Determining and comparing the effectiveness of two treatment methods, dry needling and kinesiotaping,in the treatment of tennis elbow
Design
Clinical trial,with parallel groups,double-blind,randomized,on 62 patients.SPSS version 22 software was used for randomization
Settings and conduct
At the physical medicine clinic;Acupuncture method:one needle in the lateral epicondyle and at the point of maximum pain.Kinesio taping method:A Y strip with a width of 5 cm from a place one cm above the external epicondyle to the distal side so that the extensor muscles are placed between the two adhesive arms. An I-shaped band with a width of 5 cm and a length of 10 cm from medial to lateral forearm with moderate tension.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Age 30 to 65 years; Pain in the lateral epicondyle for at least a month; Pain in cozen's test; Pain in the Maudsley's test; Supination resistance test
Exclusion criteria: diabetes mellitus; cervical radiculopathy; neuropathy; arthritis in the upper limb or history of arthritis; history of forearm and elbow surgery; Acute elbow trauma; allergy to Kinesiology tape; Cubital tunnel syndrome; carpal tunnel syndrome; rotator cuff tendonitis؛ fibromyalgia syndrome; ipsilateral internal epicondylitis
Intervention groups
The first group was treated with dry needling and exercise and a non-steroidal anti-inflammatory drug(NSAID)(Meloxicam 15 mg daily) for three weeks.The second group was treated with kinesiotyping and exercise and a NSAID for three weeks.Home sports include stretching exercises, eccentric strengthening exercises and joint range of motion.Evaluation of pain intensity using Visual Analogue Scale (VAS) criterion.Evaluation of the functional status with the The Patient-Rated Tennis Elbow Evaluation (PRTEE)
Main outcome variables
pain score based on VAS criteria;pain score based on PRTEE criteria
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20230722058889N1
Registration date:2023-09-23, 1402/07/01
Registration timing:registered_while_recruiting
Last update:2023-09-23, 1402/07/01
Update count:0
Registration date
2023-09-23, 1402/07/01
Registrant information
Name
zahra eshaghian dorcheh
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 31 3376 2229
Email address
mozr88@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-08-11, 1402/05/20
Expected recruitment end date
2024-11-10, 1403/08/20
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
A comparative study of the effectiveness of two treatment methods, dry needling and kinesiotaping, in the treatment of tennis elbow
Public title
A comparative study of the effectiveness of two treatment methods, dry needling and kinesiotaping, in the treatment of tennis elbow
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age 30 to 65 years
Pain in the lateral epicondyle for at least a month
Pain in cozen's test
Pain in the extensor carpi radialis test (that is, resistance to the extension of the middle finger - Maudsley's test)
Supination resistance test (Mill's test)
Exclusion criteria:
Diabetes Mellitus
Cervical radiculopathy
Bilateral lateral epicondylitis neuropathy
Arthritis in the upper limb or a history of arthritis
Bilateral lateral epicondylitis
pregnancy
History of forearm and elbow surgery
Acute elbow trauma
Allergy to Kinesiology tape
Cubital tunnel syndrome
Carpal tunnel syndrome
autoimmune disease
Rotator cuff tendonitis
Local or systemic upper limb infection
Fibromyalgia syndrome
Medial epicondylitis of the same side
An old fracture in the damaged arm
Changing the shape of the elbow
Coagulation diseases
Age
From 30 years old to 65 years old
Gender
Both
Phase
N/A
Groups that have been masked
Care provider
Data analyser
Sample size
Target sample size:
62
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization is done in a simple way, individual randomization unit and using statistical software.
Blinding (investigator's opinion)
Double blinded
Blinding description
Allocation of patients to two treatment groups is done randomly using spss version 22 software.The blinding is two-way, and the main implementer of the design and the data analyzer are not aware of the order of placing people in the clinical groups.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Isfahan University of Medical Sciences
Before performing the treatment methods and in the 3rd and 8th weeks after the treatment
Method of measurement
Visual Analogue Scale
2
Description
Functional status
Timepoint
Before performing the treatment methods and in the 3rd and 8th weeks after the treatment
Method of measurement
Patient Rating Forearm Evaluation Questionnaire
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Dry needling method:The first group is treated with dry needling and exercise and a non-steroidal anti-inflammatory drug (Meloxicam 15 mg daily) for three weeks. The position is neutral. After cleaning the skin with 70% isopropyl alcohol, a needle with a size of 0.25 x 25 in the lateral epicondyle and at the point of maximum pain using the Hong fast-in-fast-out method 20 times in a specific place It is moved for 20 seconds and the Chou technique is also used to facilitate the movement of the needle by rotating at the same time when inserting and removing the needle. This work is done twice a week for 3 weeks and a total of 6 sessions.
Category
Treatment - Devices
2
Description
Intervention group: Kinesio taping:The second group is treated with kinesio taping and exercise and a non-steroidal anti-inflammatory drug (Meloxicam 15 mg daily) for three weeks. We glue near the end of the muscles so that the volume of the extensor carpi radialis brevis, extensor carpi radialis longus, and extensor carpi ulnaris muscles is placed between the two arms of the glue. The beginning and end of the glue is done without tension and the middle of the glue is done with medium tension, which works with a restraining mechanism.Then we stick an I-shaped strip with a width of 5 cm and a length of 10 cm on the outer part of the elbow so that the middle stretch part of the adhesive is placed on the point of the most pain and the two sides of the adhesive are without tension, which can be removed with the space correction mechanism. Weight is applied. Then, an I-shaped band with a width of 5 cm and a length of 10 cm is attached with a medium tension from the inside of the elbow to the outside in the anatomical position of the body while the muscle is pushed outward with the fascia correction technique. During these procedures, the patient's elbow is in extension, and the wrist is in pronation, flexion, and ulnar deviation. This work is done twice a week for 3 weeks and a total of 6 sessions.