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IRCT20211010052722N1 IRCT 2021-10-26 Shiraz University of Medical Sciences The effect of muscles strengthening on treatment of patients with tennis elbow The effect of proprioception training on pain, grip force and proprioception in patients with tennis elbow 2021-11-22 anticipated 44 Complete https://irct.ir/trial/59235 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Samples via Block randomizer application and Block size=4 will be placed in one of the two groups of routine physical therapy and routine physical therapy plus proprioception training, Blinding description: Patients are blind to group therapy assessments and treatment will be performed by two independent individuals, and the assessor is blind. N/A Choronic Tennis elbow. Intervention 1: Intervention group:The first group patients receive routine physical therapy treatment protocol include ultrasound (puls mode, 1 MHz frequency, 1 W/Cm2) use for 5 min over the origin of common wrist extensor muscles, friction massage for 5 min applied on the origin of common wrist extensor muscles and strengthening (concentric and eccentric) and stretching exercises 3 sessions per week for 6 weeks. Intervention 2: Intervention group: The second group receive proprioception training exercises in addition to the routine physical therapy treatment in each session for 3 sessions per week for 6 weeks. proprioception training include: week 1: 30 seconds hold Rhythmic stabilization plus 30 seconds hold Quadruped position; week 2 : 1 min hold Rhythmic stabilization plus 1 min hold Quadruped position plus 30 seconds hold kneel push up position plus 30 seconds hold prone on elbows position; week 3: 2 min hold Rhythmic stabilization plus 2 min hold Quadruped position plus 1 min hold kneel push up position plus 1min hold prone on elbows plus 30 seconds hold push up position plus 30 seconds hold Full push up feet elevated position; week 4: 2 min hold kneel push up position plus 2 min hold prone on elbows plus 1 min hold push up position plus 1min hold Full push up feet elevated position plus 30 seconds hold Hands on wobble board plus 30 seconds hold Hands on bosu ball position; week 5: 2 min hold push up position plus 2 min hold Full push up feet elevated position plus 1 min hold Hands on wobble board plus 1 min hold Hands on bosu ball position plus 1 min hold elbows on gym ball; week 6: 2 min hold Hands on wobble board plus 2 min hold Hands on bosu ball position plus 2 min hold elbows on gym ball plus 1 min hold Hands on gym ball. 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 no additional information available
public Nastaran Mollazehi
NO.32, Abiverdi 1 Avenue, Chamran Blvd, Shiraz, Fars
Shiraz Iran (Islamic Republic of) 71947-33669 +98 71 3627 1551 nstrn.mollazehi@gmail.com Shiraz University of Medical Sciences scientific Dr. Mohsen Razeghi
NO.32, Abiverdi 1 Avenue, Chamran Blvd, Shiraz, Fars
Shiraz Iran (Islamic Republic of) 71947-33669 +98 71 3627 1551 razeghm@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) Presence of symptoms exist at least for 3 months and up to 36 months; Feeling of pain and burning in the lateral elbow Feeling pain greater than 3 and less than 8 on the VAS criteria when touched lateral epicondyle by physiotherapist At least 2 positive tests from 4 tennis elbow tests: A) Thomson test B) Maudsely test C) Mills tset D) Dynamometer test. 25 years 50 years Both History of fracture or dislocation at shoulder or elbow The history of surgery at shoulder or elbow for reasons other than fracture or dislocation Degenerative changes at elbow or shoulder Untreated infection or tumors at elbow or shoulder Pressure on the cervical nerve roots Person with radial tunnel syndrome or carpal tunnel syndrome Impingement nerves at arm and forearm History or symptoms of rheumatoid diseases History of getting Gout History of Diabetic neuropathy Any disease or disorder of the central nervous system including: stroke, head injury, MS and ..... Any injury at elbow that interferes with use physiotherapy modalities M77.1 Lateral epicondylitis Rehabilitation Rehabilitation Intervention group:The first group patients receive routine physical therapy treatment protocol include ultrasound (puls mode, 1 MHz frequency, 1 W/Cm2) use for 5 min over the origin of common wrist extensor muscles, friction massage for 5 min applied on the origin of common wrist extensor muscles and strengthening (concentric and eccentric) and stretching exercises 3 sessions per week for 6 weeks. Intervention group: The second group receive proprioception training exercises in addition to the routine physical therapy treatment in each session for 3 sessions per week for 6 weeks. proprioception training include: week 1: 30 seconds hold Rhythmic stabilization plus 30 seconds hold Quadruped position; week 2 : 1 min hold Rhythmic stabilization plus 1 min hold Quadruped position plus 30 seconds hold kneel push up position plus 30 seconds hold prone on elbows position; week 3: 2 min hold Rhythmic stabilization plus 2 min hold Quadruped position plus 1 min hold kneel push up position plus 1min hold prone on elbows plus 30 seconds hold push up position plus 30 seconds hold Full push up feet elevated position; week 4: 2 min hold kneel push up position plus 2 min hold prone on elbows plus 1 min hold push up position plus 1min hold Full push up feet elevated position plus 30 seconds hold Hands on wobble board plus 30 seconds hold Hands on bosu ball position; week 5: 2 min hold push up position plus 2 min hold Full push up feet elevated position plus 1 min hold Hands on wobble board plus 1 min hold Hands on bosu ball position plus 1 min hold elbows on gym ball; week 6: 2 min hold Hands on wobble board plus 2 min hold Hands on bosu ball position plus 2 min hold elbows on gym ball plus 1 min hold Hands on gym ball Proprioception. Timepoint: Before and after intervention; one month after the end intervention. Method of measurement: Biodex system isokinetic dynamometer. Pain and function. Timepoint: Before and after intervention; one month after the end intervention. Method of measurement: Patient rate elbow evaluation questionnaire. Dexterity. Timepoint: Before and after intervention; one month after the end intervention. Method of measurement: Purduepeg Bord test. Grip strength. Timepoint: Before and after intervention; one month after the end intervention. Method of measurement: Hand dynamometer. Shiraz University of Medical Sciences Approved 2021-10-09 Shiraz Univercity of Medical Siences Central building of Shiraz University of Medical Sciences, Zand avenue, Shiraz Shiraz Fars Iran (Islamic Republic of)