between each session) and once in the third week, dry needling is repeated and routine physiotherapy will be performed immediately after applying dry needling. Third intervention group: In group 3 (dry needling, routine physiotherapy, and brace), it is done in such a way that the brace is used immediately after dry needling and routine physiotherapy. The prefabricated Counterforce brace is closed 5 cm below the origin of the wrist extensor tendon according to the size of the patient. To make sure, under the supervision of an orthotist, patients bend and straighten their elbow so that the brace does not interfere with their range of motion and does not slip. Pain. Timepoint: Before the intervention and after the intervention and one month later. Method of measurement: Visual Analogue Scale. Grip strength. Timepoint: Before the intervention and after the intervention and one month later. Method of measurement: Dynamometer. Upper limb function. Timepoint: Before the intervention and after the intervention and one month later. Method of measurement: Quick Dash questionnaire. Pressure pain threshold. Timepoint: Before the intervention and after the intervention and one month later. Method of measurement: Algometer. Quality of life. Timepoint: Before the intervention and after the intervention and one month later. Method of measurement: 36-question quality of life questionnaire (SF-36). Severity of disability. Timepoint: Before the intervention and after the intervention and one month later. Method of measurement: Patient-Rated Tennis Elbow Evaluation Questionnaire. Shahid Beheshti University of Medical Sciences Approved 2025-02-09 Ethics committee of Shahid Beheshti University of medical Sciences Shahid Beheshti University of Medical Sciences, Arabi St, Daneshjoo Blvd ,Valenjak, Tehran Tehran Tehran Iran (Islamic Republic of)