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IRCT20241202063917N1 IRCT 2024-12-22 Esfahan University of Medical Sciences The effect of eccentric and concentric exercises in the treatment of lateral epicondylitis Evaluation of the effect of eccentric and concentric exercises in the treatment of lateral epicondylitis. 2025-01-03 anticipated 90 Complete https://irct.ir/trial/80650 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Factorial, Purpose: Treatment, Randomization description: The minimum total sample size was estimated to be 81 patients. Taking into account the probability of falling, a total of 90 samples are selected, which are randomly divided into three groups of 30 people using a lottery. For randomization, after coding each patient, we create a series of random numbers from 1 to 90 using kitset.ir. The first 30 numbers are assigned to group 1 (eccentric exercises), the second 30 numbers to group 2 (concentric exercises) and the third 30 numbers to group 3 (eccentric-concentric exercises), Blinding description: For blinding, the person assessing the outcomes (eg, measuring pain, function and grip strength) will be unaware of patient grouping. This is done by coding the patients and presenting the results to the evaluator without showing the assigned group. N/A Lateral epicondylitis. Intervention 1: Intervention group: In the eccentric exercise group, eccentric wrist extensor exercises are performed with the elbow on the bed in full extension, the forearm in pronation, the wrist in a stretched position (as high as possible), and the hand hanging over the edge. From this position, patients slowly bend their wrist while counting to 30 and return to the starting position with the help of the other hand. Exercises are performed in the form of 3 sets of 15 repetitions of slow progressive wrist extensor exercises in each treatment session with a 1-minute rest interval between each set. Intervention 2: Intervention group: In the concentric exercise group, the patient is seated with the elbow fully flexed (90 degrees), the forearm pronated, and the wrist in a neutral position. From this position, the patient slowly extends the wrist to maximum extension for a count of 30, using the opposite hand to return the wrist to flexion. Exercises are performed in the form of 3 sets of 15 repetitions of slow progressive wrist extensor exercises in each treatment session with a 1-minute rest interval between each set. Intervention 3: Intervention group: In the eccentric-concentric exercise group, the elbow is in full extension on the bed, the forearm is in pronation, the wrist is extended (as high as possible), and the hand is hanging over the edge of the bed. From this position, patients slowly flex their wrist while counting to 30, then return to the starting position (stretch). Exercises are performed in the form of 3 sets of 15 repetitions of slow progressive wrist extensor exercises in each treatment session with a 1-minute rest interval between each set. Yes - There is a plan to make this available What will be shared: Data on the study's three primary outcomes, pain, function, and grip strength, can be shared after de-identifying subjects. When: Access starts 6 months after results are published To whom: The data will be accessible to all people who want to use the data, including researchers, students, doctors, etc. Conditions: The data can be used for review articles provided the source is mentioned. Where to obtain: Applicants can send their application through the email of the authors of the article. How to obtain: After sending the request by the applicant, the request will be raised with other writers and if they agree, the data will be sent to the applicant. This process will take about a week. Comments:
public Ali Dehghan Marvast
Isfahan, Valiasr St., Mushfaq Kashani North, Sub-Division 11
Isfahan Iran (Islamic Republic of) 8179664368 +98 31 3778 9423 alidehqa@gmail.com Esfahan University of Medical Sciences scientific Ali Dehghan marvast
Isfahan, Valiasr St., Mushfaq Kashani North, Sub-Division 11
Isfahan Iran (Islamic Republic of) 8179664368 +98 31 3778 9423 alidehqa@gmail.com Esfahan University of Medical Sciences Iran (Islamic Republic of) Definitive diagnosis of lateral epicondylitis by a specialist doctor Having symptoms of lateral epicondylitis for more than 3 months Willingness and satisfaction of patients to perform regular exercise Age between 20 and 65 years Absence of inability to understand the scales used in the present study Ability to respond 20 years 65 years Both Joint crepitus, instability, deformity or loss of motion and previous history of elbow fracture People with heavy and manual jobs (such as construction and industrial workers, heavy machinery operators, mechanics, construction painters, carpenters, etc.) Fibromyalgia, sprain, surgery or arthritis Neck radiculopathy Receiving treatments other than painkillers such as local steroid injection, physiotherapy, autologous blood injection, botulinum injection, etc. M77.1 Lateral epicondylitis Treatment - Other Treatment - Other Treatment - Other Intervention group: In the eccentric exercise group, eccentric wrist extensor exercises are performed with the elbow on the bed in full extension, the forearm in pronation, the wrist in a stretched position (as high as possible), and the hand hanging over the edge. From this position, patients slowly bend their wrist while counting to 30 and return to the starting position with the help of the other hand. Exercises are performed in the form of 3 sets of 15 repetitions of slow progressive wrist extensor exercises in each treatment session with a 1-minute rest interval between each set. Intervention group: In the concentric exercise group, the patient is seated with the elbow fully flexed (90 degrees), the forearm pronated, and the wrist in a neutral position. From this position, the patient slowly extends the wrist to maximum extension for a count of 30, using the opposite hand to return the wrist to flexion. Exercises are performed in the form of 3 sets of 15 repetitions of slow progressive wrist extensor exercises in each treatment session with a 1-minute rest interval between each set. Intervention group: In the eccentric-concentric exercise group, the elbow is in full extension on the bed, the forearm is in pronation, the wrist is extended (as high as possible), and the hand is hanging over the edge of the bed. From this position, patients slowly flex their wrist while counting to 30, then return to the starting position (stretch). Exercises are performed in the form of 3 sets of 15 repetitions of slow progressive wrist extensor exercises in each treatment session with a 1-minute rest interval between each set. Pain score in visual analog quality (VAS). Timepoint: Pain assessment at the beginning of the study (zero week), the end of treatment (fourth week) and one month after treatment (eighth week). Method of measurement: Visual analog quality (VAS). Upper limb function using the DASH (Disabilities of the Arm, Shoulder, and Hand) questionnaire. Timepoint: Pain assessment at the beginning of the study (zero week), the end of treatment (fourth week) and one month after treatment (eighth week). Method of measurement: DASH (Disabilities of the Arm, Shoulder, and Hand) questionnaire. Measuring the patient's grip strength using Jamar's grip dynamometer. Timepoint: Measurement at the beginning of the study (week zero), the end of treatment (week four) and one month after treatment (week eight). Method of measurement: Jamar grip dynamometer. Esfahan University of Medical Sciences Approved 2024-11-02 Ethics Committee of Isfahan University of Medical Sciences Faculty of Medicine, Isfahan University of Medical Sciences and Health Services, Hezar Jarib Street Isfahan Isfehan Iran (Islamic Republic of)