Exercise Therapy and Orthoses in Lateral Elbow Tendinopathy: Comparative Effects
Investigation of the Effects of Different Types of Orthoses Used in Addition to Exercise Therapy in Lateral Elbow Tendinopathy
Istanbul University - Cerrahpasa
45 participants
Dec 2, 2024
INTERVENTIONAL
Conditions
Summary
The aim of this study is to address the inconsistencies in the literature by investigating the effects of a forearm counterforce brace and a wrist splint, used in addition to exercise therapy, on pain, functionality, and grip strength in individuals diagnosed with lateral elbow tendinopathy, compared to those receiving exercise therapy alone.The findings aim to provide valuable insights into clinical practice by highlighting the roles of both orthosis use and exercise in the treatment of lateral elbow tendinopathy.
Eligibility
Inclusion Criteria5
- Being between the ages of 18 and 65,
- Having a diagnosis of unilateral lateral elbow tendinopathy,
- Having at least two of the Thomsen, Maudley's, Mill's, or Cozen's tests positive during clinical examination,
- Experiencing symptoms for at least 3 months,
- Not having a systemic or chronic illness that would prevent participation in the treatment program.
Exclusion Criteria5
- A history of trauma or surgery in the relevant elbow and/or wrist,
- The presence of orthopedic and/or neurological problems in the cervical spine, shoulder joint, or wrist,
- Participation in a physiotherapy and rehabilitation program for lateral elbow tendinopathy within the last 6 months,
- Receiving any injections within the last 6 months,
- Systemic inflammation.
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Interventions
Participants in this group will only undergo a standardized exercise protocol. The exercises will be part of a program lasting 6 weeks, conducted 2 days per week. A combined evidence-based exercise program consisting of wrist isometric, concentric, and eccentric exercises will be applied to the individuals in the group. For free-weight exercises, participants will start with weights of 0.5-1 kg, tailored to the individual. Progression will be achieved with 0.5-1 kg increments. For exercises using resistance bands, the increase in resistance will be provided by selecting the next level band color. Participants will be assessed before treatment, at the end of the 6th week, and at the end of the 12th week.
Participants in this group will undergo a standardized exercise protocol and will be provided with a counterforce forearm brace in addition to exercise therapy. The exercises will be part of a program lasting 6 weeks, conducted 2 days per week. A combined evidence-based exercise program consisting of wrist isometric, concentric, and eccentric exercises will be applied to the individuals in the group. For free-weight exercises, participants will start with weights of 0.5-1 kg, tailored to the individual. Progression will be achieved with 0.5-1 kg increments. For exercises using resistance bands, the increase in resistance will be provided by selecting the next level band color. Participants will be assessed before treatment, at the end of the 6th week, and at the end of the 12th week.
Participants in this group will undergo a standardized exercise protocol and will be provided with a wrist brace in addition to exercise therapy. The exercises will be part of a program lasting 6 weeks, conducted 2 days per week. A combined evidence-based exercise program consisting of wrist isometric, concentric, and eccentric exercises will be applied to the individuals in the group. For free-weight exercises, participants will start with weights of 0.5-1 kg, tailored to the individual. Progression will be achieved with 0.5-1 kg increments. For exercises using resistance bands, the increase in resistance will be provided by selecting the next level band color. Participants will be assessed before treatment, at the end of the 6th week, and at the end of the 12th week.
Locations(1)
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NCT06735092