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Comparing the Effectiveness of the 'Think in Nerve Length and Layers' (TINLL) Approach to Traditional Treatment for Patients With Lateral Elbow Pain.

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Lateral elbow pain can significantly limit people's ability to do the activities they want or need to do. We want to explore if one treatment technique is better than another for people with lateral elbow pain. You will be placed in a traditional treatment group or in a non-traditional treatment group. Your placement in the group will depend on past treatments you have had for this pain. Before you start treatment, you will be given four tests: 1) a grip strength test, 2) a pinch test, 3) a pain level survey, and 4) a functional survey. These four tests will take no longer than 15 minutes to complete. These four tests are common tests given to people with elbow pain. You will be given these four tests: * At the beginning, before you start treatment * At 2-weeks * At 4-weeks * At the end of your treatment Traditional treatment group: You will receive treatment 1x/week for 4-6 weeks. The traditional treatment group will consist of the following treatments: * stretching and strengthening of the wrist extensors * soft tissue work to the forearm muscles * joint mobilization at the elbow * rigid and elastic taping with focus on the wrist extensor muscles * ergonomic strategies * transcutaneous electrical nerve stimulation (TENS) * wrist splinting Non-traditional (TINLL) treatment group: You will receive treatment 1x/every 1-2-weeks for 4-6 weeks. The non-traditional (TINLL) treatment group will consist of the following treatments: * joint and tendon mobilization at the elbow * elastic tape for muscles and nerves * stretching/strengthening of the muscles at the elbow and upper arm * ergonomic strategies

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• understanding of English language; adults 18 years of age or older

• referral for lateral sided elbow pain or lateral epicondylitis

• subjects positive on one of the following (tenderness over lateral epicondyle with palpation

• pain with stretch of long wrist extensors

• pain with resisted wrist or middle finger extension)

Locations
United States
Vermont
Orthopedica and Rehabilitation Center - Occupational Therapy/Hand Therapy, University of Vermont Medical Center
RECRUITING
South Burlington
Contact Information
Primary
Victoria Priganc, PhD
victoria.priganc@med.uvm.edu
802-777-1477
Time Frame
Start Date: 2024-11-26
Estimated Completion Date: 2026-11-26
Participants
Target number of participants: 68
Treatments
Experimental: TINLL
* radial head mobilization~* biceps tendon mobilization with movement to address joint alignment, neural tension, and the superficial sensory nervous system.~* elastic tape cross fiber inhibition 50% stretch over distal biceps~* elastic tape radial head stabilization with 80% stretch~* biceps stretching/lengthening~* pectoralis major stretching~* scapular strengthening~* triceps and supinator strengthening~* ergonomic strategies
Active_comparator: Traditional
* stretching of the wrist extensors~* isometric, concentric, and/or eccentric strengthening of the finger extensors, wrist extensors, pronator, and supinator muscles~* elbow joint manipulation or mobilization (such as mobilization with movement (MWM) as developed by Mulligan)~* soft tissue mobilization techniques to the forearm muscles~* instrument-assisted soft tissue mobilization (IASTM) to the forearm muscles~* rigid taping techniques and elastic taping application as part of a multimodal treatment program focused on common extensors~* ergonomic strategies~* transcutaneous electrical nerve stimulation (TENS)~* wrist orthosis/splinting
Related Therapeutic Areas
Sponsors
Leads: University of Vermont

This content was sourced from clinicaltrials.gov